Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases

Funayama, Norika; Matsunaga, Kazuhide; Takeshita, Akinori; Morita, Yoshihiro; Satake, Himeka; Kashiwagi, Takafumi; Ogasa, Emiko; Uzawa, Narikazu

doi:https://doi.org/10.1016/j.ajoms.2025.09.011

Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases

Funayama, Norika; Matsunaga, Kazuhide; Takeshita, Akinori et al.

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 2025

Number of Access:292（2026-02-18 09:55 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/102813

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File	Format	Terms of use	Size	Date.Available	Description
JOralMaxillofacialSurgMedPathol_2025	pdf	None	278 KB	2026.09.16
Table1	xlsx	None	10.5 KB	2026.09.16	Five patients details.
Table2	xlsx	None	10.1 KB	2026.09.16	The total scores for scales across the five patients.
Fig.1	jpg	None	649 KB	2026.09.16	Our Weber–Fergusson incision method.
Fig.2	jpg	None	536 KB	2026.09.16	Intra-oral view after tumor resection and skin grafting.
Fig.3	jpg	None	1.22 MB	2026.09.16	Schematic of the undermining and suturing of the upper lip.
Fig.4	jpg	None	1.40 MB	2026.09.16	Incision design and facial findings at one year postoperatively for each patient.
Fig.5	jpg	None	574 KB	2026.09.16	The patient and observer scar assessment scale.

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Title	Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases
Creator	CreatorName Funayama, Norika
	NRID 1000080368323 1000080368323 ORCID 0009-0006-7170-2757 0009-0006-7170-2757 researchmap permalink kazuhide kazuhide Scopus Author ID 7202702921 7202702921 CreatorName Matsunaga, Kazuhide
	NRID 1000080899005 1000080899005 researchmap permalink oralsurg2 oralsurg2 Scopus Author ID 55995076600 55995076600 CreatorName Takeshita, Akinori
	NRID 1000030590517 1000030590517 ORCID 0000-0002-5512-1534 0000-0002-5512-1534 researchmap permalink yoshi197 yoshi197 Scopus Author ID 16069264600 16069264600 CreatorName Morita, Yoshihiro
	CreatorName Satake, Himeka
	ORCID 0009-0003-3635-6738 0009-0003-3635-6738 researchmap permalink 986436 986436 Scopus Author ID 59538096100 59538096100 CreatorName Kashiwagi, Takafumi
	CreatorName Ogasa, Emiko
	NRID 1000030345285 1000030345285 Scopus Author ID 6603144046 6603144046 researchmap permalink read0212957 read0212957 ORCID 0000-0001-5390-6875 0000-0001-5390-6875 CreatorName Uzawa, Narikazu
Subject	Maxillary malignant tumor
	Postoperative outcomes
	Upper lip morphology
	Weber–Fergusson incision
Description	Funayama N., Matsunaga K., Takeshita A., et al. Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology (2025); https://doi.org/10.1016/j.ajoms.2025.09.011.
Abstract	A Weber–Fergusson incision is used to resect extensive tumors in the maxilla. Some reports have described postoperative scarring and upper lip asymmetry in cases in which a Weber–Fergusson incision was used. In this study, a Weber–Fergusson incision with two triangular flaps was applied to prevent postoperative scarring and upper lip asymmetry. Here, we present details of this surgical procedure and the postoperative outcomes in patients treated using it. Five patients having a maxillary malignant tumor underwent resection of the maxilla using a Weber–Fergusson incision, with the raw surface of the buccal mucosa undergoing skin grafting. For the upper lip incision, a 6 mm triangular flap was set 5 mm above the vermilion border within the philtrum on the white lip and a 6 mm triangular flap was set on the vermilion-mucosal junction of the red lip. The upper lip morphology was evaluated one year postoperatively. In all patients, postoperative scarring of the white lip and depression of the red lip were not noticeable, and both patient and observer assessments favorable. Our Weber–Fergusson incision method might be useful for obtaining good postoperative upper lip morphology in adult patients with a maxillary malignant tumor.
Publisher	Elsevier Ltd
Source Title	Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
Date of Issued	2025-09-16
Language	English
Handle URL	https://hdl.handle.net/11094/102813
PISSN	22125558
eISSN	22125566
Relation.isVersionOf	DOI (Publisher Version) https://doi.org/10.1016/j.ajoms.2025.09.011
Access Rights	embargoed access
CopyRight	© 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
CopyRight	The full-text file will be made open to the public on 16 September 2026 in accordance with the publisher's policy.
oaire:version	Accepted Manuscript
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2025
DC.title	Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases
DC.creator	Funayama, Norika
	Matsunaga, Kazuhide
	Takeshita, Akinori
	Morita, Yoshihiro
	Satake, Himeka
	Kashiwagi, Takafumi
	Ogasa, Emiko
	Uzawa, Narikazu
DC.publisher	Elsevier Ltd
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-09-16
DC.identifier	https://doi.org/10.1016/j.ajoms.2025.09.011
DC.subject	Maxillary malignant tumor
	Postoperative outcomes
	Upper lip morphology
	Weber–Fergusson incision
DC.description	Funayama N., Matsunaga K., Takeshita A., et al. Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology (2025); https://doi.org/10.1016/j.ajoms.2025.09.011.
DCTERMS.abstract	A Weber–Fergusson incision is used to resect extensive tumors in the maxilla. Some reports have described postoperative scarring and upper lip asymmetry in cases in which a Weber–Fergusson incision was used. In this study, a Weber–Fergusson incision with two triangular flaps was applied to prevent postoperative scarring and upper lip asymmetry. Here, we present details of this surgical procedure and the postoperative outcomes in patients treated using it. Five patients having a maxillary malignant tumor underwent resection of the maxilla using a Weber–Fergusson incision, with the raw surface of the buccal mucosa undergoing skin grafting. For the upper lip incision, a 6 mm triangular flap was set 5 mm above the vermilion border within the philtrum on the white lip and a 6 mm triangular flap was set on the vermilion-mucosal junction of the red lip. The upper lip morphology was evaluated one year postoperatively. In all patients, postoperative scarring of the white lip and depression of the red lip were not noticeable, and both patient and observer assessments favorable. Our Weber–Fergusson incision method might be useful for obtaining good postoperative upper lip morphology in adult patients with a maxillary malignant tumor.
DC.rights	© 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
DC.rights	The full-text file will be made open to the public on 16 September 2026 in accordance with the publisher's policy.
DC.format	102813
citation_title	Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases
citation_author	Funayama, Norika
	Matsunaga, Kazuhide
	Takeshita, Akinori
	Morita, Yoshihiro
	Satake, Himeka
	Kashiwagi, Takafumi
	Ogasa, Emiko
	Uzawa, Narikazu
citation_publisher	Elsevier Ltd
citation_language	English
citation_date	2025-09-16
citation_journal_title	Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
citation_doi	https://doi.org/10.1016/j.ajoms.2025.09.011
citation_public_url	https://hdl.handle.net/11094/102813

Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases

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