Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient

Summary:. The Fujimori gate flap has been known and used for reconstruction of defects resulting from oncologic surgery. In this case report, we describe how this flap was utilized in reconstructing the upper lip of a patient who experienced an electrical burn injury resulting in 70% tissue loss of...

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Autores principales:	Mar Aristeo G. Poncio, MD, Ma. Adela Nable-Aguilera, MD, FPAPRAS
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/f31610a8db694878afd10de618425252
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spelling	oai:doaj.org-article:f31610a8db694878afd10de6184252522021-11-25T07:58:04ZUpper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient2169-757410.1097/GOX.0000000000003900https://doaj.org/article/f31610a8db694878afd10de6184252522021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003900https://doaj.org/toc/2169-7574Summary:. The Fujimori gate flap has been known and used for reconstruction of defects resulting from oncologic surgery. In this case report, we describe how this flap was utilized in reconstructing the upper lip of a patient who experienced an electrical burn injury resulting in 70% tissue loss of the upper lip with exposed alveolar bone. A 22-year-old man presented to our institution with near total full-thickness burn over the upper lip, deep partial thickness burns over left upper lid, and superficial partial thickness burns over both malar areas, anterior chest, and both legs. He underwent full-thickness skin grafting of the left upper lid and upper cutaneous lip. After 3 weeks, a unilateral gate flap was performed. The flap was elevated with care to preserve the right angular artery and the Stensen’s duct. The flap was rotated 90 degrees medially and was sutured to the contralateral orbicularis oris, gingivobuccal mucosa, and to the rest of the upper cutaneous lip. The patient was followed up at 6 months and 1 year postoperatively. The flap was able to restore oral competence and enabled the patient to speak and chew with no difficulty. Patients suffering from high-voltage electrical burns, especially involving the mouth, present a challenging case for surgeons for reconstruction. Here, the goals of the reconstruction are to restore oral competence and ability to articulate, and still provide good appearance. A feasible and aesthetically acceptable flap providing good functional outcome is provided by the use of the unilateral Fujimori gate flap among patients suffering from high-voltage electrical burns of the oral cavity.Mar Aristeo G. Poncio, MDMa. Adela Nable-Aguilera, MD, FPAPRASWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3900 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Mar Aristeo G. Poncio, MD Ma. Adela Nable-Aguilera, MD, FPAPRAS Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient
description	Summary:. The Fujimori gate flap has been known and used for reconstruction of defects resulting from oncologic surgery. In this case report, we describe how this flap was utilized in reconstructing the upper lip of a patient who experienced an electrical burn injury resulting in 70% tissue loss of the upper lip with exposed alveolar bone. A 22-year-old man presented to our institution with near total full-thickness burn over the upper lip, deep partial thickness burns over left upper lid, and superficial partial thickness burns over both malar areas, anterior chest, and both legs. He underwent full-thickness skin grafting of the left upper lid and upper cutaneous lip. After 3 weeks, a unilateral gate flap was performed. The flap was elevated with care to preserve the right angular artery and the Stensen’s duct. The flap was rotated 90 degrees medially and was sutured to the contralateral orbicularis oris, gingivobuccal mucosa, and to the rest of the upper cutaneous lip. The patient was followed up at 6 months and 1 year postoperatively. The flap was able to restore oral competence and enabled the patient to speak and chew with no difficulty. Patients suffering from high-voltage electrical burns, especially involving the mouth, present a challenging case for surgeons for reconstruction. Here, the goals of the reconstruction are to restore oral competence and ability to articulate, and still provide good appearance. A feasible and aesthetically acceptable flap providing good functional outcome is provided by the use of the unilateral Fujimori gate flap among patients suffering from high-voltage electrical burns of the oral cavity.
format	article
author	Mar Aristeo G. Poncio, MD Ma. Adela Nable-Aguilera, MD, FPAPRAS
author_facet	Mar Aristeo G. Poncio, MD Ma. Adela Nable-Aguilera, MD, FPAPRAS
author_sort	Mar Aristeo G. Poncio, MD
title	Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient
title_short	Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient
title_full	Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient
title_fullStr	Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient
title_full_unstemmed	Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient
title_sort	upper lip reconstruction using fujimori gate flap in an electrical burn patient
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/f31610a8db694878afd10de618425252
work_keys_str_mv	AT mararisteogponciomd upperlipreconstructionusingfujimorigateflapinanelectricalburnpatient AT maadelanableaguileramdfpapras upperlipreconstructionusingfujimorigateflapinanelectricalburnpatient
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Upper Lip Reconstruction Using Fujimori Gate Flap in an Electrical Burn Patient

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