title: Functional reconstruction of the lower lip with Fujimori flap and long-term follow-up with clinical and electrophysiologic evaluations.
abstract: OBJECTIVE
  The Fujimori gate flap is an innervated flap raised from the nasolabial area for reconstruction of the lower lip. No electromyographic or clinical long-term studies have analyzed the long-term outcomes of lower lip reconstruction performed using this method. The aim of the present study was to assess the outcomes of lower lip reconstruction with the Fujimori gate flap using clinical and electrophysiologic examinations.
  
  
  METHODS
  Ten patients who had been treated with this procedure were evaluated clinically and electrophysiologically. The follow-up period was 1 year for all patients, and the patients underwent regular assessments.
  
  
  RESULTS
  All flaps survived completely, and no wound healing problems were encountered. Four patients underwent revision in the late postoperative period. The electrophysiologic studies revealed the presence of reinnervation in all 10 patients.
  
  
  CONCLUSIONS
  In the present study, we found that the Fujimori gate flap is a versatile flap for ideal reconstruction of lower lip defects. Our electrophysiologic assessments showed that the transferred muscle had undergone reinnervation and that the donor area innervation had been preserved. The findings from the serial clinical and electrophysiologic assessments indicated satisfactory results.
authors.affiliation: Specialist, Department of Plastic and Reconstructive Surgery, Antalya Research and Education Hospital, Antalya, Turkey. Electronic address: gulsumt@yahoo.com.
authors.forename: Gülsüm
authors.initials: G
authors.lastname: Tetik
authors.affiliation: Assistant Professor, Department of Physical Therapy and Rehabilitation, Ankara Diskapi Research and Education Hospital, Ankara, Turkey.
authors.forename: Ece
authors.initials: E
authors.lastname: Unlü
authors.affiliation: Resident, Department of Plastic and Reconstructive Surgery, Ankara Diskapi Research and Education Hospital, Ankara, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Aksu
mesh_terms: D000200:Action Potentials / Q000502:physiology; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004435:Eating / Q000502:physiology; D004576:Electromyography / Q000379:methods; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008046:Lip / Q000294:innervation / Q000502:physiology / Q000601:surgery*; D008048:Lip Neoplasms / Q000601:surgery; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009046:Motor Neurons / Q000502:physiology; D009416:Nerve Regeneration / Q000502:physiology; D009431:Neural Conduction / Q000502:physiology; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D012677:Sensation / Q000502:physiology; D013060:Speech / Q000502:physiology; D013524:Surgical Flaps / Q000637:transplantation*; D016896:Treatment Outcome