{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:05:43Z","timestamp":1753877143711,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T00:00:00Z","timestamp":1586217600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Restoring the cosmetic and functional aspects of the lip after tumor resection is challenging. We report a case of reconstruction for a defect due to resection of a melanoma using a lower lip musculomucosal flap combined with a tongue flap. A 20-year-old man was referred to our hospital and diagnosed with malignant melanoma with metastatic right submaxillary lymph nodes. We excised the tumor with neck dissection. We excised not only the right upper lip mucosa but also the gum, including some orbicularis oris muscle and alveolar bone from the right canine tooth to the left central incisor tooth. The defect was simultaneously reconstructed using both, a lower lip musculomucosal flap and a tongue flap. Revisional operation to remove contraction of a postoperative scar and the right vermillion border collection was performed at 3 months after the initial operation. There had been no functional and cosmetic trouble of the upper lip.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa072","type":"journal-article","created":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T12:36:49Z","timestamp":1583757409000},"source":"Crossref","is-referenced-by-count":4,"title":["Reconstruction of an upper lip and intraoral defect following resection of an upper lip melanoma using a lower lip musculomucosal flap combined with a tongue flap"],"prefix":"10.1093","volume":"2020","author":[{"given":"Yukio","family":"Yoshioka","sequence":"first","affiliation":[{"name":"Department of Molecular Oral Medicine and Maxillofacial Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutaka","family":"Hayashido","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Hiroshima University Hospital, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoku","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Oral Surgery, JA Onomichi General Hospital, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeaki","family":"Toratani","sequence":"first","affiliation":[{"name":"Department of Molecular Oral Medicine and Maxillofacial Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuji","family":"Okamoto","sequence":"first","affiliation":[{"name":"Department of Molecular Oral Medicine and Maxillofacial Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,4,7]]},"reference":[{"key":"2020040704252027700_ref1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.anorl.2010.04.001","article-title":"Surgical repair of labial defect","volume":"127","author":"Malard","year":"2010","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"2020040704252027700_ref2","first-page":"3","article-title":"Repair of large lip vermillion defects with mutual cross lip musculomucosal flaps","volume":"1","author":"Manafi","year":"2012","journal-title":"World J Plast Surg"},{"key":"2020040704252027700_ref3","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/S0030-6665(05)70010-4","article-title":"Lip and perioral defects","volume":"34","author":"Galyon","year":"2001","journal-title":"Otolaryngol Clin North Am"},{"key":"2020040704252027700_ref4","first-page":"1455","article-title":"Reconstructive plastic surgery: principles and procedures in correction, reconstruction, and transplantation","volume":"1","author":"Converse","year":"1977","journal-title":"Saunders"},{"key":"2020040704252027700_ref5","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/00006534-199209000-00009","article-title":"A new intraoral flap: facial artery musculomucosal (FMMA) flap","volume":"90","author":"Pribaz","year":"1992","journal-title":"Plast Reconstr Surg"},{"key":"2020040704252027700_ref6","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1007\/s10006-017-0655-9","article-title":"Rational and simplified nomenclature for buccinator myomucosal flaps","volume":"21","author":"Massarelli","year":"2017","journal-title":"Oral Maxillofac Surg"},{"key":"2020040704252027700_ref7","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1097\/SCS.0b013e318267bb98","article-title":"Reconstruction of extensive lip and perioral defects after tumor excision","volume":"24","author":"Sun","year":"2013","journal-title":"J Craniofac Surg"},{"key":"2020040704252027700_ref8","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1002\/hed.24997","article-title":"Superiorly based facial musculomucosal flap: a versatile pedicled flap","volume":"40","author":"Berania","year":"2018","journal-title":"Head Neck"},{"key":"2020040704252027700_ref9","first-page":"1","article-title":"Single-stage reconstruction for buccal mucosa tumor resection including the labial commissure using a facial artery musculomucosal flap and vermillion advancement flap","volume":"6","author":"Sakakibara","year":"2017","journal-title":"J Surg Case Rep"},{"key":"2020040704252027700_ref10","doi-asserted-by":"crossref","first-page":"E1200","DOI":"10.1002\/hed.24191","article-title":"Oncologic safety of facial artery myomucosal flaps in oral cavity reconstruction","volume":"38","author":"Ferrari","year":"2016","journal-title":"Head Neck"}],"container-title":["Journal 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