{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T10:10:02Z","timestamp":1754043002241,"version":"3.41.2"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The choice of surgical access for resection and reconstruction of buccal squamous cell carcinoma (BSCC) with the lip\u2010splitting incision is controversial. Thus, this study aimed to evaluate the clinical and functional outcomes of midline lip split with lazy\u2010S incision (MLSI) against the lateral lip\u2010splitting incision (LLSI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was conducted on 41 patients with primary BSCC who underwent resection and reconstruction using MLSI approach (<jats:italic>n<\/jats:italic>\u2009=\u200919) and LLSI approach (<jats:italic>n<\/jats:italic>\u2009=\u200922) between 2022 and 2024. Functional outcomes, including skin sensitivity testing, oral competency, lip movement, cold perception, and other relevant measures, were evaluated with appropriate scales. Functional satisfaction and Patient and Observer Scar Assessment Scale (POSAS) were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>None of the patients in either group demonstrated differences in sensation to light touch from baseline at 6\u2009months postoperatively. Patients with MLSI approach reported higher lip function satisfaction (<jats:italic>p<\/jats:italic>\u2009=\u20090.037), and no patients in either group reported drooling. Besides, groove formation was significantly more common in the LLSI compared to the MLSI groups (50% vs. 15.8%, respectively; <jats:italic>p<\/jats:italic>\u2009=\u20090.046). A statistically significant difference was also observed in the self\u2010assessment of mouth\u2010opening movement among MLSI patients (<jats:italic>p<\/jats:italic>\u2009=\u20090.041). No significant differences were found in the mean POSAS scores, except that irregularity and surface area parameters were better in the MLSI group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Objective sensation deficits are reversible and do not impact long\u2010term daily activities. The MLSI approach provides better postoperative outcomes and low disfigurement perception.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28036","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T05:36:56Z","timestamp":1734500216000},"page":"1239-1246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Postoperative Outcomes in Two Lip\u2010Splitting Approaches for Buccal Squamous Cell Carcinoma Ablation"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2442-8733","authenticated-orcid":false,"given":"Maged Ali","family":"Al\u2010Aroomi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of Oral Cancer and Precancerous Lesions Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of Oral Cancer and Precancerous Lesions Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of Oral Cancer and Precancerous Lesions Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiheng","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of Oral Cancer and Precancerous Lesions Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liu","family":"Pei\u2010Xuan","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of Oral Cancer and Precancerous Lesions Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Canhua","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of Oral Cancer and Precancerous Lesions Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha 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