{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:16:59Z","timestamp":1780499819183,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["ECF1513"],"award-info":[{"award-number":["ECF1513"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Flaccid facial nerve paralysis (FFNP) impairs oral function and quality of life. Tensor fascia lata slings (TFL) are used to improve oral competence. This study used the Iowa Oral Performance Instrument (IOPI) to measure oral competence in patients with FFNP undergoing facial reanimation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Between 2022 and 2024, patients with FFNP undergoing TFL sling reconstruction had their intra\u2010labial and buccinator pressures measured using the IOPI. Patient\u2010reported outcomes were collected with the Oral Competence Questionnaire (OCQ) and Speech Handicap Index (SHI). Pre\u2010 and post\u2010surgical data were analyzed with Spearman's correlation and Wilcoxon testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant correlations were found between IOPI values and OCQ (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009\u2248\u2009\u22120.54,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and SHI (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009\u2248\u2009\u22120.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Baseline IOPI values were lower on the flaccid side. Post\u2010surgery, OCQ and SHI improved significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>IOPI measures correlate with patient\u2010reported outcomes and provide an objective adjunct for assessing oral function in FFNP reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70193","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:45:32Z","timestamp":1773024332000},"page":"1851-1857","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quantifying the Pressure of Labial and Buccinator Regions Pre\u2010 and Post\u2010 Facial Nerve Reanimation"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-210X","authenticated-orcid":false,"given":"Emma","family":"Charters","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Heng","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briony","family":"Adshead","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Ricketts","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsu\u2010Hui","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney Australia"},{"name":"Faculty of Medicine and Health Sciences Macquarie University  Sydney Australia"},{"name":"Sydney Facial Nerve Service Chris O'brien Lifehouse  Sydney Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121001857"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2020.1728380"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.06.107"},{"key":"e_1_2_10_5_1","unstructured":"T. M.McCullochandD.Jaffe \u201cHead and Neck Disorders Affecting Swallowing. 2006 GI Motility Online.\u201d"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2023.106601"},{"issue":"2","key":"e_1_2_10_7_1","first-page":"3033","article-title":"Static and Dynamic Repairs of Facial Nerve Injuries","volume":"25","author":"White H.","year":"2013","journal-title":"Oral and Maxillofacial Surgery Clinics"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.03.029"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2009.2.1.1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30324"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.34239\/ajops.74141"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001447"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.07.014"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13944"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.20.06180-8"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2015.0477"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18336"},{"issue":"4","key":"e_1_2_10_18_1","first-page":"251","article-title":"Assessment of Orofacial Strength in Patients With Dysarthria","volume":"16","author":"Solomon N. P.","year":"2008","journal-title":"Journal of Medical Speech\u2010language Pathology"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/1982-0216\/20192139118"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21450"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.11.067"},{"issue":"7","key":"e_1_2_10_22_1","first-page":"2066","article-title":"Functional Reanimation of the Face","volume":"117","author":"Hadlock T. A.","year":"2006","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"6","key":"e_1_2_10_23_1","first-page":"959","article-title":"Expression of Emotion and Quality of Life After Facial Nerve Paralysis","volume":"131","author":"Coulson S. E.","year":"2004","journal-title":"Otolaryngology\u2010Head and Neck Surgery"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.679"},{"issue":"11","key":"e_1_2_10_25_1","first-page":"1301","article-title":"Reanimation of the Paralyzed Lip Using Temporalis Muscle and Fascia Lata","volume":"102","author":"Meier\u2010Gallati V.","year":"1992","journal-title":"Laryngoscope"},{"issue":"4","key":"e_1_2_10_26_1","first-page":"499","article-title":"Facial Animation Restoration After Oncologic Resection","volume":"35","author":"Bianchi B.","year":"2013","journal-title":"Head & Neck"},{"issue":"2","key":"e_1_2_10_27_1","first-page":"96","article-title":"Static Facial Reanimation With Temporalis Fascia Sling","volume":"12","author":"Boahene K.","year":"2010","journal-title":"Archives of Facial Plastic Surgery"},{"issue":"2","key":"e_1_2_10_28_1","first-page":"349","article-title":"eFACE: A Novel, Digital, Facial Grading System","volume":"139","author":"Banks C. A.","year":"2017","journal-title":"Plastic and Reconstructive Surgery"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70193","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T14:21:21Z","timestamp":1780496481000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,23]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/hed.70193"],"URL":"https:\/\/doi.org\/10.1002\/hed.70193","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,23]]},"assertion":[{"value":"2025-09-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}