{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:21:59Z","timestamp":1778221319342,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"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":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study investigated the morbidity of the marginal mandibular nerve (MMN) post vascularized submental lymph node (VSLN) harvest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The VSLN with sacrifying or preserving the medial platysma was retrospectively classified as group I or II. Midline deviation and horizontal tilt were subjectively evaluated. Horizontal, vertical, and \u201carea distribution\u201d of the lower lip excursions of the surgical site were objectively compared with the nonsurgical site.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen patients in group I and 12 patients in group II were included. At a median follow\u2010up of 48.6\u2009\u00b1\u200916.8 months in group I and 14.8\u2009\u00b1\u20097.5 months in group II, no MMN palsy was found in both groups. Median midline deviation and horizontal tilt were 4.53\u2009\u00b1\u20090.52 and 5\u2009\u00b1\u20090 in group I and 4.67\u2009\u00b1\u20090.65 and 5\u2009\u00b1\u20090 in group II, respectively (<jats:italic>P<\/jats:italic>\u2009=\u2009.419 and 1.000). Median horizontal, vertical and area of distribution of lower lip excursions were 97.5\u2009\u00b1\u200912.3%, 98.8\u2009\u00b1\u200914.4% and 87.2\u2009\u00b1\u200914.7% in group I, and 99.3\u2009\u00b1\u200915.1%, 95.8\u2009\u00b1\u20098.2% and 84.2\u2009\u00b1\u200914.2% in group II, respectively (<jats:italic>P<\/jats:italic>\u2009=\u2009.679, .948 and .711).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The VSLN flap was a safe procedure with minimal MMN morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26191","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T05:10:55Z","timestamp":1598937055000},"page":"1747-1754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Morbidity of marginal mandibular nerve post vascularized submental lymph node flap transplantation"],"prefix":"10.1002","volume":"122","author":[{"given":"Tommy Nai\u2010Jen","family":"Chang","sequence":"first","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Che\u2010Hsiung","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer An\u2010Jou","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4237-2959","authenticated-orcid":false,"given":"Ming\u2010Huei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Center of Lymphedema Surgery, Center for Tissue Engineering Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"Section of Plastic Surgery, Department of Surgery University of Michigan  Ann Arbor 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