{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:27:23Z","timestamp":1786991243682,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The anterior tongue is crucial in speech articulation; however, the functional implications of tongue tip resection and reconstruction following glossectomy remain inadequately elucidated. This multicentric study aimed to evaluate the impact of lingual tip reconstruction on postoperative articulatory performance and self\u2010perceived speech outcomes in patients undergoing major tongue resections for oral squamous cell carcinoma (OSCC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on 57 patients who underwent hemiglossectomy or extended glossectomy across four tertiary referral centers between 2007 and 2023. Articulatory performance was assessed utilizing selected tests from the Fussi\u2010Cantagallo test and the Speech Handicap Index (SHI). Patients were stratified into two groups based on tongue tip management: Group A, ipsilateral tip resection without reconstruction (contralateral tip preserved); Group B, ipsilateral tip resection with partial tip reconstruction. Comparative analyses and multivariate models examined the associations between reconstructive patterns, articulatory performance, and SHI scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In tests 1 and 2, the difference between Groups A and B showed a clear trend towards significance in favor of Group A (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.061). No significant difference was found between the two groups in the other tests. Younger age was independently associated with improved articulatory performance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.02). No differences were observed in outcomes associated with flap type or adjuvant therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Omitting apical reconstruction when the contralateral apex remains functional may be associated with superior speech outcomes by preserving residual mobility. A function\u2010oriented reconstruction approach, emphasizing motility rather than morphological symmetry, should be prioritized to enhance postoperative communication quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/micr.70258","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:31:17Z","timestamp":1780918277000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Tongue Tip Reconstruction on Articulatory Performance After Major Tongue Resections: Evidence From a Multicentric Study"],"prefix":"10.1002","volume":"46","author":[{"given":"Arianna","family":"Caselli","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Hospital of Bolzano (SABES\u2010ASDAA) Teaching Hospital of the Paracelsus Medical Private University (PMU)  Bolzano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5077-9847","authenticated-orcid":false,"given":"Luca","family":"Gazzini","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Hospital of Bolzano (SABES\u2010ASDAA) Teaching Hospital of the Paracelsus Medical Private University (PMU)  Bolzano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3027-5967","authenticated-orcid":false,"given":"Sara","family":"Bassani","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department University Hospital of Verona  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3602-3960","authenticated-orcid":false,"given":"Giulia","family":"Togo","sequence":"additional","affiliation":[{"name":"Maxillofacial and ENT Surgery Unit, Istituto Nazionale Tumori di Napoli IRCCS \u201cG. Pascale\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Borghini","sequence":"additional","affiliation":[{"name":"Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Rubini","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Azienda Ospedaliero\u2010Universitaria di Modena  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6919-6928","authenticated-orcid":false,"given":"Maria","family":"Rosini","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Azienda Ospedaliero\u2010Universitaria di Modena  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Liberale","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Azienda Ospedaliero\u2010Universitaria di Modena  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Montenegro","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology \u2013 Head and Neck Surgery, ASST Spedali Civili of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iara","family":"Comicini","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology \u2013 Head and Neck Surgery, ASST Spedali Civili of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacopo","family":"Di Domenico","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology \u2013 Head and Neck Surgery, ASST Spedali Civili of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Camesasca","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department, Niguarda Hospital  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Cremasco","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department, Niguarda Hospital  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Calabrese","sequence":"additional","affiliation":[{"name":"University of Connecticut  Storrs Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Gregori","sequence":"additional","affiliation":[{"name":"Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Marchioni","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Azienda Ospedaliero\u2010Universitaria di Modena  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto Giulio","family":"Dragonetti","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department, Niguarda Hospital  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesare","family":"Piazza","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology \u2013 Head and Neck Surgery, ASST Spedali Civili of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remo","family":"Accorona","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department, Niguarda Hospital  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Grammatica","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology \u2013 Head and Neck Surgery, ASST Spedali Civili of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Mattioli","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Azienda Ospedaliero\u2010Universitaria di Modena  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Calabrese","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Hospital of Bolzano (SABES\u2010ASDAA) Teaching Hospital of the Paracelsus Medical Private University (PMU)  Bolzano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.04.020"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.142"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24417"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2022.00654"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2022.00857"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181f44742"},{"key":"e_1_2_10_8_1","volume-title":"Profilo Di Valutazione Della Disartria","author":"Fussi F.","year":"1999"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1395936"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N3041"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08982-6"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-07915-z"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.613945"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108003629"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1076097"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699206.2010.525681"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9193-9"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13060879"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.01.009"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26811"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496179"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2013\/13-0085)"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2006.11.017"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-025-09793-z"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000828"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1677789"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1709493"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.70258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:40:13Z","timestamp":1786988413000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,8]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/micr.70258"],"URL":"https:\/\/doi.org\/10.1002\/micr.70258","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,8]]},"assertion":[{"value":"2026-01-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70258"}}