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Current static options frequently involved multiple facial incisions. Methods: We describe a novel technique to address OI due to lower division facial nerve paralysis and report outcomes in an initial series of patients. Results: OI symptoms improved in 94% of patients following a single-stage surgery. Revision was required in one patient with subsequent resolution of symptoms. Major complications (19%) included persistent OI, wound dehiscence, and bothersome lip \u201cbulk\u201d. Conclusion: Lip wedge resection with orbicular oris plication resolves OI in facial paralysis patients with the added benefit of only a single incision on the face.<\/jats:p>","DOI":"10.1177\/22925503221085086","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T11:01:23Z","timestamp":1646910083000},"page":"64-69","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Lip Wedge Resection with Orbicularis Oris Plication for Facial Paralysis: A Novel Technique"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7029-3468","authenticated-orcid":false,"given":"Ethan","family":"Frank","sequence":"first","affiliation":[{"name":"Loma Linda University Medical Center, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Traci","family":"Bailey","sequence":"additional","affiliation":[{"name":"Loma Linda University Medical Center, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan H.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, University of New Mexico School of Medicine, New Mexico, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9475-0376","authenticated-orcid":false,"given":"Victoria","family":"Cress","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli","family":"Kam","sequence":"additional","affiliation":[{"name":"Loma Linda University Medical Center, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared C.","family":"Inman","sequence":"additional","affiliation":[{"name":"Loma Linda University Medical Center, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"bibr1-22925503221085086","author":"Tutela JP","year":"2014","journal-title":"Eplasty"},{"key":"bibr2-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.10.044"},{"key":"bibr3-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31823620b0"},{"key":"bibr4-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.12.021"},{"key":"bibr5-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.07.041"},{"key":"bibr6-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318280245b"},{"key":"bibr7-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709700506"},{"key":"bibr8-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10150"},{"key":"bibr9-22925503221085086","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2015.42.6.735"},{"key":"bibr10-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300090-1"},{"key":"bibr11-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200112000-00005"},{"key":"bibr12-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540891009"},{"key":"bibr13-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2000.3318"},{"key":"bibr14-22925503221085086","doi-asserted-by":"publisher","DOI":"10.1007\/BF02439729"}],"container-title":["Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503221085086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/22925503221085086","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503221085086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:04:28Z","timestamp":1777593868000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/22925503221085086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,10]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1177\/22925503221085086"],"URL":"https:\/\/doi.org\/10.1177\/22925503221085086","relation":{},"ISSN":["2292-5503","2292-5511"],"issn-type":[{"value":"2292-5503","type":"print"},{"value":"2292-5511","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,10]]}}}