{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:06:59Z","timestamp":1793394419052,"version":"4.5.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Malignant tumor removal can cause extensive lower lip tissue loss, affecting speech, expression, and swallowing functions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe our experience with two cases using a modification of the nasolabial flap technique for total lower lip reconstruction. This approach employs two long strip-shaped flaps rotated to reconstruct the entire lower lip, which helps mitigate functional limitations caused by microstomia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two patients underwent successful reconstruction with normal lip function, no microstomia, and restored eating ability. Partial vermillion remained visible with good lip shape. No complications occurred during follow-up (12\u202fmonths), with satisfactory oral competence and no drooling or speech impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This surgical method has a certain improvement in microstomia compared with the traditional surgery used for similar lower lip defects, while achieving satisfactory functional and aesthetic outcomes. The technique represents a preliminary technical note for total lower lip reconstruction with favorable outcomes in our limited series.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1658394","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T05:26:03Z","timestamp":1759123563000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Two strip flap technique for total lower lip reconstruction: case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Wenli","family":"Qi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyue","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Tong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nengqiang","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1347","DOI":"10.1007\/s10552-010-9562-1","article-title":"Occupational exposure to the sun and risk of skin and lip cancer among male wage earners in Denmark: a population-based case-control study","volume":"21","author":"Kenborg","year":"2010","journal-title":"Cancer Causes 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