title: A More Favorable Lower-Lip Incision for the Removal of Deep Intraoral Malignancies.
abstract: The straight midline lower lip-splitting incision has traditionally been performed with different types of deep intraoral malignancies for obtaining wide surgical access, and it can also be extended to the submandibular region or the neck to concurrently perform a neck dissection. But meanwhile, it is associated with unfavorable aesthetic and functional complications such as conspicuous facial scar, lip vermilion notching, stenosis of the labial sulcus, decreased lip sensation and movement, and oral incontinence. We designed a more favorable lower-lip incision, namely, para-lower lip incision, using the exposure and en blot resection of deep intraoral tumors. Compared with the traditional incision line, our designed line is shorter, and 20 outpatients (primary tumor site including buccal mucosa, tongue, mandibular gingiva, maxillary sinus, palate, and mouth floor) follow-ups indicated the postoperative scar is inconspicuous, no lip contour deformity and dysfunction or complications of facial paralysis such as distortion of commissure happened. This article reports one case of our patients who underwent para-lower-lip incision approach for the removal of squamous cell carcinoma (T3N2M0) in the left plate and the results of the patient were favorable.
authors.affiliation: *Department of Oral and Maxillofacial Surgery, The 3rd Affiliated Hospital of Anhui Medical University, Hefei †School and Hospital of Stomatology, Wanan Medical College, Wuhu, China.
authors.forename: Xian Wang
authors.initials: XW
authors.lastname: Xiang
authors.forename: Da Jun
authors.initials: da J
authors.lastname: Feng
authors.forename: XiaoYang
authors.initials: X
authors.lastname: Chen
authors.forename: Chuan Jun
authors.initials: CJ
authors.lastname: Chen
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008046:Lip / Q000473:pathology / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D013524:Surgical Flaps; D014062:Tongue Neoplasms / Q000175:diagnosis / Q000601:surgery*