A Modified Lip Split Incision

Bhatt, Vyomesh; Praveen, Prav; Green, Jason; Grime, P.D.

doi:10.1016/j.joms.2008.07.007

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…Various incisions have been proposed in literature, including the Roux-Trotter incision, McGregor incision, the Robson incision (Fig. 1), and the zigzag incision [7,16]. Hayter et al describe a modi cation of the McGregor incision with a chevron incision in the vermillion border [7], with Mehanna et al later describing an additional zigzag incision to the chin [16].…”

Section: Introductionmentioning

confidence: 99%

“…1), and the zigzag incision [7,16]. Hayter et al describe a modi cation of the McGregor incision with a chevron incision in the vermillion border [7], with Mehanna et al later describing an additional zigzag incision to the chin [16]. These approaches are aimed at reducing the cosmetic and functional morbidity associated with conventional midline lip splits, reducing scar formation, and preserving lip and chin mobility [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…First described in 1836 by Roux and popularised in the 1970s, lip splitting approaches to the oral cavity provide signi cantly improved access for R 0 tumour resection (i.e., microscopically clear margins) [7][8][9][10][11],…”

Section: Introductionmentioning

confidence: 99%

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The Lip Split: A Retrospective Outcomes Study and Case Series following Central and Lateral Lip Split Access for Head and Neck Reconstructive Surgery

Gearing,

Devine,

Pang

et al. 2024

Preprint

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Purpose: Surgical resection of oral cancers requires meticulous planning to achieve clear margins and minimize potential morbidity. This study aimed to compare postoperative surgical and functional outcomes following central and lateral lip-split approaches used for resection and reconstruction of oral tumours. Methods: A retrospective review of 79 cases involving lip-split procedures for head and neck cancers was conducted. Data were collected from a prospectively recorded database (December 2015 to December 2022). Statistical analyses compared patient demographics, intraoperative characteristics, and postoperative outcomes between central and lateral lip-split cohorts. Results: Lateral lip splits were associated with higher rates of postoperative complications (p = 0.008), including return to theatre (p = 0.015), and functional issues including asymmetric smile (p = 0.009). No significant differences were observed in readmission rates, length of stay, or time to oral diet commencement (p > 0.05). Six cases were selected to highlight the potential advantages and disadvantages of central and lateral lip split procedures. Conclusions: Lip-split procedures remain valuable for resection and reconstruction of oral and oropharyngeal tumours. Lateral lip splits are associated with poorer outcomes when compared to central approaches. Appropriate selection of lip splitting approaches should consider tumour location, resection margins, patient comorbidities and preferences, and surgical preferences.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Lip Split: A Retrospective Outcomes Study and Case Series following Central and Lateral Lip Split Access for Head and Neck Reconstructive Surgery

Gearing,

Devine,

Pang

et al. 2024

Preprint

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“…In addition, robot-assisted surgery is currently expensive and requires additional training for surgeons. Thus, several modifications of the lower lip-splitting incision have been proposed to reduce postoperative aesthetic and functional complications, including Roux-Trotter incision, Robson incision, and McGregor incision [ 6 ]. However, these modifications can still result in scars on the face and head because the lower lip and chin require to be incised.…”

Section: Introductionmentioning

confidence: 99%

Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes

Wan

Yuan

et al. 2022

BMC Oral Health

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Background The purpose of this study was to introduce a modified lateral approach for combined radical resection of buccal squamous cell carcinoma (BSCC) and evaluate its surgical, oncological, functional, and aesthetic outcomes in comparison with the conventional lower-lip splitting approach. Methods This single-center study retrospectively reviewed 80 patients with BSCC, of which 37 underwent the lateral approach and 43 underwent the conventional approach. Surgical, functional, oncological, and aesthetic evaluations, as well as follow-ups, were recorded and compared. Results Compared to the conventional approach group, the lateral approach group had a longer surgical time (P = 0.000), but there was no significant difference in other surgical and oncological parameters. Moreover, the scar in the head and neck had a significantly discreet appearance in the lateral approach group, whose satisfaction was better than those in the conventional approach group (P = 0.000). Other oral function parameters, postoperative mouth-opening, and 3-year survival rate were not significantly different between the two groups. Conclusion The lateral approach could provide superior aesthetic results while maintaining equal surgical, functional, and oncological outcomes compared to the conventional approach for radical resection of BSCC.

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“…In an attempt to improve postoperative function and aesthetics, several modifications of the novel LLSI have been proposed by various authors till date. In 1839, Roux designed a midline lower lip incision which lies in a relaxed skin tension line (RSTL) and minimises damage to the underlying muscles, vessels and nerves of the lower lip [3,4].…”

Section: Introductionmentioning

confidence: 99%

Evaluation and Comparison of Functional and Aesthetic Outcomes of McGregor and Stepped Lower Lip-Split Incisions for Extirpation of Primary Tumor in Cases of Squamous Cell Carcinoma of Oral Cavity (SCCOC)

Gupta

Bhola

Jadhav

et al. 2021

JPRI

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Background: Clear surgical margins are of utmost importance in surgical oncological procedures. Secondary consideration includes the functional and aesthetic outcomes of the patients after the procedure. The recognised surgical approach to the posteriorly located oral cavity and oropharyngeal tumors involves the splitting of the lower lip with or without mandibulectomy. In order to perk up postoperative function and aesthetics, quite a lot of modiﬁcations of the unique midline lower lip-splitting incision have been projected by various authors till date. A stepped ladder lower lip split incision (LLSI) helps in improved functional and aesthetic outcomes. Objectives: The prime accent of the study is to compare the McGregor LLSI and the stepped LLSI with respect to functional and aesthetic outcomes in tumors ablation for SCCOC. Methodology: The study population (n=22) is assigned randomly in two equal groups as a subject in the ratio of 1:1. Systemically healthy histologically diagnosed patients of SCCOC requiring LLSI for the tumours ablation will be included. In Group A- McGregor LLSI will be performed and in Group B- a Stepped LLSI would performed. Post-operative assessment of functional and aesthetic outcomes will be done. Expected Results: A stepped ladder LLSI used for tumours ablation will be effective in preserving post-operative lip movement, lip competency and cosmesis. Conclusion: Utility of a Stepped ladder LLSI for accessibility and ablation of posterior oral and oropharyngealtumors would be undoubtfully beneficial for improving post-operative functional and aesthetic outcomes and could be executed in routine oncologic surgery.

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A Modified Lip Split Incision

Cited by 5 publications

References 8 publications

The Lip Split: A Retrospective Outcomes Study and Case Series following Central and Lateral Lip Split Access for Head and Neck Reconstructive Surgery

The Lip Split: A Retrospective Outcomes Study and Case Series following Central and Lateral Lip Split Access for Head and Neck Reconstructive Surgery

Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes

Evaluation and Comparison of Functional and Aesthetic Outcomes of McGregor and Stepped Lower Lip-Split Incisions for Extirpation of Primary Tumor in Cases of Squamous Cell Carcinoma of Oral Cavity (SCCOC)

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