The impact of lip-split mandibulotomy on patients treated for pT2 oral tongue squamous cell carcinoma: a study of 224 patients

Stathopoulos, Panagiotis; Elli, Doufexi Kaplani, Maria; Kostis, Nikolaos; Igoumenakis, Dimosthenis; Smith, William P.

doi:10.1007/s10006-020-00918-8

Cited by 2 publications

(1 citation statement)

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“…with excellent visualization and handling of posterior structures [12,13]. As recent literature has placed the lip-split (with or without mandibulotomy) approaches as less favorable in lieu of less invasive approaches [2,6], lip split operations have fallen in use over time [12].…”

Section: Introductionmentioning

confidence: 99%

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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