Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes
Abstract 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 approa...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-022-02519-1 |
| _version_ | 1798044466436636672 |
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| author | Wen-Dong Wan Can Lu Yong-Xiang yuan Jia-Ju Hu Jie Liang Cai-Yun He Yu-Qi Huang Tong Su Feng Guo Can-Hua Jiang Ning Li |
| author_facet | Wen-Dong Wan Can Lu Yong-Xiang yuan Jia-Ju Hu Jie Liang Cai-Yun He Yu-Qi Huang Tong Su Feng Guo Can-Hua Jiang Ning Li |
| author_sort | Wen-Dong Wan |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-11T23:04:17Z |
| format | Article |
| id | doaj.art-c60127ee088949b88d57ec2a15603c5a |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-11T23:04:17Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-c60127ee088949b88d57ec2a15603c5a2022-12-22T03:58:03ZengBMCBMC Oral Health1472-68312022-11-012211910.1186/s12903-022-02519-1Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomesWen-Dong Wan0Can Lu1Yong-Xiang yuan2Jia-Ju Hu3Jie Liang4Cai-Yun He5Yu-Qi Huang6Tong Su7Feng Guo8Can-Hua Jiang9Ning Li10Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityDepartment of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South UniversityAbstract 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.https://doi.org/10.1186/s12903-022-02519-1Buccal cancerNeck dissectionCombined radical resectionSurgical approachAesthetic outcome |
| spellingShingle | Wen-Dong Wan Can Lu Yong-Xiang yuan Jia-Ju Hu Jie Liang Cai-Yun He Yu-Qi Huang Tong Su Feng Guo Can-Hua Jiang Ning Li Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes BMC Oral Health Buccal cancer Neck dissection Combined radical resection Surgical approach Aesthetic outcome |
| title | Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes |
| title_full | Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes |
| title_fullStr | Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes |
| title_full_unstemmed | Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes |
| title_short | Lateral approach is a more aesthetical option for radical resection of BSCC: assessment of its surgical, oncological, functional, and aesthetic outcomes |
| title_sort | lateral approach is a more aesthetical option for radical resection of bscc assessment of its surgical oncological functional and aesthetic outcomes |
| topic | Buccal cancer Neck dissection Combined radical resection Surgical approach Aesthetic outcome |
| url | https://doi.org/10.1186/s12903-022-02519-1 |
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