A NEW NON LIP-SPLITTING APPROACH FOR WIDE MORE SAFE INTRAORAL ACCESS
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The present study comprised thirty-four patients with oral cavity cancer. A new non lip-splitting approach for access of the oral cavity was employed in eleven of these patients. Choice of using this approach was based on the fact that the perora/ approach was difficult and inndPquate for performing safe radical resection_ The new approach was applied in an effort to overcome many of the disadvantages that may follow the use of the lip-splitting techniques. The approach involves opening the oral cavity through the angle of the mouth along the inferior buccolabial sulcus. The incision provides good access for resection of the tumours and repair of the defects with excellent cosmetic and functional results There was no mortality or morbidity related to this non lip-splitting incision. Two minor complications were related to the various reconstructive techniques. This new lateral approach is to be recommended for the intraoral lesions for the patients in whom the peroraL access is difficult and expected to result in a more complicated outcome and disfigurement. It is particularly suited for lesions extending to or near the angle of the mouth. The scar of the incision running along natural skin creases is likely to give good scar, especially in elderly patients in whom these operations are more common. The whole lip being avulsed as a single flap and the labial vessels being undisturbed is likely to give a chance for the wound to heal well and makes flap loss unlikely.