Urology · 2025
Lower Lip Complications: Myth or Reality? A Case-Control Study on Sensory Outcomes After Buccal Mucosa Grafting.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tekin Ali, Tiryaki Sibel, Avcı Denizay, Ulman İbrahim
Аннотация
OBJECTIVE: To evaluate sensory outcomes following lower lip graft harvesting in pediatric patients undergoing urethral reconstruction, with specific focus on mental nerve safety.
MATERIALS AND METHODS: This case-control study included patients who underwent buccal mucosa harvesting from the lower lip between 2000 and 2023. Neurosensory testing involved tactile threshold measurement using Semmes-Weinstein monofilaments and thermal discrimination using a standardized temperature test. Age-matched male controls without neurological deficits, prior oral surgery, or intraoral lesions were also evaluated. All participants were assessed for subjective complaints related to the donor site.
RESULTS: Among 53 eligible patients, 21 were available for objective testing. No patients reported sensory disturbances, oral dysfunction, or cosmetic concerns. Mean Semmes-Weinstein thresholds were similar in the patient (2.21 ± 0.50) and control (2.16 ± 0.39) groups (P >.05). All subjects correctly identified thermal stimuli. No visible donor site deformities or functional limitations were observed.
CONCLUSION: Lower lip mucosal graft harvesting appears to be a safe technique for pediatric urethral reconstruction, with no evidence of mental nerve injury or sensory impairment. When performed with meticulous dissection and atraumatic technique, the lower lip remains a viable donor site.
MATERIALS AND METHODS: This case-control study included patients who underwent buccal mucosa harvesting from the lower lip between 2000 and 2023. Neurosensory testing involved tactile threshold measurement using Semmes-Weinstein monofilaments and thermal discrimination using a standardized temperature test. Age-matched male controls without neurological deficits, prior oral surgery, or intraoral lesions were also evaluated. All participants were assessed for subjective complaints related to the donor site.
RESULTS: Among 53 eligible patients, 21 were available for objective testing. No patients reported sensory disturbances, oral dysfunction, or cosmetic concerns. Mean Semmes-Weinstein thresholds were similar in the patient (2.21 ± 0.50) and control (2.16 ± 0.39) groups (P >.05). All subjects correctly identified thermal stimuli. No visible donor site deformities or functional limitations were observed.
CONCLUSION: Lower lip mucosal graft harvesting appears to be a safe technique for pediatric urethral reconstruction, with no evidence of mental nerve injury or sensory impairment. When performed with meticulous dissection and atraumatic technique, the lower lip remains a viable donor site.