Evidence map›Paper›PMID 40235838›Full record

ReviewJPRAS open2025

Surgical Management of Microstomia: A Comprehensive Review of Treatment Options.

Daehee Jeong, Tara Sara Saffari, Amy Liao, Sara Iskeirjeh, Gary B Skolnick, Justin M Sacks, Saif Badran

Abstract readReview
In one paragraph

Review in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daehee JeongDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Tara Sara SaffariDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Amy LiaoDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Sara IskeirjehCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Gary B SkolnickDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Justin M SacksDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Saif BadranDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, Missouri.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Microstomia is characterized by a reduced oral aperture, leading to impairments in speech, feeding, dental hygiene, and facial expressions. Nonsurgical treatments offer limited benefits for mild cases although surgical interventions have been shown to yield better outcomes. However, the unique anatomical challenges and limited availability of adjacent tissue present obstacles in surgical management of this condition. This review aims to provide a comprehensive summary of the reported surgical techniques for microstomia management and discuss their specific indications, advantages, and potential limitations. Methods: A comprehensive review was conducted in June 2024 to identify studies that have reported on the surgical techniques for microstomia management. A database search was performed on Medline, Embase, Scopus, and Web of Science. The study findings have been reported as per the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Quality assessment was conducted using the Case Report (CARE) guidelines and Methodological Index for Non-randomized Studies (MINORS) assessment. Results: The search yielded a total of 1315 studies; of these, 28 met the inclusion criteria following a full-text screening. Ten surgical techniques for microstomia management were identified and categorized into the following three reconstructive modalities: grafts, local tissue transfer, and autologous free tissue transfer. The average scores of the CARE and MINORS assessments were 27.20/30 and 11.33/14 respectively. Conclusion: Selection of the appropriate surgical technique is critical for achieving successful results in microstomia reconstruction. The primary objective is to enlarge the oral opening while preserving oral function and achieving satisfactory cosmetic outcomes. The key considerations for choosing a surgical technique include contracture severity, perioral tissue availability, and the surgeon's familiarity with different surgical options.

Indexed as

CommisuroplastyFree flapGraftLocal flapMicrostomiaSurgery

Identifiers

PMID40235838
PMCPMC11999074

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.