Pilot Study: Reimagining Facial Tumor Resection by Introducing the Tau Incision in Head and Neck Surgery

Facial tumor resections often require invasive surgical approaches such as the Weber-Fergusson incision, which, despite oncological effectiveness, is associated with significant aesthetic and functional drawbacks. Based on our observational experience in 2 cases, we introduce the "tau" incision as a potential modification designed to optimize exposure while reducing aesthetic compromise. These impressions remain preliminary and require further validation.

This study introduces the tau incision, a modified approach designed to optimize exposure while minimizing aesthetic compromise. Two cases of advanced maxillary tumors were treated using this technique, which avoids upper lip splitting, preserves hard palate mucosa, and facilitates improved reconstructive stability.

The tau incision seems to offer adequate surgical exposure and maintained oncological efficacy. The approach in these 2 patients resulted in improved postoperative healing and mastication and reduced scarring, and allowed earlier initiation of radiotherapy. Both patients reported satisfaction with their cosmetic and functional outcomes.

Due to the shorter length of the tau incision compared with the Weber-Ferguson incision, tumor resection is more challenging but remains accurate and safe. Moreover, this modification leads to improved aesthetic and functional outcomes. Although the tau incision is a very small modification of the Weber-Ferguson incision, it still represents a significant advancement in facial tumor surgery, offering excellent functional and aesthetic results while addressing the limitations of conventional techniques. Nevertheless, its proposed advantages should be interpreted as theoretical until confirmed through systematic evaluation and validated outcome measures.