Abstract
The aim of this paper is to present our experience with intraoral approach for submandibular gland excision in terms of effectiveness and safety in patients with chronic sialadenitis. This is a prospective study carried out from November, 2016 to April, 2018 analyzing 13 patients of chronic sialadenitis. The indication of intraoral approach was either failed attempt to remove the stone endoscopically, chronic sialadenitis or benign tumor. The surgical triangle was used as the landmark for hilar area and gland was dissected close to the capsule and removed via intraoral incision and preserving the sublingual gland. We were successfully able to remove the submandibular gland via intraoral approach in 10 cases. Two patients had to undergo transcervical gland excision and one patient refused for transcervical approach. Intraoral excision of submandibular gland is a safe and viable approach to be utilized in carefully selected patients. The major advantages being avoidance of transcervical scar and of injury to marginal mandibular branch of facial nerve.
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References
Beahrs OH, Woolner LB (1969) Surgical treatment of diseases of salivary gland. J Oral Surg 27(2):119–128
Berini-Aytes L, Gay-Escoda C (1992) Morbidity associated with removal of the submandibular gland. J Craniomaxillofac Surg 20(5):216–219
Laskawi R, Ellies M, Argeble C, Schott A (1995) Surgical management of benign tumors of the submandibular gland: a follow-up study. J Oral Maxillofac Surg 53(5):506–508 (discussion 509)
Goh YH, Sethi DS (1998) Submandibular gland excision: a 5-year review. J Laryngol Otol 112(3):269–273
Leonardo BA, Cosme GE (1992) Morbidity associated with the removal of the submandibular gland. J Craniomaxillofac Surg 20:216–219
Downton D, Qvist G (1960) Intra-oral excision of the submandibular gland. Proc R Soc Med 53:543–544
Hong KH, Kim YK (2000) Intraoral removal of the submandibular gland: a new surgical approach. Otolaryngol Head Neck Surg 122:798–802
Smith AD, Elahi MM, Kawamoto HK Jr, Lorenz HP, Hedrick MH (2000) Excision of the submandibular gland by an intraoral approach. Plast Reconstr Surg 105(6):2092–2095
Beahm DD, Peleaz L, Nuss DW, Schaitkin B, Sedlmayr JC, Rivera-Serrano CM et al (2009) Surgical approaches to the submandibular gland: a review of literature. Int J Surg 7:503–509
Park HS, Pae SY, Kim KY, Chung SM, Kim HS (2013) Intraoral removal of stones in the proximal submandibular duct: usefulness of a surgical landmark for the hilum. Laryngoscope 123:934–937
Guerrissi J, Taborda G (2001) Endoscopic excision of the submandibular gland by an intraoral approach. J Craniofacial Surg 12:299–303
Goudal JY, Bertrand JC (1979) Complications of surgical treatment for submandibular calculi. Rev Stomatol Chir Maxillofac 80:349–350
Hong KH, Yang YS (2008) Surgical results of the intraoral removal of the submandibular gland. Otolaryngol Head Neck Surg 139:530–534
Kauffman RM, Netterville JL, Burkey BB (2009) Intraoral excision of the submandibular gland: techniques and results of nine cases. Laryngoscope 119:502–507
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Singh, P.P., Goyal, M. Our Experience with Intraoral Submandibular Gland Excision. Indian J Otolaryngol Head Neck Surg 72, 297–301 (2020). https://doi.org/10.1007/s12070-019-01784-x
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DOI: https://doi.org/10.1007/s12070-019-01784-x