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Trans-oral robotic submandibular gland removal

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Abstract

Submandibular gland excision is traditionally performed via a trans-cervical approach. While generally regarded as a relatively simple surgical procedure, several complications are possible, including injury to the marginal mandibular branch of the facial nerve, lingual nerve, hypoglossal nerve, facial artery and a visible unsightly neck scar or keloid. The trans-oral route has the ability to eliminate a cervical scar and decrease risk of injury to several structures. Coincident with the development of the trans-oral approach, robotic surgery has been gaining popularity in the operative management of early oral cavity, tonsil, and tongue base malignancies. A 51-year-old female presented to our institution with a 15-year history of recurrent left submandibular gland sialoadenitis. She previously underwent a rhytidectomy with cervicoplasty and was interested in a trans-oral approach to avoid a neck incision. Here we present a novel application of the da Vinci Surgical Robot for trans-oral removal of the submandibular gland.

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Conflict of interest

None.

Consent section

Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal

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Authors and Affiliations

  1. Department of Otolaryngology, Georgia Health Sciences University, 1120 15th Street, BP 4109, Augusta, GA, 30912, USA

    J. Drew Prosser, Carrie M. Bush, C. Arturo Solares & Jimmy J. Brown

Authors
  1. J. Drew Prosser
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  2. Carrie M. Bush
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  3. C. Arturo Solares
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  4. Jimmy J. Brown
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Corresponding author

Correspondence to J. Drew Prosser.

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Prosser, J.D., Bush, C.M., Solares, C.A. et al. Trans-oral robotic submandibular gland removal. J Robotic Surg 7, 87–90 (2013). https://doi.org/10.1007/s11701-012-0369-9

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  • DOI: https://doi.org/10.1007/s11701-012-0369-9

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