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[Submandibular gland excision. Clinical experience]
Antonino Di Giovanni1, Rosa Colli
1Istituto di Clinica Odontoiatrica, Università Cattolica del Sacro Cuore, Roma.
Chirurgia Italiana
|June 1, 2006
Summary
Submandibular gland excision via transcervical approach treats various conditions. Careful anatomical knowledge is crucial to minimize neurological complications during this surgical procedure.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Surgical Anatomy
Background:
- Submandibular gland excision is a surgical option for neoplastic and non-neoplastic conditions.
- The transcervical approach is one method for performing this excision.
- Understanding surgical anatomy is key to successful outcomes and minimizing complications.
Observation:
- This study reviewed four cases undergoing transcervical submandibular gland excision.
- Indications included sialolithiasis, chronic sialoadenitis, and pleomorphic adenoma.
- One case of chronic sialoadenitis progressed to non-Hodgkin lymphoma.
Findings:
- Pathological examination confirmed diagnoses in all cases.
- The study details symptoms, physical findings, and diagnostic processes.
- Postoperative neurological complications were discussed in relation to anatomical knowledge.
Implications:
- Transcervical submandibular gland excision is a viable treatment for specific benign and malignant conditions.
- Detailed anatomical understanding of the surgical field is paramount for reducing operative morbidity.
- This approach requires careful consideration of potential complications, particularly neurological deficits.