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[Intraoral submandibular gland excision and how to deal with external maxillary artery]
Hong-Zhang Huang1, Zhi-Quan Huang, Xiao-Peng Zhao
1Centre of Oral and Craniomallofacial Surgery, Second Hospital of Sun Yat-Sen University, Guangzhou 510120, China.
Objective:
To investigate the feasibility and safety of intraoral submandibular gland excision.
Methods:
Analyze the relationship between the external maxillary artery and submandibular gland, and offer a reliable anatomical base for 10 cases of intraoral submandibular gland excision, including 8 cases of chronic sialadenitis, 1 case of pleomorphic adenoma and 1 case of cyst of submandibular gland.
Results:
The external maxillary artery went across the surface of gland submandibular, and its branches provided nutrition for the gland in most cases. The results of 10 cases intraoral submandibular gland excision were effective and satisfied, without major complications. The average time of operation was 50 minutes and the average hemorrhage of operation was 60 ml.
Conclusion:
Intraoral submandibular gland excision is safe and feasible for chronic sialadenitis and cyst of submandibular gland and some of benign tumor submandibular gland as long as indications strictly controlled and the external maxillary artery well coped with.
