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Transcervical submandibular sialoadenectomy.

Andrea A Torroni1, Maria Cristina Mustazza, Davina D Bartoli

  • 1Department of Maxillo Facial Surgery, University of Rome La Sapienza, Rome, Italy.

The Journal of Craniofacial Surgery
|June 1, 2007
PubMed
Summary
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Submandibular gland diseases like sialadenitis and tumors often require surgical removal. A transcervical surgical approach for submandibular gland excision offers a safe and effective treatment option with minimal complications.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Pathology

Background:

  • Submandibular gland pathologies, including sialadenitis, sialolithiasis, sialadenosis, and neoplasms, frequently necessitate surgical intervention.
  • Submandibular gland issues are significantly more prevalent than those affecting the parotid gland.

Purpose of the Study:

  • To evaluate the clinical outcomes and efficacy of the transcervical approach for submandibular gland excision in a cohort of 40 patients.
  • To assess the safety, nerve preservation, oncologic margins, and aesthetic results of this surgical technique.

Main Methods:

  • Retrospective analysis of 40 patients undergoing submandibular gland excision via a transcervical approach.
  • Clinical assessment and instrumental diagnostics including echography, ortopantomography, CT, and MRI were utilized for diagnosis.

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Main Results:

  • The transcervical approach was found to be a relatively simple procedure with low risk to surrounding nerve structures.
  • This method allowed for wide resection margins, crucial for managing neoplasms, and resulted in minimal aesthetic damage.

Conclusions:

  • Submandibular gland excision using the transcervical approach is a safe and effective surgical option for various pathologies.
  • The technique provides adequate oncologic control and favorable cosmetic outcomes, making it a valuable surgical choice.