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Related Experiment Video

Updated: Jun 23, 2026

Retroductal Submandibular Gland Instillation and Localized Fractionated Irradiation in a Rat Model of Salivary Hypofunction
07:44

Retroductal Submandibular Gland Instillation and Localized Fractionated Irradiation in a Rat Model of Salivary Hypofunction

Published on: April 24, 2016

Video-assisted submandibular resection: two-step technique.

Yasser Hamza1, Rafik Khalil

  • 1Department of Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. hamzay3@hotmail.com

Surgical Endoscopy
|May 20, 2009
PubMed
Summary

This study introduces a two-step endoscopic technique for submandibular gland removal, enhancing surgical visibility and safety. The gasless skin-lifting method creates a better working space, reducing risks during sialadenectomy.

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Last Updated: Jun 23, 2026

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Area of Science:

  • Minimally Invasive Surgery
  • Head and Neck Surgery
  • Surgical Techniques

Background:

  • Endoscopic neck surgery faces challenges due to narrow operative fields and vital structures.
  • Creating adequate working space is crucial for feasible endoscopic neck procedures.
  • Gasless skin-lifting is a technique to establish a comfortable surgical workspace.

Purpose of the Study:

  • To assess a modified video-assisted sialadenectomy technique.
  • To improve visibility and safety in endoscopic submandibular gland surgery.

Main Methods:

  • 12 adult patients underwent video-assisted submandibular sialadenectomy.
  • A "two-step resection" technique was employed with gasless skin lifting.
  • Dissection utilized an ultrasonic sealing device.

Main Results:

  • Average operative time was 89.67 minutes.
  • Average blood loss was 45 ml.
  • No permanent nerve injuries were reported.

Conclusions:

  • The two-step sialadenectomy with gasless skin lifting provides excellent visibility.
  • This technique creates a sufficient working space for safer dissection.
  • It is a viable approach for submandibular gland surgery.