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[Submandibular sialoadenectomy by a modified retroauricular approach].

Xiaohua Hu1, Guilin Huang, Lian Jiang

  • 1Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Zunyi Medical College, Zunyi Guizhou 563003, PR China.

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery
|September 16, 2010
PubMed
Summary

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This study shows a modified retroauricular approach for submandibular sialoadenectomy is effective and safe. The procedure offers good cosmetic results with minimal complications for benign submandibular gland disorders.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Submandibular gland disorders require surgical intervention.
  • Traditional approaches may lead to visible scarring.
  • Minimally invasive techniques are sought for improved outcomes.

Purpose of the Study:

  • To assess the efficacy of a modified retroauricular approach for submandibular sialoadenectomy.
  • To evaluate the surgical procedure and its associated outcomes.
  • To determine the cosmetic results and complication rates.

Main Methods:

  • Eight patients with benign submandibular gland lesions underwent surgery via a retroauricular approach.
  • Procedures included removal of pleomorphic adenoma and chronic sialadenitis with sialolithiasis.

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  • Vascular structures were preserved through selective ligation.

    • Main Results:

    • Successful submandibular sialoadenectomy in all 8 cases with an average operative time of 60 minutes.
    • No instances of nerve paralysis (marginal mandibular, lingual, hypoglossal).
    • Excellent wound healing, satisfactory cosmetic appearance, and good flap viability were observed.

    Conclusions:

    • The modified retroauricular approach is a simple and effective technique for submandibular sialoadenectomy.
    • This method provides superior cosmetic outcomes.
    • It is associated with a low complication rate.