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Submandibular triangle masses.

Abdullah Dalgic1, Omer Karakoc, Serdar Karahatay

  • 1From the * Departments of Otolaryngology, Head and Neck Surgery, and †Pathology, Gulhane Military Medical School, Ankara, Turkey.

The Journal of Craniofacial Surgery
|September 17, 2013
PubMed
Summary
This summary is machine-generated.

Submandibular masses are most commonly benign tumors or infections, with pleomorphic adenoma being the most frequent benign tumor. Ultrasonography and fine-needle aspiration biopsy are key diagnostic tools for submandibular masses.

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Area of Science:

  • Head and Neck Surgery
  • Pathology
  • Diagnostic Imaging

Background:

  • Submandibular triangle masses require accurate diagnosis and management.
  • Understanding the demographic and etiological profiles of these masses is crucial for clinical practice.

Purpose of the Study:

  • To analyze the demographic data of patients with submandibular triangle masses over a decade.
  • To review the literature on the diagnosis and management of submandibular masses.

Main Methods:

  • Retrospective review of 66 patients surgically treated for submandibular masses between 2000 and 2010.
  • Analysis of medical history, clinical presentation, preoperative investigations, and histopathologic diagnoses.

Main Results:

  • The most common pathologies were tumors (39.3%), sialadenitis (27.2%), lymphadenitis (15.1%), and sialolithiasis (18.2%).
  • Of the tumors, 77% were benign, with pleomorphic adenoma being the most common. Malignant tumors constituted 23% of all tumors.
  • Ultrasonography was the primary diagnostic imaging modality, and fine-needle aspiration biopsy was performed in 26 patients with a diagnostic success rate of 88%.

Conclusions:

  • Infectious conditions and benign tumors are more prevalent than malignant tumors in the submandibular region.
  • Key histopathologic diagnoses include submandibular sialadenitis, sialolithiasis, pleomorphic adenoma, and lymphadenitis.
  • Ultrasonography is the initial choice for radiologic evaluation, and fine-needle aspiration biopsy is a reliable diagnostic procedure, with excisional biopsy reserved for cases where FNA fails.