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Our Experience with Intraoral Submandibular Gland Excision
1Department of Otorhinolaryngology and Head and Neck Surgery, Guru Teg Bahadur Hospital, University College of Medical Sciences, New Delhi, Delhi 110095 India.
Summary
This study shows that an intraoral approach for submandibular gland excision is effective and safe for chronic sialadenitis patients. It avoids neck scars and facial nerve injury, offering a viable alternative surgical option.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Surgical Innovation
Background:
- Chronic sialadenitis can necessitate submandibular gland excision.
- Traditional transcervical excision leaves a neck scar and risks facial nerve injury.
- Minimally invasive surgical techniques are sought to improve patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness and safety of an intraoral approach for submandibular gland excision.
- To assess the feasibility of this technique in patients with chronic sialadenitis, impacted stones, or benign tumors.
- To compare intraoral excision outcomes with transcervical approaches.
Main Methods:
- A prospective study of 13 patients with chronic sialadenitis from November 2016 to April 2018.
- Submandibular gland dissection and removal via an intraoral incision, using the surgical triangle as a landmark.
- Preservation of the sublingual gland during the procedure.
Main Results:
- Successful submandibular gland removal via the intraoral approach in 10 out of 13 patients.
- Two patients required conversion to a transcervical excision.
- No reported injuries to the marginal mandibular branch of the facial nerve in the intraoral group.
Conclusions:
- Intraoral submandibular gland excision is a safe and effective method for carefully selected patients.
- This approach avoids the cosmetic concerns of a transcervical scar.
- It offers a reduced risk of injury to the marginal mandibular branch of the facial nerve compared to the transcervical route.
