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Related Experiment Video

Updated: May 13, 2025

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

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Partial Submandibular Gland Resection With Ultrasonic Dissector vs Electrocautery.

Hallie Buckner, Anil R Shah

    Aesthetic Surgery Journal. Open Forum
    |April 16, 2025
    PubMed
    Summary

    This study explored a new surgical method for partial submandibular gland removal using ultrasonic dissection. While the technique shows promise for aesthetic neck contouring, it did not significantly reduce postoperative complications compared to electrocautery.

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    Area of Science:

    • Plastic Surgery
    • Head and Neck Surgery
    • Surgical Innovation

    Background:

    • Aesthetic concerns regarding the submandibular gland can be addressed through surgical resection.
    • This study introduces a novel technique for partial submandibular gland resection during deep neck or facelift procedures.

    Observation:

    • The study compared ultrasonic dissection with standard electrocautery for submandibular gland resection.
    • Postoperative outcomes including neuropraxia, hematoma, seroma, and sialocele were analyzed.
    • A Sonicision ultrasonic dissector was used in the experimental group, while electrocautery was used in the control group.

    Findings:

    • The control group (32 patients) had 1 hematoma, 3 seromas, 3 sialoceles, and 3 neuropraxias.
    • The experimental group (48 patients) experienced 2 seromas, with no hematomas, sialoceles, or neuropraxia.
    • No statistically significant association was found between ultrasonic dissection and reduced risk of complications.

    Implications:

    • The novel technique for partial submandibular gland resection may enhance safety and efficacy.
    • Further research with larger sample sizes and controlled variables is needed to validate findings.
    • This approach offers potential for improved facial and neck aesthetics through targeted gland modification.