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Submandibular gland excision: a five-year review

Y H Goh¹, D S Sethi

¹Department of Otolaryngology, Singapore General Hospital, Singapore.

The Journal of Laryngology and Otology

|June 13, 1998

Summary

Submandibular gland excision is frequently performed for both neoplastic and non-neoplastic conditions. Sialadenitis and pleomorphic adenoma were the most common pathologies found in this surgical review.

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Area of Science:

Otolaryngology
Surgical Pathology
Oncology

Background:

Submandibular gland excision is a key surgical intervention.
It is indicated for neoplastic and refractory non-neoplastic submandibular disorders.
The procedure may also serve diagnostic purposes.

Purpose of the Study:

To analyze the indications for submandibular gland excision.
To determine the pathological findings in excised glands.
To review patient demographics and surgical outcomes.

Main Methods:

Retrospective study of 93 patients undergoing submandibular gland excision.
Data collected over a five-year period at Singapore General Hospital.
Analysis of surgical indications, pathology, and pre-operative investigations like fine needle aspiration cytology (FNAC).

Main Results:

60.2% of excisions were for non-neoplastic conditions (e.g., sialadenitis/sialolithiasis), 39.8% for neoplastic disorders (e.g., pleomorphic adenoma).
FNAC demonstrated high sensitivity (94.7%) and specificity (100%) for neoplastic disease.
The overall morbidity rate for the surgery was 4.3%.

Conclusions:

Submandibular gland excision is effective for managing various benign and malignant conditions.
Accurate pre-operative diagnosis, particularly with FNAC, is crucial.
The surgical procedure has a low morbidity rate.

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