A comparison between endoscopic-assisted submandibular gland resection via retroauricular hairline incision and conventional submandibular gland resection
10.3760/cma.j.issn.1673-0860.2011.07.008
- VernacularTitle:内镜辅助耳后发际入路颌下腺切除术与传统术式的对照研究
- Author:
Liang-Si CHEN
1
;
Si-Yi ZHANG
;
Xiao-Ming HUANG
;
Wei SUN
;
Xiao-Ning LUO
;
Jian-Dong ZHAN
;
Zhong-Ming LU
;
Xin-Han SONG
Author Information
1. 中山大学附属第二医院
- Keywords:
Submandibular gland diseases;
Endoscopy;
Prospective studies
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2011;46(7):561-565
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the feasibility,the risks and the advantages of endoscope-assisted submandibular gland resection using a retroauricular hairline incision ( RAHI) by comparing it with the conventional submandibular gland resection.Methods Twenty eight patients with benign lesions of the submandibular gland were included in the prospective clinically controlled study.Thirteen patients had endoscope-assisted resection using the RAHI approach and 15 cases had conventional transcervical approach resection.The size,location and adjacency of all lesions were evaluated by CT or MRI before surgery.The pathologic diagnoses of all cases were identified as benign diseases using fine needle aspiration biopsy.The two groups were compared for incision length,operation time,bleeding,incision cosmetic result,and complications.Results All 28 operations were successfully performed.Incision length in the endoscopic group was significantly longer than that in the trancervical group (Z =-4.516,P＜0.01),and the surgical time was longer in the endoscopic group( Z =-3.263 ,P ＜0.01) .After three months the mean subjective satisfaction score for the incision scar in the endoscopic group was significantly higher than that in the trancervical group(Z=-4.472,P＜0.01).In the endoscopic group,2 cases (15.4%) with temporary numbness of the earlobe and 1 case (7.7% ) with a temporary marginal mandibular nerve paralysis were found postoperatively.However,they recovered within 1 month.All 28 patients were disease free with a follow-up of 10 to 24 months (median of 18 months).Conclusions Endoscope-assisted submandibular gland resection via RAHI is feasible and safe for the treatment of benign submandibular gland lesions.In comparison with the transcervical approach,this method can provide better cosmetic results without significant complications.
