Preliminary experience with endoscope-assisted transoral excision of the submandibular gland
10.3760/cma.j.issn.1673-0860.2011.02.013
- VernacularTitle:内镜辅助经口入路颌下腺切除的初步经验
- Author:
Liang-Si CHEN
1
;
Si-Yi ZHANG
;
Xiao-Ming HUANG
;
Zhi-Juan HAN
;
Xiao-Ning LUO
;
Xin-Han SONG
;
Jian-Dong ZHAN
Author Information
1. 中山大学附属第二医院
- Keywords:
Submandibular gland diseases;
Endoscopy
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2011;46(2):149-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the indications, risks and benefits of endoscope-assisted transoral approach to excise the submandibular gland. Methods A retrospective review of a series of 12 patients treated by endoscope-assisted transoral submandibular gland excision was carried out. Of the 12 patients, 8were chronic sialoadenitis (2 cases with sialolith), 3 were pleomorphic adenoma, and 1 was cyst of submandibular gland. Preoperatively, all patients were diagnosed as benign diseases by Ultrasonography, CT or MRI. Pathologic diagnosis of 8 cases were identified by fineneedleaspiration cytology (FNAC) or fineneedle aspiration biopsy (FNAB). Results Temporary lingual sensory paresis and temporary limitation of tongue movement were found in two patients. However, these signs soon resolved spontaneously within 1-3 months. There were no other complications. Postoperatively, mean satisfaction score with cosmetic results was 10. All patients were satisfied with the cosmetic results. No recurrences were found in patients with pleomorphic adenoma with a follow-up period ranged from 12 months to 48 months(median follow-up period:36 months). Conclusions Endoscope-assisted transoral excision of the submandibular gland is a feasible and safe approach for the benign diseases of the submandibular gland . The major advantages of this approach are no external scar and no injury to the marginal mandibular nerve.
