Surgical Treatment of Submandibular Gland Pathologies

Year 2016, Volume: 43 Issue: 2, 329 - 332, 01.06.2016

Musa Özbay Engin Şengül Beyhan Yılmaz İsmail Topçu

Abstract

Objective: We aimed to evaluate clinical presentations, histopathological diagnosis and complications of patients operated for a submandibular gland pathology. Methods: Medical records of 34 patients who were oper­ated for a submandibular gland pathology between 2007 and 2016 years evaluated retrospectively. Results: 21 (61.8%) of these patients were male and 13 (38.2%) were female. The mean age of the patients was 41.7±16.6 years. Post-operative histopathological diagnosis was benign in 30 patients (88.2%), malign in 4 patients (11.8%). In the benign group, diagnosis was sialoalolithiasis in 20 patients, chronic sialoadenitis in 6 patients and pleomorphic adenoma in 4 patients. In ma­lign group, the histopathologic result for all patients was adenoid cystic carcinoma. Complication rate of subman­dibular excision surgery was 11.7%. Marginal mandibular nerve paresis was the most common complication. Conclusion: New surgery methods have been presented in the literature because of the incision scar and marginal mandibular nerve paresis during the transcervical surgi­cal approach. However, submandibular gland excision through transcervical approach is still the most used and safe method.

Keywords

Submandibular gland, surgery, histopathology, complication

Submandibular Bez Patolojilerinin Cerrahi Tedavisi

Abstract

Amaç: Submandibular bezde görülen patolojiler nedeniyle
opere ettiğimiz hastaların klinik özelliklerini, histopatolojik
sonuçlarını ve cerrahi komplikasyonlarını literatür
bilgileri eşliğinde değerlendirmektir.
Yöntemler: Submandibular bezde görülen patolojiler nedeniyle
2007 ile 2016 yılları arasında kliniğimizde opere
edilen 34 hastanın klinik verileri retrospektif olarak incelendi.
Bulgular: Hastaların 21’i (%61,8) erkek, 13’ü (%38,2)
kadındı. Hastaların yaş ortalaması 41,7±16,6 yıl şeklindeydi.
Hastaların post-operatif patoloji sonucu 30 hastada
(%88,2) benign, 4 hastada (%11,8) malign olarak geldi.
Benign hastaların 20’sinde siyalolitiyazis, 6’sında kronik
sialoadenit mevcuttu. Patoloji sonucu 4 hastada pleomorfik
adenom olarak bulunurken, malign 4 hastanın tanısı
adenoid kistik karsinomdu. Post-operatif komplikasyon
oranı %11,7 bulundu. En sık komplikasyon olarak marjinal
mandibular sinir parezisi görüldü.
Sonuç: Boyunda oluşan insizyon skarından ve marjinal
mandibular sinir parezisi komplikasyonlarından dolayı
son zamanlarda yeni cerrahi yöntemler arayışına başlanmış
olsa da, transservikal yol ile submandibular bez
eksizyonu halen en çok kullanılan güvenli bir cerrahi yöntemdir.

Keywords

Submandibular bez, cerrahi, histopatoloji, komplikasyon

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