Transoral versus transcervical approach to submandibular gland: techniques and outcomes

Year 2015, Volume: 25 Issue: 6, 319 - 323, 30.12.2015

İbrahim Çukurova İlker Burak Arslan Suphi Bulğurcu Erhan Demirhan

Abstract

Objectives: This study aims to evaluate the risks and benefits of the transoral approach for removal of the submandibular gland compared to the transcervical approach. Patients and Methods: Twenty consecutive patients who underwent submandibular gland excision surgery via the transoral 6 males, 4 females; mean age 45.4 years or transcervical 7 males, 3 females; mean age 44.1 years approach between March 2009 and December 2014 were analyzed retrospectively. Age, surgical indications, complications, duration of hospitalization, and postoperative histopathological results were recorded and compared between two groups. Results: Of 20 patients, 35% were previously treated with antibiotics. There were no significantly differences in demographic characteristics and postoperative histopathological results between the groups p<0.05 . Duration of hospitalization was statistically shorter in the patients operated via transoral approach p<0.05 . Relapsing sialoadenitis occurred in a patient who was operated by transoral approach due to the incomplete resection of the gland. Conclusion: The transoral approach for submandibular gland excision has several advantages over the transcervical approach in terms of cosmetic outcome, marginal mandibular nerve injury, and length of hospital stay.

Keywords

Excision, gland, submandibular, transcervical, transoral

Submandibüler beze transservikale kıyasla transoral yaklaşım: Teknik ve sonuçlarımız

Abstract

Amaç: Bu çalışmada submandibüler bezin çıkarılmasında transservikal yaklaşıma kıyasla, transoral yaklaşımın riskleri ve faydaları değerlendirildi.Hastalar ve Yöntemler: Mart 2009 - Aralık 2014 tarihleri arasında transoral 6 erkek, 4 kadın; ort. yaş 45.4 yıl , veya transservikal yaklaşım ile 7 erkek, 3 kadın; ort. yaş 44.1 yıl submandibüler bez eksizyon cerrahisi yapılan ardışık 20 hasta retrospektif olarak incelendi. Yaş, cerrahi endikasyonlar, komplikasyonlar, hastanede yatış süresi ve ameliyat sonrası histopatoloji sonuçları kaydedildi ve iki grup arasında karşılaştırıldı.Bulgular: Yirmi hastanın %35’ine daha önce antibiyotik tedavisi verilmişti. Gruplar arasında demografik özellikler ve ameliyat sonrası histopatoloji sonuçları arasında anlamlı farklılık izlenmedi p

Keywords

Eksizyon, bez, submandibüler, transservikal, transoral

References

• Papaspyrou G, Werner JA, Sesterhenn AM. Transcervical extirpation of the submandibular gland: the University of Marburg experience. Eur Arch Otorhinolaryngol 2014;271:2009-12.
• Ellies M, Laskawi R, Arglebe C, Schott A. Surgical management of nonneoplastic diseases of the submandibular gland. A follow-up study. Int J Oral Maxillofac Surg 1996;25:285-9.
• Kauffman RM, Netterville JL, Burkey BB. Transoral excision of the submandibular gland: techniques and results of nine cases. Laryngoscope 2009;119:502-7.
• Weber SM, Wax MK, Kim JH. Transoral excision of the submandibular gland. Otolaryngol Head Neck Surg 2007;137:343-5.
• Hong KH, Kim YK. Intraoral removal of the submandibular gland: a new surgical approach. Otolaryngol Head Neck Surg 2000;122:798-802.
• Chang YN, Kao CH, Lin YS, Lee JC. Comparison of the intraoral and transcervical approach in submandibular gland excision. Eur Arch Otorhinolaryngol 2013;270:669-74.
• Hong KH, Yang YS. Surgical results of the intraoral removal of the submandibular gland. Otolaryngol Head Neck Surg 2008;139:530-4.
• Song CM, Jung YH, Sung MW, Kim KH. Endoscopic resection of the submandibular gland via a hairline incision: a new surgical approach. Laryngoscope 2010;120:970-4.
• Lee JC, Kao CH, Chang YN, Hsu CH, Lin YS. Intraoral excision of the submandibular gland: how we do it. Clin Otolaryngol 2010;35:434-8.