Surgical results of the intraoral removal of the submandibular gland

Objectives Most patients with benign submandibular disorders have been treated surgically without difficulty via the transcervical approach. An alternative to the standard transcervical approach has been reported such as an intraoral approach. Subjects and Methods Retrospective chart review of the 77 patients with benign submandibular disorders. All patients underwent an excision of the submandibular gland via intraoral approach. Results Early postoperative complications developed in 74.0% of the temporary lingual sensory paresis followed by 70.1% of temporary limitation of tongue movement. However, these complications soon resolved in all patients spontaneously. Two cases of postoperative bleeding and 1 case of abscess formation were developed. Whereas late complications developed in 4 cases of residual salivary gland and abnormal sense of mouth floor and 1 case of gustatory sweating (Frey's) syndrome. Conclusion The major advantages of this approach are no external scar, no injury to the marginal mandibular nerve. The disadvantage is a more difficult dissection to transcervical approach before proper expert, especially in the severe adhesion of salivary gland to surrounding tissue.

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Preservation of Lingual Nerve In Excision Of Bilateral Submandibular Sialolith Via Intraoral Approach: A Case Report

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v2i3.47 ◽

2018 ◽

Vol 2 (3) ◽

pp. 161 ◽

Cited By ~ 1

Author(s):

Mohd Shaiful Nizam Mamat ◽

Rohaida Ibrahim ◽

Baharudin Abdullah

Keyword(s):

Salivary Gland ◽

Case Report ◽

Submandibular Gland ◽

Health Sciences ◽

Lingual Nerve ◽

Common Disease ◽

Intraoral Approach ◽

Marginal Mandibular Nerve ◽

Oral Approach ◽

Gland Function

Salivary gland stone (sialolithiasis) is most common disease of the salivary gland and mainly occur at the submandibular gland. Traditionally, sialolithiasis is removed via an extra-oral approach but the major disadvantages of this treatment include a risk of injuring the lingul nerve, marginal mandibular nerve and scar formation. In this case report, we revealed an even less invasive intraoral surgical technique for the removal of sialolith that does not affect the submandibular gland function with the preservation of lingual nerve. This report describes a patient who had unusual bilateral submandibular gland sialolith that posteriorly located,which successfully removed via intraoral approach without any postoperative complications.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 161-163

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Incidence of Complications for Subtotal Ionized Field Ablation of the Tonsils

Otolaryngology ◽

10.1067/mhn.2002.129736 ◽

2002 ◽

Vol 127 (6) ◽

pp. 531-538 ◽

Cited By ~ 31

Author(s):

Kelvin C. Lee ◽

Mark M. Altenau ◽

David R. Barnes ◽

Joseph M. Bernstein ◽

Nadim B. Bikhazi ◽

...

Keyword(s):

Postoperative Complications ◽

Chart Review ◽

Retrospective Studies ◽

Postoperative Bleeding ◽

Retrospective Chart Review ◽

Activity Level ◽

Alternative Technique ◽

Blood Products ◽

Dietary Restrictions ◽

Subtotal Removal

OBJECTIVE: Ionized field ablation, or coblation-assisted subtotal tonsillectomy, has been described as a new alternative technique for the management of tonsillar disease. This study was designed to review the incidence of complications in patients undergoing this procedure. STUDY DESIGN: A 10-surgeon retrospective chart review of the intraoperative and postoperative complications of patients undergoing ionized field ablation subtotal removal of tonsils was performed. Postoperative pain, dietary restrictions, and activity level were not reviewed. RESULTS: Of the 528 patients who underwent ionized field ablation of their tonsils, the incidence of intraoperative and postoperative complications compared favorably with those reported in retrospective studies in the literature for traditional subcapsular tonsillectomy. Significant postoperative bleeding occurred in less than 1%, and only 1 patient required surgical control of bleeding in the operating room. No patients required transfusions of any blood products. CONCLUSIONS: Ionized field ablation subtotal tonsillectomy may offer an alternative to traditional subcapsular tonsillar surgery with a decreased incidence of postoperative complications. Further study is necessary to establish the complication rate of this technique.

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Management of Recurrent and Delayed Post-Tonsillectomy and Adenoidectomy Hemorrhage in Children

Ear Nose & Throat Journal ◽

10.1177/0145561321999594 ◽

2021 ◽

pp. 014556132199959

Author(s):

Phylannie K. F. Cheung ◽

Joanna Walton ◽

Megan L. Hobson ◽

Piera Taylor ◽

Michael Chin ◽

...

Keyword(s):

Chart Review ◽

Pediatric Patients ◽

Surgical Intervention ◽

Postoperative Bleeding ◽

Retrospective Chart Review ◽

Postoperative Hemorrhage ◽

Recurrent Hemorrhage ◽

Delayed Bleeding ◽

Bleeding Episodes ◽

Preoperative Counseling

Objective: To review our experience on post-tonsillectomy and/or adenoidectomy hemorrhage (PTAH) at a tertiary pediatric referral hospital and to evaluate the management and risk factors for recurrent postoperative hemorrhage and for delayed bleeding after day 14. Methods: A retrospective chart review was performed for all pediatric patients admitted to The Children’s Hospital at Westmead for PTAH between July 01, 2014, and June 30, 2019. Patients with recurrent hemorrhage and those with bleeding after day 14 were selected for subanalysis. Results: Of the 291 patients admitted for PTAH, 31 (11%) patients had recurrent postoperative hemorrhage, and 11 (4%) patients had delayed bleeding after day 14. Surgical intervention for cessation of hemorrhage was required in 88 (30%) patients, including 2 patients who required return to the theater more than once. Nine (3%) patients received blood transfusions. The average number of days between bleeding episodes was 4 days. Recurrent postoperative hemorrhage occurred in 8.5% of patients who were managed operatively at their first presentation compared to 11.4% of patients who were managed nonoperatively (odds ratio: 1.1; 95% confidence interval 0.43-2.8). No association was found between abnormal coagulation profile, surgical indication, and risk of delayed postoperative hemorrhage. Conclusions: Recurrent or delayed postoperative hemorrhage represents a small proportion of children with postoperative bleeding and cannot be reliably predicted. Management of first presentations with either a conservative or a surgical approach is reasonable since the risk of recurrent of PTAH may be unrelated to the choice of management at initial presentation. Careful preoperative counseling of patients and their families is important to help set expectations in the event of PTAH.

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Submandibular Salivary Gland Tumors: Clinical Course and Outcome of a 20-Year Multicenter Study

Ear Nose & Throat Journal ◽

10.1177/014556131709600320 ◽

2017 ◽

Vol 96 (3) ◽

pp. E17-E20 ◽

Cited By ~ 6

Author(s):

Aviram Mizrachi ◽

Gideon Bachar ◽

Yaron Unger ◽

Ohad Hilly ◽

Dan M. Fliss ◽

...

Keyword(s):

Salivary Gland ◽

Submandibular Gland ◽

Pleomorphic Adenoma ◽

Clinical Course ◽

Salivary Gland Tumor ◽

Disease Free Survival ◽

Retrospective Chart Review ◽

Benign Neoplasm ◽

Submandibular Salivary Gland ◽

Related Data

The purpose of this retrospective chart review study was to review the nature and clinical course of benign and malignant submandibular gland tumors at 2 major university-affiliated tertiary medical centers. All patients who underwent submandibular salivary gland excision between 1990 and 2010 were included. Clinical and disease-related data were collected from the medical charts. One hundred ninety-three patients were identified, of whom 108 (56%) had non-neoplastic disorders (sialolithiasis and sialadenitis). The remaining 85 patients (44%) had a submandibular salivary gland tumor. The most common benign neoplasm was pleomorphic adenoma (53 patients). Twenty tumors (24%) were malignant: adenoid cystic carcinoma in 11 patients, mucoepidermoid carcinoma in 6 patients, and adenocarcinoma in 3 patients. Recurrence was noted in 7 patients with submandibular gland malignancy and in 2 patients with pleomorphic adenoma. The 5-year disease-free survival rate was 63%. Tumors of the submandibular gland are infrequently malignant. Recurrent submandibular salivary gland pleomorphic adenoma is rare compared with recurrences in the parotid gland.

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Giant submandibular gland stone largest in India: Management and review of literature: A rare case report

UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY ◽

10.36611/upjohns/18.6 ◽

2018 ◽

Vol VOLUME 6 (VOLUME 6 NUMBER 2 DECEMBER 2018) ◽

pp. 33-37

Author(s):

Rajat Jain

Keyword(s):

Salivary Gland ◽

Case Report ◽

Submandibular Gland ◽

Rare Case ◽

Preoperative Imaging ◽

Review Of Literature ◽

Transcervical Approach ◽

Planning Approach ◽

Rare Case Report ◽

Male Patients

Sialoliths are calcerous concretions seen in the salivary gland parenchyma or its duct, accounting more than 50% of salivary gland diseases. Giant sialoliths measuring 35 mm are rare, with only 19 cases published in literature. Ninety‑five percent of the giant sialoliths reported were in the submandibular gland, all occurring in male patients. Preoperative imaging help in defining the size,location of lesion and helps in planning approach. We are reporting a rare case of giant submandibular gland sialolith in a 52 year male patient measuring 40 mm (probably largest in india), which was removed through transcervical approach under general anesthesia.

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