scholarly journals Pseudoparalysis of Marginal Mandibular Nerve Branch by Big Submandibular Gland Sailolith: A Case Report

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Rajwant Kaur

Sailolithiasis is the second most common etiology of salivary gland after sialadenitis. Present case of 29 years old male patient with giant submandibular sailolith with stony hard feel below the left angle of the mandible. X ray and CECT neck used for confirmation. Because of big stone incidental finding of pressure paresis of marginal mandibular nerve was noticed. Even patient unaware of that. En-block Submandibular salivary gland excision was done by trans-cervical approach with complete recovery of the nerve within 3-4 post-operative weeks.

2019 ◽  
Vol 8 (4) ◽  
pp. 171-175
Author(s):  
Altaf Hussain ◽  
Alveena Farid ◽  
Waqar Uddin

Background: Parotid gland is most commonly involved in tumors, comprising about 80% of the salivary gland neoplasms. Majority of parotid tumors are benign in nature, the most common being pleomorphic adenoma. Superficial Parotidectomy is the preferred treatment option, using either anterograde or retrograde approach. The objective of this study was to determine the post-operative facial nerve status and other complications following superficial Parotidectomy by retrograde dissection for benign lesions of parotid gland.Material and Methods: This prospective clinical study included a total of 22 patients who had superficial Parotidectomy by retrograde technique involving marginal mandibular nerve dissection. These patients were studied post-operatively for facial nerve status, Frey’s Syndrome, wound infection and salivary fistula.Results: Out of a total of 22 patients, 54.54% developed temporary facial palsy on ipsilateral angle of mouth and all of them recovered by the end of 3 months post-surgery. Two patients (9.09%) developed salivary gland fistula and both of them healed spontaneously within two weeks. Frey’s Syndrome and wound infection were not seen in any of the patients included in the study. Histopathology of these lesions revealed pleomorphic adenoma (n=20) and Warthin’s tumor (n=2), respectively.Conclusion: The use of marginal mandibular nerve as a landmark for retrograde dissection of facial nerve in superficial Parotidectomy is a reliable method to ensure lower percentage of facial nerve injury and associated complications.


2011 ◽  
Vol 43 (4) ◽  
pp. 622-631 ◽  
Author(s):  
Ola M. Maria ◽  
Osama Maria ◽  
Younan Liu ◽  
Svetlana V. Komarova ◽  
Simon D. Tran

1988 ◽  
Vol 966 (3) ◽  
pp. 287-296 ◽  
Author(s):  
Varahabhotla L.N. Murty ◽  
Jan Bilski ◽  
Yun H. Liau ◽  
Amalia Slomiany ◽  
Bronislaw L. Slomiany

2011 ◽  
Vol 40 (10) ◽  
pp. 1113
Author(s):  
J.A.T.D.B. Oliveira Junior ◽  
S.J.D.A. de Vasconcellos ◽  
R.A. de Azevedo ◽  
C.S. Queiroz ◽  
B. Carneiro Junior

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Adarsh Kudva ◽  
Kiruthika Babu ◽  
Mehul Saha ◽  
Smriti Puri ◽  
Lakshmi Pandey ◽  
...  

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.


2004 ◽  
Vol 445 (4) ◽  
pp. 419-420 ◽  
Author(s):  
Karima Mrad ◽  
Ehsen Ben Brahim ◽  
Maha Driss ◽  
Imene Abbes ◽  
Mounir Marakchi ◽  
...  

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