Absence of Neck Scars With Total Endoscopic Submandibular Sialadenectomy Using a Chest Wall Approach: A New Technique

Elzahaby, Islam A.; Khater, Ashraf; Abdallah, Ahmed; Refky, Basel; El-Aziz, Mahmoud Abd El-Hady Abd; Shetiwy, Mosab; Zaid, Amir M.

doi:10.1177/1553350617751460

Cited by 5 publications

(12 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 The total endoscopic method included the transoral robot-assisted approach 2 and chest wall approach. 3 To our knowledge, this is the first report on a total endoscopic supraclavicular approach.…”

Section: Introductionmentioning

confidence: 83%

“…Conversion to the open technique was only necessary in one case. 3 In 2019, a transoral robotic submandibular sialoadenectomy with preservation of sublingual gland and WD was successfully performed in 32-year-old female. 2 We successfully performed the total endoscopic submandibular sialoadenectomy using a 3-port supraclavicular approach in 2 patients.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Piromchai

Suetrong

2020

Ear Nose Throat J

View full text Add to dashboard Cite

Objectives: The objective of this pilot study was to report the feasibility and safety of a new 3-port supraclavicular approach in endoscopic submandibular sialoadenectomy. Methods: We reported the safety, surgical feasibility, and aesthetic features of the total endoscopic submandibular sialoadenectomy (submandibular gland excision) using a 3-port supraclavicular approach in our institute from December 2018 to January 2020. Results: Endoscopic submandibular sialoadenectomy using a 3-port supraclavicular approach was performed in 2 patients with intraglandular sialolithiasis. No major adverse events occurred in this study. The patient’s satisfaction score was high (more than 8; range: 0-10). Conclusions: The 3-port supraclavicular approach submandibular sialoadenectomy is a feasible method that permits a relatively good surgical scarring and minimal adverse effects.

show abstract

Section: Introductionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Piromchai

Suetrong

2020

Ear Nose Throat J

View full text Add to dashboard Cite

show abstract

“…We carried on this approach after our previous success in performing many cases of endoscopic thyroidectomy and endoscopic submandibular sialdenectomy. 4,24 We tried this new approach in 6 selected patients with early-stage (stage I) primary head and neck carcinomas. Despite being lengthy, challenging, and requiring much experience, we succeeded to accomplish the END in the 6 cases without conversion to open approach.…”

Section: Discussionmentioning

confidence: 99%

“…Dissection of level I b follows the same steps of the endoscopic submandibular sialadenectomy discussed before by the senior author in his previous publication. 4 Precise visualization and preservation of all important cervical neurovascular structures (including carotid sheath, marginal mandibular, lingual, hypoglossal, and spinal accessory nerves) is carried out throughout the whole procedure as seen in figures 2. Extra-care should be paid when dissecting along the internal jugular vein (IJV) as it will be totally collapsed by the insufflation pressure (8 mm).…”

Section: Methodsmentioning

confidence: 99%

Endoscopic Cervical Lymph Node Dissection Using the Extra-cervical Anterior Chest Wall Approach: A New Technique

et al. 2021

Self Cite

View full text Add to dashboard Cite

Introduction This study aims to demonstrate the safety, surgical feasibility, and esthetic features of total endoscopic neck dissection (END) through anterior chest wall approach (ACWA) without creation of any neck incisions. Resection of their primary tumors followed by selective total END through ACWA using 3 ports (one 10-mm port for the camera and two 5-mm ports for the working instruments). Methods From January 2020 to August 2020, 6 patients with a biopsy proven head and neck carcinoma underwent resection of their primary tumors followed by selective total END through ACWA using 3 ports (one 10-mm port for the camera and two 5-mm ports for the working instruments). Results The selective neck dissection was successfully performed endoscopically in all cases with no conversion to open approach and with good visualization of the major neurovascular structures. The operative time for the END ranged from 120 to 170 minutes, with 10–50 mL estimated blood loss. No significant perioperative complications were encountered. The mean total number of cervical LN retrieved was 13.67 + 2.42, and the mean LNR was .01 + .13. All patients were discharged in the third postoperative day, and they were satisfied with the cosmetic outcome. Conclusion Selective total END through ACWA is technically feasible and safe with satisfactory cosmetic results. The absence of neck scars and magnification of the important neurovascular structures are the most obvious advantages of this innovative technique. It may be a valid alternative to conventional surgery when performed in selected patients. However, further research with longer follow up is needed to clarify the oncological safety and the real benefits of END in head and neck cancer patients.

show abstract

Lingual Nerve Entrapment in Fused Submandibular and Sublingual Salivary Glands: A Unique Finding

Nayak

Kumar²

2018

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Lingual nerve (LN) is one among the 3 branches of posterior division of mandibular nerve. It might get entrapped in the infratemporal fossa by lateral pterygoid muscle, pterygospinous ligament, or lateral pterygoid plate. Its entrapment in the submandibular region has not been reported yet. A unique entrapment of LN in the fused submandibular and sublingual salivary glands in a cadaver was reported. The deep parts of the submandibular and sublingual salivary glands were completely fused with each other. The LN passed through the center of the fused part. Histologically both submandibular and sublingual salivary glands had both mucous and serous acini. Though this entrapment might not cause any functional problems, it might get injured during various surgical procedures of the submandibular region.

show abstract

Absence of Neck Scars With Total Endoscopic Submandibular Sialadenectomy Using a Chest Wall Approach: A New Technique

Cited by 5 publications

References 21 publications

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Endoscopic Cervical Lymph Node Dissection Using the Extra-cervical Anterior Chest Wall Approach: A New Technique

Lingual Nerve Entrapment in Fused Submandibular and Sublingual Salivary Glands: A Unique Finding

Contact Info

Product

Resources

About