Mandibular and sublingual sialocoeles in the dog: A retrospective evaluation of 41 cases, using the ventral approach for treatment

Abstract

Excellent clinical results were achieved with a low rate of complications using the ventral approach for mandibular and sublingual sialoadenectomy. The ventral approach is recommended to minimise the risk of recurrence of sialocoeles.

Surgical management of recurrent cervical sialoceles in four dogs

“…This approach allows better exposure and excision of the entire complex and although it is technically more demanding than the lateral approach no recurrences have been reported (Lane , Ritter et al . ).…”

Tunneling Under the Digastricus Muscle Increases Salivary Duct Exposure and Completeness of Excision in Mandibular and Sublingual Sialoadenectomy in Dogs

“…Tunneling under the digastricus muscle increased exposure and facilitated complete removal of these lobules in 13 of 15 procedures. Previous studies have demonstrated that mucocele formation most often occurs as a result of a defect in the rostral portion of the polystomatic sublingual gland/duct complex, and that recurrence is commonly attributed to incomplete removal of the rostral salivary tissue or failure to remove the site of rostral duct rupture . Therefore, by allowing for the removal of most, if not all additional salivary tissue, tunneling appears to offer specific advantages over a conventional lateral approach to the mandibular and sublingual salivary glands.…”

“…The 2 most common sites of saliva accumulation are the intermandibular region (cervical mucocele) and under the tongue at the base of the lingual frenulum (sublingual mucocele or ranula) . Salivary mucoceles have been reported to result from trauma, foreign bodies, sialoliths, mucus retention, neoplasia, and recent oral surgery; however, in most cases no inciting cause is identified …”

“…Definitive treatment for cervical and sublingual mucoceles involves the complete resection and removal of the sublingual salivary gland and duct . The sublingual and mandibular salivary glands share a common capsule and the close association of the glands necessitates their being excised as a single unit.…”

Efficacy of Radiation Therapy for the Treatment of Sialocele in Dogs

“…Surgery is the treatment of choice for sialoceles and requires complete excision of the involved gland‐duct complex to be curative . Recurrence of sialocele after surgery occurs in between 5 and 14% of cases.…”