Significance of Unilateral Submandibular Gland Excision on Salivary Flow in Noncancer Patients

Cunning, Devin M.; Lipke, Neil; Wax, Mark K.

doi:10.1097/00005537-199806000-00007

Cited by 58 publications

(68 citation statements)

References 8 publications

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“…Comparing the 2 groups that had a resection,, the difference was significant only for stimulated saliva. The result concerning the comparison between the group who had a unilateral submandibular gland excision (10 patients) and the control group (13 patients) was also supported by Cunning et al 17 On the pharmaceutical side, if there is residual salivary function, sialagogues, such as pilocarpine hydrochloride, a cholinergic antagonist, have also been mentioned to maximize the residual gland function by inducing vasodilatation in the salivary glands via stimulating a secretion with similar composition like in normal gland function.…”

Section: Discussionmentioning

confidence: 64%

Evaluation of Metastases in the Submandibular Gland in Head and Neck Malignancy

Kruse

Grätz

2009

Journal of Craniofacial Surgery

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(15), atrophy (5), tumor infiltration (5), and intraglandular lymph node (1). In the group with sialadenitis, the mean age was 57.7 years. Forty-four percent had a pretreatment (radiation, 9%; local resection, 13%; or combined therapy, 22%) before neck dissection. Of the sialadenitis group, 9 of 12 patients had the primary tumor in the lower jaw, floor of mouth, or tongue. CONCLUSIONS:: One needs to be aware of the possibility of occult metastases in level I in oral cavity carcinomas, whereas oropharynx carcinoma constitutes a lower risk for involvement of lymph node metastases at level I. The excision of the submandibular gland should be performed in cases with positive lymph nodes at level I and in tumor sites with a high risk of occult metastasis at level I. (15), atrophy (5), tumor infiltration (5) and intraglandular lymph node (1). In the group with sialadenitis, the mean age was 57.7 years. Evaluation of Metastases in Submandibular Gland in Head andForty-four percent had a pretreatment (radiation 9%, local resection 13% or combined therapy 22%) before neck dissection. Of the sialadentitis group, 9 of 12 patients had the primary tumor in the lower yaw, floor of mouth or tongue. Conclusion:One needs to be aware of the possibility of occult metastases in level I in oral cavity carcinomas, whereas oropharynx carcinoma constitutes a lower risk for involvement of lymph node metastases in level I. The excision of the submandibular gland should be performed in cases with positive lymph nodes at level I and in tumor sites with a high risk of occult metastasis at level I.

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Section: Discussionmentioning

confidence: 64%

Evaluation of Metastases in the Submandibular Gland in Head and Neck Malignancy

Kruse

Grätz

2009

Journal of Craniofacial Surgery

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“…Submandibular sialadenectomy successfully relieves symptoms 1,17 , but results in scarring and transient or permanent facial nerve weakness in up to 30% and 7% of cases, respectively 1,[8][9][10] . Unilateral submandibular gland excision halves the rate of resting salivary flow 3,8,17 . In keeping with the overall trend in surgery towards minimally invasive procedures, new techniques have been developed to preserve the gland whilst removing the obstruction.…”

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confidence: 99%

Intraoral removal of proximal submandibular stones – an alternative to sialadenectomy?

Combes

Karavidas

McGurk

2009

International Journal of Oral and Maxillofacial Surgery

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“…In addition, even in the cases determined to require the excision of submandibular gland because chronic inflammation and atrophy of the submandibular gland were suspected to be caused by the stones, in postsurgical histopathological findings, the cases with normal or almost normal excised submandibular gland tissues reached 57% [7]. According to reported studies, in the patients underwent the transoral removal of submandibular stones, function of the submandibular gland was assessed by scintigraph, and it was found that after the removal of stones, 75% submandibular glands recovered normal functions [8,9]. Therefore, numerous attempts have been made to preserve the submandibular gland.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Bilateral Submandibular Sialolithiasis

Kim

2012

J Med Cases

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Salivary calculi in the pediatric population comprise only 3% of all cases of sialolithiasis. In addition, the presentation of bilateral calculi in children is rare. Traditionally, the treatment for submandibular calculi in the proximal duct has been a sialadenectomy in spite of its risk. Recently, minimally invasive techniques have been reported, the Intraoral removal of calculi is useful for preservation of the submandibular gland and preserved gland can restore gland function to normal after stone removal. We would report the 15-year-old boy case with bilateral submandibular gland hilum sialolithiasis and the intraoral removal only stones.

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Significance of Unilateral Submandibular Gland Excision on Salivary Flow in Noncancer Patients

Abstract: Unilateral submandibular gland excision results in a decreased rate of resting salivary flow and an increase in subjective xerostomia.

Cited by 58 publications

References 8 publications

Evaluation of Metastases in the Submandibular Gland in Head and Neck Malignancy

Evaluation of Metastases in the Submandibular Gland in Head and Neck Malignancy

Intraoral removal of proximal submandibular stones – an alternative to sialadenectomy?

An Unusual Case of Bilateral Submandibular Sialolithiasis

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