Submandibular gland excision: a five-year review

Goh, Yau-Hong; Sethi, Dharmbir S.

doi:10.1017/s0022215100158323

Cited by 71 publications

(47 citation statements)

References 6 publications

(6 reference statements)

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“…The submandibular gland secretes on average 71% of the daily produced saliva, consisting of serous and mucous component. Its secretion is crucial for lubricating and swallowing of the bolus, in addition to enzyme digestion, which starts in the upper digestive tract 1 . The submandibular gland is usually not noticed.…”

Section: Discussão Discussão Discussão Discussãomentioning

confidence: 99%

“…T he submandibular gland is affected by various types of diseases, be them degenerative, inflammatory or neoplastic 1 . The most common clinical presentation is the edematous increase of the gland.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

“…Subjective complaints are also reported by some patients. Permanent damage to the marginal mandibular branch of the facial nerve accounts for 0 to 8%, the lingual nerve, 0 to 12%, and the hypoglossal, 0 to 1.4% 1,[6][7][8] . The objective of this study is to analyze the value of fine needle aspiration and the rates of postoperative complications in patients undergoing resection of the submandibular gland.…”

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Submandibular gland excision

Carvalho

Dedivitis

Castro

et al. 2015

Rev. Col. Bras. Cir.

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Results: Results: 117 patients were studied, aged 12-89 years (mean 48), 70 women and 47 men. Thirty-nine patients (33.3%) were affected by inflammatory diseases (28 patients with lithiasis), 70 had benign tumors, and malignant tumors, eight. Regarding FNA, the sensitivity and specificity were 85.7% and 100%, respectively. Nine patients (7.7%) had temporary paralysis of the marginal mandibular nerve and one had permanent paralysis. Conclusion:Conclusion: Conclusion: Conclusion: Conclusion: resection of the submandibular gland is a safe procedure, with low complication rates. . The most found benign tumor is the pleomorphic adenoma. Total resection of the affected gland is the standard treatment proposed for all tumors.The surgical transcervical lateral access is considered standard for approach the submandibular gland 4 . Although other open and endoscopic approaches have been proposed 5 , the lateral transcervical remains the only one used in our Department.The report of operative complications in the submandibular gland excision for benign lesions ranges from 0 to 14% for hematoma and infection. However, the need of reoperation is rarely reported 3,6,7 . Subjective complaints are also reported by some patients. Permanent damage to the marginal mandibular branch of the facial nerve accounts for 0 to 8%, the lingual nerve, 0 to 12%, and the hypoglossal, 0 to 1.4% 1,[6][7][8] . The objective of this study is to analyze the value of fine needle aspiration and the rates of postoperative complications in patients undergoing resection of the submandibular gland. METHODS METHODS METHODS METHODS METHODSWe reviewed the records of unselected cases of patients treated with resection of the submandibular gland in the Head and Neck Surgery Service at the Hospital Ana Costa and at the Irmandade da Santa Casa da Misericór-dia de Santos, São Paulo -SP, Brazil, from January 1995 to December 2008. The data analyzed were age, gender, findings on clinical history, results of FNA, indication for surgery, surgical procedure, histological diagnosis and complications. Clinical examination was performed with bimanual palpation to differentiate between glandular tissue and lymph node.The evaluated postoperative complications were hematoma, wound infection, salivary fistula and paralysis of the hypoglossal, marginal mandibular and lingual nerves. The physiological function of each involved nerve was clinically assessed before and after surgery by observing the movements of the facial muscles and the appearance, movement and tactile sensation of the tongue. We performed the postoperative evaluation at the time of skin suture removal, and if there were nerve changes, we carried out periodic reviews until complete resolution of paresthesia.Ultrasonography was performed routinely as a complementary imaging study to clinical findings. The fine needle aspiration with frozen specimen was performed in patients with nodular disease of the submandibular gland to clarify the benign or malignant nature of the lesion, not being indicated for patients...

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Section: Discussão Discussão Discussão Discussãomentioning

confidence: 99%

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

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confidence: 99%

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Submandibular gland excision

Carvalho

Dedivitis

Castro

et al. 2015

Rev. Col. Bras. Cir.

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“…4 For posteriorly located stones, the gland is extirpated in most cases. 2,4 The main indications for submandibular gland removal are sialolithiasis and sialadenitis, [5][6][7] which represent 69% 5 to 89% 7 of all indications. Although submandibular gland excision is a frequent operation, several reports demonstrate a rather high rate of complications.…”

Section: Introductionmentioning

confidence: 99%

“…Although submandibular gland excision is a frequent operation, several reports demonstrate a rather high rate of complications. [6][7][8][9][10][11] According to Hald and Koks-Andreassen, 6 short-term complications are experienced by 37% of patients and include, among others, temporary marginal mandibular branch paresis (18%), infection (14%), and lingual nerve deficit (5%). In the same series, long-term complications are described in 35% of patients and include scar problems (17%), reduced salivation (14%), and alterations in sensation (13%).…”

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confidence: 99%

Histopathology of submandibular glands removed for sialolithiasis

Marchal¹,

Kurt²,

Dulguerov³

et al. 1999

Otolaryngol.--head neck surg.

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We reviewed the clinical history of 48 consecutive patients who underwent submandibular gland removal for radiologically proven sialolithiasis. The specimens were examined by a pathologist blinded to the clinical data. A histopathologic classification into 1 of 3 grades was established by evaluating the degrees of atrophy, fibrosis, and inflammation. A correlation between the clinical and pathological variables was sought in order to define clinical variables that would predict abnormal submandibular glands that required extirpation. A significant percentage of the submandibular glands exhibited normal histologic findings. The patients with normal submandibular glands had a clinical evolution similar to that of other patients with severely damaged glands. The only clinical variable that correlated with increased histopathologic alteration was the patient's age. In view of the newly available diagnostic and therapeutic techniques for sialolithiasis, a conservative attitude to submandibular gland resection appears justified.

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Sialolithiasis Management

Marchal¹,

Dulguerov²

2003

Arch Otolaryngol Head Neck Surg

331

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ialolithiasis is the main cause of unilateral diffuse parotid or submandibular gland swelling. Its incidence has been poorly studied but seems to be much higher than the classic data published by Rauch of 1 case per 300000 people per year. 1 In a recent study, based on hospital admission figures in England, Escudier and McGurk 2 estimated this incidence to be between 1 per 15000 and 1 per 30000. Personal observations of an incidence between 1 per 10000 and 1 per 20000 seem to confirm these results (F.M. and P.D., unpublished data, 2002). Sialolithiasis results in a mechanical obstruction of the salivary duct, causing repetitive swelling during meals, which can remain transitory or be complicated by bacterial infections. 3,4 Traditionally, recurring episodes necessitate treatment by open surgery, and sialolithiasis still represents the most frequent reason for submandibular gland resection. 5,6 Interestingly, parotid gland resection remains less frequent, probably because of the higher incidence of postoperative complications such as facial paresis. 7

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Submandibular gland excision: a five-year review

Cited by 71 publications

References 6 publications

Submandibular gland excision

Submandibular gland excision

Histopathology of submandibular glands removed for sialolithiasis

Sialolithiasis Management

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