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Turk Arch Otorhinolaryngol. 2016 Mar;54(1):16-20. doi: 10.5152/tao.2016.1467. Epub 2016 Mar 1.

Submandibular Gland Surgery: Our Clinical Experience.

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Department of Otorhinolaryngology, Başkent University Ankara Hospital, Ankara, Turkey.
Clinic of Otorhinolaryngology, Siirt State Hospital, Siirt, Turkey.
Department of Otorhinolaryngology, Başkent University Konya Hospital, Konya, Turkey.



The aim of this study was to assess the demographic findings and surgical results of patients who underwent submandibular gland excision at a tertiary care center.


The clinical characteristics and histopathological results of 45 patients who had undergone submandibular gland excision between 1997 and 2014 were evaluated in detail.


Twenty-eight (62.2%) and 17 (37.8%) patients presented with a complaint of a painful mass and painless mass, respectively. Histopathologic investigation of the surgical specimens revealed sialolithiasis in 14 patients (31.1%), chronic sialadenitis in 16 (35.6%), benign tumor in 12 (26.7%), malignant tumor in two (4.4%), and mucocele extravasation in one. As complications, permanent paralysis of the marginal mandibular branch of the facial nerve was seen in one patient (2.2%), temporary paralysis of the marginal mandibular branch of the facial nerve was seen in seven (15.6%), orocutaneous fistula was seen in one (2.2%), and temporary paralysis of the hypoglossal nerve was seen in one (2.2%).


This study revealed that in patients presenting with complaints of a submandibular gland mass, sialolithiasis, sialadenitis, and benign masses were the mostly diagnosed disorders. Transcervical submandibular gland excision is a satisfactory procedure with low complication and recurrence rates when it is performed on selected patients and obeyed to surgical techniques.


Salivary gland; complication; submandibular gland; surgery

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

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