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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.

Author information

1
Department of Otorhinolaryngology, Başkent University Ankara Hospital, Ankara, Turkey.
2
Clinic of Otorhinolaryngology, Siirt State Hospital, Siirt, Turkey.
3
Department of Otorhinolaryngology, Başkent University Konya Hospital, Konya, Turkey.

Abstract

Objective:

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.

Methods:

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

Results:

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%).

Conclusion:

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.

KEYWORDS:

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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