Smith A D, Elahi M M, Kawamoto H K, Lorenz H P, Hedrick M H
Division of Plastic and Reconstructive Surgery at the University of California, Los Angeles 90095-1665, USA.
Plast Reconstr Surg. 2000 May;105(6):2092-5. doi: 10.1097/00006534-200005000-00027.
To improve the outcome in patients with benign diseases of the submandibular gland, we have developed an entirely intraoral technique for excision of the submandibular gland. This procedure is anatomically safe and can be performed with minimal morbidity. We believe the essential surgical steps are as follows: (1) infiltration with Xylocaine plus epinephrine with an adequate waiting period for hemostasis; (2) careful identification of the submandibular duct/lingual nerve relationship; (3) anterior retraction of the mylohyoid muscle to expose the superficial lobe; (4) superiorly directed, extraoral, manipulation of the submandibular gland; and (5) close and blunt dissection to the gland laterally to avoid injury to the facial artery and vein.
为改善下颌下腺良性疾病患者的治疗效果，我们开发了一种完全经口内的下颌下腺切除术技术。该手术在解剖学上是安全的，且手术 morbidity 极小。我们认为基本的手术步骤如下：（1）用利多卡因加肾上腺素浸润，并等待足够时间以实现止血；（2）仔细识别下颌下腺导管/舌神经的关系；（3）将下颌舌骨肌向前牵拉以暴露浅叶；（4）在口外向上操作下颌下腺；（5）向外侧对腺体进行钝性紧密分离，以避免损伤面动脉和静脉。
