Meningaud Jean-Paul, Pitak-Arnnop Poramate, Bertrand Jacques-Charles
Department of Maxillofacial Surgery, Pitié-Salpêtrière Hospital, Paris, France.
J Oral Maxillofac Surg. 2006 Sep;64(9):1366-70. doi: 10.1016/j.joms.2006.05.032.
To describe an endoscopic technique for submandibular sialoadenectomy in humans, as well as the equipment, instrumentation, and pertinent anatomy.
Six submandibular sialoadenectomies were carried out in 5 patients (3 women, 2 men; mean age, 26.6 years; range, 16 to 42 years) via a 15 to 20 mm neck incision for insertion of the endoscopic camera and surgical instruments.
All operations were successful without conversion to an open surgery. Operative time was 20 to 120 minutes (mean, 65 minutes). All patients were discharged the day after surgery. There were no postoperative complications (hematoma, nerve injury, infection). All patients experienced a mild degree of edema, which had resolved totally at the 6-month follow-up visit. All patients were satisfied with the outcome and especially the cosmetic result.
Absence of extensive scars, nontraumatic dissection, and magnification of anatomic structures are the most obvious advantages of this innovative technique.
描述一种用于人类下颌下腺切除术的内镜技术，以及相关设备、器械和解剖结构。
对5例患者（3例女性，2例男性；平均年龄26.6岁；范围16至42岁）进行了6次下颌下腺切除术，通过15至20毫米的颈部切口插入内镜摄像头和手术器械。
所有手术均成功，无需转为开放手术。手术时间为20至120分钟（平均65分钟）。所有患者术后第一天出院。无术后并发症（血肿、神经损伤、感染）。所有患者均有轻度水肿，在6个月随访时已完全消退。所有患者对手术结果尤其是美容效果满意。
无广泛瘢痕、非创伤性解剖以及解剖结构放大是这项创新技术最明显的优点。
