Singh R P, Sung E S, Song C M, Ji Y B, Tae K
University Hospital Southampton; Hanyang University Medical Centre, Seoul, South Korea.
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea.
Br J Oral Maxillofac Surg. 2017 Dec;55(10):1030-1034. doi: 10.1016/j.bjoms.2017.10.013. Epub 2017 Nov 6.
Various approaches have been described for excision of a submandibular gland including endoscopic and robot-assisted techniques. We present the outcome of excision by a robot-assisted postauricular facelift approach and compare it with the conventional transcervical approach. We studied 30 cases of excision of the gland for benign disease (16 transcervical and 14 robot-assisted), and collected clinical and personal data, and details of patients' satisfaction with the result. The most common conditions were sialadenitis (n=15) and pleomorphic adenoma (n=12). The robot-assisted operations took significantly longer (p=0.045), had more drainage (p<0.001), and a significantly better cosmetic outcome (p=0.002). Robot-assisted excision of the submandibular gland may prove to be a viable option in the treatment of benign conditions for those patients seeking a better cosmetic outcome.
已经描述了多种切除下颌下腺的方法，包括内镜和机器人辅助技术。我们展示了通过机器人辅助耳后除皱术切除下颌下腺的结果，并将其与传统的经颈入路进行比较。我们研究了30例因良性疾病切除下颌下腺的病例（16例经颈入路和14例机器人辅助入路），收集了临床和个人数据以及患者对结果的满意度细节。最常见的病症是涎腺炎（n = 15）和多形性腺瘤（n = 12）。机器人辅助手术耗时明显更长（p = 0.045），引流更多（p < 0.001），美容效果明显更好（p = 0.002）。对于那些寻求更好美容效果的患者，机器人辅助切除下颌下腺可能被证明是治疗良性病症的一种可行选择。
