Singh P P, Goyal M
Department of Otorhinolaryngology and Head and Neck Surgery, Guru Teg Bahadur Hospital, University College of Medical Sciences, New Delhi, Delhi 110095 India.
B-160, Nirman Vihar, New Delhi, Delhi 110092 India.
Indian J Otolaryngol Head Neck Surg. 2020 Sep;72(3):297-301. doi: 10.1007/s12070-019-01784-x. Epub 2020 Jan 3.
The aim of this paper is to present our experience with intraoral approach for submandibular gland excision in terms of effectiveness and safety in patients with chronic sialadenitis. This is a prospective study carried out from November, 2016 to April, 2018 analyzing 13 patients of chronic sialadenitis. The indication of intraoral approach was either failed attempt to remove the stone endoscopically, chronic sialadenitis or benign tumor. The surgical triangle was used as the landmark for hilar area and gland was dissected close to the capsule and removed via intraoral incision and preserving the sublingual gland. We were successfully able to remove the submandibular gland via intraoral approach in 10 cases. Two patients had to undergo transcervical gland excision and one patient refused for transcervical approach. Intraoral excision of submandibular gland is a safe and viable approach to be utilized in carefully selected patients. The major advantages being avoidance of transcervical scar and of injury to marginal mandibular branch of facial nerve.
本文旨在介绍我们采用口内入路切除下颌下腺治疗慢性涎腺炎患者的有效性和安全性方面的经验。这是一项前瞻性研究，于2016年11月至2018年4月进行，分析了13例慢性涎腺炎患者。口内入路的指征为内镜取石失败、慢性涎腺炎或良性肿瘤。以手术三角作为 hilar 区域的标志，将腺体靠近包膜进行解剖，并通过口内切口切除，保留舌下腺。我们成功地通过口内入路切除了10例下颌下腺。2例患者不得不接受经颈腺体切除，1例患者拒绝经颈入路。下颌下腺口内切除是一种安全可行的方法，可用于精心挑选的患者。主要优点是避免了颈部瘢痕和对面神经下颌缘支的损伤。
