Goh Y H, Sethi D S
Department of Otolaryngology, Singapore General Hospital, Singapore.
J Laryngol Otol. 1998 Mar;112(3):269-73. doi: 10.1017/s0022215100158323.
Excision of the submandibular gland is a surgical procedure often undertaken. The procedure is the treatment of choice for patients with neoplasm of the submandibular gland and those with non-neoplastic submandibular disorders which are not controlled with conservative medical measures. Extirpation of the submandibular gland may also be undertaken for diagnostic purposes. This retrospective study of 93 consecutive patients who underwent excision of the submandibular gland in the Department of Otolaryngology, Singapore General Hospital over a five-year period was undertaken to study the indications of surgery, the pathology of the excised submandibular gland and the demographic profile of patients. Fifty-six (60.2 per cent) patients underwent submandibular gland excision for non-neoplastic salivary gland disease while 37 (39.8 per cent) had neoplastic submandibular gland disorders. The commonest pathology encountered was sialadenitis/sialolithiasis (53.76 per cent) followed by pleomorphic adenoma (33.33 per cent). Fine needle aspiration cytology (FNAC) was a valuable pre-operative investigation with a sensitivity and specificity of 94.7 per cent and 100 per cent respectively for neoplastic disease. The morbidity rate for this surgery was 4.3 per cent.
下颌下腺切除术是一种常施行的外科手术。该手术是下颌下腺肿瘤患者以及那些采用保守治疗措施无法控制的非肿瘤性下颌下腺疾病患者的首选治疗方法。切除下颌下腺也可用于诊断目的。本回顾性研究对新加坡总医院耳鼻喉科在五年期间连续接受下颌下腺切除术的93例患者进行了研究，以探讨手术指征、切除的下颌下腺的病理情况以及患者的人口统计学特征。56例（60.2%）患者因非肿瘤性涎腺疾病接受下颌下腺切除术，37例（39.8%）患有肿瘤性下颌下腺疾病。最常见的病理情况是涎腺炎/涎石病（53.76%），其次是多形性腺瘤（33.33%）。细针穿刺抽吸活检（FNAC）是一项有价值的术前检查，对肿瘤性疾病的敏感性和特异性分别为94.7%和100%。该手术的发病率为4.3%。
