2018
DOI: 10.1177/1553350617751460
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Absence of Neck Scars With Total Endoscopic Submandibular Sialadenectomy Using a Chest Wall Approach: A New Technique

Abstract: Total endoscopic submandibular sialadenectomy through a chest wall approach is technically feasible and safe with satisfactory cosmetic results. It may be a valid alternative to conventional surgery when performed in select patients. The absence of neck scars and the ability to avoid potential nerve injuries are the most obvious advantages of this innovative technique.

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Cited by 6 publications
(12 citation statements)
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“…1 The total endoscopic method included the transoral robot-assisted approach 2 and chest wall approach. 3 To our knowledge, this is the first report on a total endoscopic supraclavicular approach.…”
Section: Introductionmentioning
confidence: 83%
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“…1 The total endoscopic method included the transoral robot-assisted approach 2 and chest wall approach. 3 To our knowledge, this is the first report on a total endoscopic supraclavicular approach.…”
Section: Introductionmentioning
confidence: 83%
“…Conversion to the open technique was only necessary in one case. 3 In 2019, a transoral robotic submandibular sialoadenectomy with preservation of sublingual gland and WD was successfully performed in 32-year-old female. 2 We successfully performed the total endoscopic submandibular sialoadenectomy using a 3-port supraclavicular approach in 2 patients.…”
Section: Discussionmentioning
confidence: 99%
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“…We carried on this approach after our previous success in performing many cases of endoscopic thyroidectomy and endoscopic submandibular sialdenectomy. 4,24 We tried this new approach in 6 selected patients with early-stage (stage I) primary head and neck carcinomas. Despite being lengthy, challenging, and requiring much experience, we succeeded to accomplish the END in the 6 cases without conversion to open approach.…”
Section: Discussionmentioning
confidence: 99%
“…Dissection of level I b follows the same steps of the endoscopic submandibular sialadenectomy discussed before by the senior author in his previous publication. 4 Precise visualization and preservation of all important cervical neurovascular structures (including carotid sheath, marginal mandibular, lingual, hypoglossal, and spinal accessory nerves) is carried out throughout the whole procedure as seen in figures 2. Extra-care should be paid when dissecting along the internal jugular vein (IJV) as it will be totally collapsed by the insufflation pressure (8 mm).…”
Section: Methodsmentioning
confidence: 99%