Complicaciones quirúrgicas de la cirugía submaxilar

Hernando, Mónica; Echarri, Rosa; Taha, Muhammad; Martín-Fragueiro, Luz; Hernando, Ana; Mayor, Guillermo Plaza

doi:10.1016/j.otorri.2011.08.001

Cited by 18 publications

(7 citation statements)

References 19 publications

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“…The importance of the salivary glands and the extent of the sacrifice they can impart on the human body are truly debatable issues. Studies reporting various complications such as nerve damage and paralysis, remnant ductal tissue problems, and postoperative hemorrhage were limited in scope to immediate or short-term surgical procedure-related problems [ 5 – 7 ]. What about functional aspects?…”

Section: Discussionmentioning

confidence: 99%

“…Little is known regarding the long-term adverse effects of a sialoadenectomy. Most studies focused on surgical complications with this procedure such as nerve damage and paralysis, remnant ductal tissue problems, or postoperative hemorrhage [ 5 – 7 ]. The risk of developing xerostomia under excessive gland removal was also mentioned [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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A sialoadenectomy is associated with an increased risk of coronary heart disease: A three-year follow-up study

Hung¹,

Su²,

Lin³

et al. 2018

PLoS ONE

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Little is known regarding the long-term adverse effects of a sialoadenectomy. The purpose of this study was to estimate the risk of coronary heart disease (CHD) among patients receiving a sialoadenectomy procedure by utilizing a cohort study based on a population-based database in Taiwan. This study retrieved data of the study sample from the Longitudinal Health Insurance Database 2005. This retrospective cohort study included 608 patients who underwent a sialoadenectomy and 1824 propensity score-matched comparison patients. We individually tracked each sampled patient for a 3-year period from their index date to discriminate those who subsequently received a diagnosis of CHD during the follow-up period. We found that respective incidence rates of CHD during the 3-year follow-up period were 3.87 (95% confidence interval (CI): 3.01–4.91) and 1.79 (95% CI: 1.45–2.18) per 100 person-years for patients who did and those who did not undergo a sialoadenectomy. The stratified Cox proportional analysis revealed that the hazard ratio of CHD during the 3-year follow-up period was 2.43 (95% CI: 1.77–3.33) than comparison patients. This study demonstrates an association between sialoadenectomy and CHD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A sialoadenectomy is associated with an increased risk of coronary heart disease: A three-year follow-up study

Hung¹,

Su²,

Lin³

et al. 2018

PLoS ONE

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“…1 Palsy incidence has been reported as 26.08% as a result of superficial parotidectomy and 71.42% as a result of total conservative parotidectomy, respectively. 2 Other iatrogenic causes of MMBFN palsy include carotid endarterectomy, 3–5 submandibular gland excision, 6,7 rhytidectomy/liposuction, 8 mandibular osteotomies, 9 and deep dissection of the neck. 10 MMBFN palsy may also occur as a result of intentional sacrifice during ablative resections.…”

Section: Marginal Mandibular Branch Of the Facial Nerve Palsymentioning

confidence: 99%

Variant Anterior Digastric Muscle Transfer for Marginal Mandibular Branch of Facial Nerve Palsy

Zdilla¹

2014

Plastic and Reconstructive Surgery Global Open

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Summary:Marginal mandibular branch of facial nerve (MMBFN) palsy is a common consequence of head and neck surgeries. MMBFN palsy results in paralysis of muscles which depress the inferior lip. Current management of MMBFN palsy involves ruination of normal neuromuscular anatomy and physiology to restore symmetry to the mouth. The article outlines the possibility to transfer variant anterior digastric musculature to accomplish reanimation of the mouth without adversely affecting normal nonvariant anatomy. The procedure may have the additional cosmetic benefit of correcting asymmetrical muscular bulk in the submental region.

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“…Submandibular gland resection is also a well-standardized technique with a low rate of complications and a low impact on the quality of life of patients, and reviews from a different group of authors have been shown that the technique is not risk-free. 3 Lithiasis located in the middle or distal portion of the Wharton duct has never been a problem and its resection, under local anesthesia, with or without partial removal of the sublingual gland, has been the usual treatment. However, lithiasis located proximally in the hilum, which appears more frequently than distal forms, 4 implies deeper and more complex approaches.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transoral Sialolitectomy as an Alternative to Submaxilectomy in the Treatment of Submaxillary Sialolithiasis

Saga-Gutierrez¹,

Chiesa‐Estomba²,

Larruscain³

et al. 2019

Ear Nose Throat J

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Introduction: Sialolithiasis is the most common pathology in the submaxillary gland. The introduction of minimally invasive techniques isolated or associated with sialoendoscopy is replacing glandular resection as a treatment. The conservation of the gland is justified by the recovery of function and a low recurrence rate. The rate of complications is lower in conservative techniques than in submandibular gland resection. Patients and Methods: Thirty-three patients with fixed stones in the hilum of the submaxillary gland were treated by transoral sialolitectomy between July 2015 and July 2018, demographic data of the patients such as the number of stones, size, time of hospital stay, complications, pre-and postoperative lingual nerve function, and lithiasis recurrence were collected. Results: The average volume of the stones was 1.02 cm. Complete removal of the stone was possible in 32 patients. All the patients were operated in the outpatient clinic. Seven (21%) patients reported some degree of alteration of the lingual nerve function, of which the only one presented a persistence of more than 4 weeks due to an inadvertent injury that required a microsurgical anastomosis. Conclusions: Transoral sialolitectomy is a reproducible technique with good results and lower complication rates than submandibular gland resection. Our results in the first 33 cases encourage us to maintain the combined techniques as standard in the treatment of submaxillary sialolithiasis. Current experience guides the definitive substitution of submandibular gland resection by conservative techniques in obstructive pathology.

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Complicaciones quirúrgicas de la cirugía submaxilar

Cited by 18 publications

References 19 publications

A sialoadenectomy is associated with an increased risk of coronary heart disease: A three-year follow-up study

A sialoadenectomy is associated with an increased risk of coronary heart disease: A three-year follow-up study

Variant Anterior Digastric Muscle Transfer for Marginal Mandibular Branch of Facial Nerve Palsy

Transoral Sialolitectomy as an Alternative to Submaxilectomy in the Treatment of Submaxillary Sialolithiasis

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