Intra-oral removal of stones from the hilum of the submandibular gland: report of technique and morbidity

McGurk, Mark; Makdissi, J.; Brown, Jackie

doi:10.1016/j.ijom.2004.01.024

Cited by 82 publications

(63 citation statements)

References 10 publications

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“…Overall, temporary injury to the marginal mandibular branch of the facial nerve occurs in approximately 10% of cases, with permanent injuries in 3% of cases. 7 Injuries to the lingual and hypoglossal nerves are less common (<4%), but one half of these might be permanent. 7 Multiple nerve injury can also occur, and the risk increases significantly in an indurated and fibrosed glands because the lingual nerve can become welded to the gland by scar tissue.…”

Section: Discussionmentioning

confidence: 99%

Advantages of intraoral removal over submandibular gland resection for proximal submandibular stones

2010

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Section: Discussionmentioning

confidence: 99%

Advantages of intraoral removal over submandibular gland resection for proximal submandibular stones

2010

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“…Subjective complaints are also reported by some patients. Permanent damage to the marginal mandibular branch of the facial nerve accounts for 0 to 8%, the lingual nerve, 0 to 12%, and the hypoglossal, 0 to 1.4% 1,[6][7][8] . The objective of this study is to analyze the value of fine needle aspiration and the rates of postoperative complications in patients undergoing resection of the submandibular gland.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Submandibular gland excision

Carvalho

Dedivitis

Castro

et al. 2015

Rev. Col. Bras. Cir.

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Results: Results: 117 patients were studied, aged 12-89 years (mean 48), 70 women and 47 men. Thirty-nine patients (33.3%) were affected by inflammatory diseases (28 patients with lithiasis), 70 had benign tumors, and malignant tumors, eight. Regarding FNA, the sensitivity and specificity were 85.7% and 100%, respectively. Nine patients (7.7%) had temporary paralysis of the marginal mandibular nerve and one had permanent paralysis. Conclusion:Conclusion: Conclusion: Conclusion: Conclusion: resection of the submandibular gland is a safe procedure, with low complication rates. . The most found benign tumor is the pleomorphic adenoma. Total resection of the affected gland is the standard treatment proposed for all tumors.The surgical transcervical lateral access is considered standard for approach the submandibular gland 4 . Although other open and endoscopic approaches have been proposed 5 , the lateral transcervical remains the only one used in our Department.The report of operative complications in the submandibular gland excision for benign lesions ranges from 0 to 14% for hematoma and infection. However, the need of reoperation is rarely reported 3,6,7 . Subjective complaints are also reported by some patients. Permanent damage to the marginal mandibular branch of the facial nerve accounts for 0 to 8%, the lingual nerve, 0 to 12%, and the hypoglossal, 0 to 1.4% 1,[6][7][8] . The objective of this study is to analyze the value of fine needle aspiration and the rates of postoperative complications in patients undergoing resection of the submandibular gland. METHODS METHODS METHODS METHODS METHODSWe reviewed the records of unselected cases of patients treated with resection of the submandibular gland in the Head and Neck Surgery Service at the Hospital Ana Costa and at the Irmandade da Santa Casa da Misericór-dia de Santos, São Paulo -SP, Brazil, from January 1995 to December 2008. The data analyzed were age, gender, findings on clinical history, results of FNA, indication for surgery, surgical procedure, histological diagnosis and complications. Clinical examination was performed with bimanual palpation to differentiate between glandular tissue and lymph node.The evaluated postoperative complications were hematoma, wound infection, salivary fistula and paralysis of the hypoglossal, marginal mandibular and lingual nerves. The physiological function of each involved nerve was clinically assessed before and after surgery by observing the movements of the facial muscles and the appearance, movement and tactile sensation of the tongue. We performed the postoperative evaluation at the time of skin suture removal, and if there were nerve changes, we carried out periodic reviews until complete resolution of paresthesia.Ultrasonography was performed routinely as a complementary imaging study to clinical findings. The fine needle aspiration with frozen specimen was performed in patients with nodular disease of the submandibular gland to clarify the benign or malignant nature of the lesion, not being indicated for patients...

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“…However, iatrogenic injuries are higher in SMG resection than the other methods. 3% permanent paralysis and 10% temporary paralysis of the facial nerve marginal mandibular branch was reported (11). Lingual and hypoglossal nerve injury is reported as 4% and approximately half of these injuries were expressed to be permanent paralysis (13).…”

Section: Discussionmentioning

confidence: 99%

“…Lingual and hypoglossal nerve injury is reported as 4% and approximately half of these injuries were expressed to be permanent paralysis (13). Another disadvantage is unwanted skin incision scar (11). Recently minimal invasive methods were defined such as extracorporeal lithotripsy, interventional radiology and operative sialoendoscopy (12,13).…”

Section: Discussionmentioning

confidence: 99%