Radiologic Measurement of Submandibular Gland Ptosis

Lee, Matthew K; Sepahdari, Ali R.; Cohen, Marc

doi:10.1055/s-0033-1349356

Cited by 17 publications

(8 citation statements)

References 8 publications

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“…SMG ptosis is an age-related phenomenon in which inferior displacement of both submandibular glands results from laxity of the platysma muscle and skin and can be a concern in cosmetic neck rejuvenation. 9 Ptotic SMGs are symmetrically inferiorly displaced within the submandibular space and are not translated anteriorly into the submental space as is the case with a unilaterally transferred SMG. 9 The asymmetric appearance of a transferred SMG and the history of a prior operation distinguish it from ptotic SMGs.…”

Section: Discussionmentioning

confidence: 99%

“…9 Ptotic SMGs are symmetrically inferiorly displaced within the submandibular space and are not translated anteriorly into the submental space as is the case with a unilaterally transferred SMG. 9 The asymmetric appearance of a transferred SMG and the history of a prior operation distinguish it from ptotic SMGs. Enhancement of the transferred SMG relative to the contralateral SMG appears to depend on the timing of the study.…”

Section: Discussionmentioning

confidence: 99%

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Submandibular Gland Transfer: A Potential Imaging Pitfall

Yom²,

Ha³

et al. 2018

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Submandibular Gland Transfer: A Potential Imaging Pitfall

Yom²,

Ha³

et al. 2018

AJNR Am J Neuroradiol

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“…Of note, the distance of the submandibular gland from the inferior border of the mandible is variable. In a study performed by Lee et al [ 6 ], 92.6% of patients older than 65 years of age demonstrated submandibular gland ptosis of 25 mm or more away from the inferior border of the mandible. In addition, numerous younger subjects in Lee's study demonstrated a distance of 20 mm or more between the submandibular gland and the inferior border of the mandible.…”

Section: Discussionmentioning

confidence: 99%

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

2016

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Submandibular gland ptosis is a common impediment to obtaining superior surgical aesthetic results in neck lift surgery. Techniques for suspending the submandibular gland have been proposed, but these procedures have the drawbacks of disturbing the floor of the mouth mucosa and periosteum. We present an approach of submandibular gland suspension for the treatment of gland ptosis by employing a platysma and hyoid bone fascia cradle. Our technique was performed on cadaveric models. The platysma muscle and hyoid bone cradle for submandibular gland ptosis was created on the left side of the neck in two cadavers. A submental incision with sharp dissection was performed to raise a supraplatysmal flap. A subplatysmal plane was developed until the submandibular gland was identified. Sutures were used to pexy the platysma to the hyoid bone periosteum and deep cervical fascia, tightening the overlying muscle and in turn elevating the submandibular gland. Submandibular gland ptosis must be corrected in order to achieve exemplary aesthetic results. Our approach of creating a cradle with the platysma and hyoid bone avoids the potential complications of previously described sling procedures, while still maintaining the integrity of the gland and surrounding tissues.

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“…In certain patients, ptosis of the submandibular gland is commonly observed, resulting in visible deformation of the submental region. Treatment options for this condition include partial resection, mandibular duplication sutures, and transcervical suspension sutures [43][44][45][46][47][48][49][50][51][52] (Figure 3). However, it is important to note that surgical manipulations on the submandibular gland carry risks such as hematoma formation from glandular vessels, potential damage to the marginal mandibular branch of the facial nerve, and long-term healing complications of salivary gland fistulas.…”

Section: Mixed Platysmaplastymentioning

confidence: 99%

Advanced Surgical Approaches for the Rejuvenation of the Submental and Cervicofacial Regions: a Literature Review for a Personalized Approach

Borisenko,

Sharobaro,

Burkhonova

et al. 2024

Preprint

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The quest for surgical advancements regarding the enhancement of the submental and cervicofacial regions has witnessed a remarkable upsurge in recent years. Informed patients are actively seeking sophisticated plastic surgery techniques to achieve comprehensive rejuvenation in these specific areas. Common complaints expressed by these patients include sagging of the jawline, the emergence of deep perioral wrinkles, and the formation of "marionette lines" within the lower third of the face. Furthermore, the manifestation of age-related signs, including neck laxity, submental adipose accumulation, "witch's chin" deformity, and weakened platysma musculature, are common within this anatomical region. This literature review aims to summarize the recent technical improvements, historical evolution, indications, postoperative care, and challenges for facial rejuvenation of the lower third of the face and neck. Lastly, the application of minimally invasive procedures as part of a comprehensive approach to an aging face will also be discussed.

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Radiologic Measurement of Submandibular Gland Ptosis

Cited by 17 publications

References 8 publications

Submandibular Gland Transfer: A Potential Imaging Pitfall

Submandibular Gland Transfer: A Potential Imaging Pitfall

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

Advanced Surgical Approaches for the Rejuvenation of the Submental and Cervicofacial Regions: a Literature Review for a Personalized Approach

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