PURPOSE: The surgical management of submandibular gland diseases has always been a challenge because it carries a considerable risk of nerve injury. The aim of this study was to review a single institution's experience of a nonselected case series of submandibular gland excision over 15 years. MATERIALS AND METHODS: We retrospectively analyzed 258 unselected submandibular excisions of a tertiary university center for the histopathologic diagnosis and postoperative morbidity; 119 patients (46%) with sialolithiasis, 88 patients (34%) with sialadenitis, and 51 patients (20%) with submandibular tumors were operated. RESULTS: We found a high rate of malignant tumors (42%) in the group of submandibular gland tumors. A low rate of transient palsies of the mandibular branch of the facial nerve (9%) and lingual nerve (2%) was observed. One patient developed a permanent paresis of the mandibular branch (<1%). CONCLUSION: Our large series has shown that standardized submandibular sialadenectomy is a safe operation with a low rate of complications. Malignant disease is frequent in tumors of the submandibular gland.
PURPOSE: The surgical management of submandibular gland diseases has always been a challenge because it carries a considerable risk of nerve injury. The aim of this study was to review a single institution's experience of a nonselected case series of submandibular gland excision over 15 years. MATERIALS AND METHODS: We retrospectively analyzed 258 unselected submandibular excisions of a tertiary university center for the histopathologic diagnosis and postoperative morbidity; 119 patients (46%) with sialolithiasis, 88 patients (34%) with sialadenitis, and 51 patients (20%) with submandibular tumors were operated. RESULTS: We found a high rate of malignant tumors (42%) in the group of submandibular gland tumors. A low rate of transient palsies of the mandibular branch of the facial nerve (9%) and lingual nerve (2%) was observed. One patient developed a permanent paresis of the mandibular branch (<1%). CONCLUSION: Our large series has shown that standardized submandibular sialadenectomy is a safe operation with a low rate of complications. Malignant disease is frequent in tumors of the submandibular gland.
Authors: Poramate Pitak-Arnnop; Niels Christian Pausch; Kittipong Dhanuthai; Kraison Sappayatosok; Pichit Ngamwannagul; Ute Bauer; Robert Sader; Alexander D Rapidis; Christian Hervé; Alexander Hemprich Journal: Eplasty Date: 2010-05-21
Authors: K Moeller; D Esser; D Boeger; J Buentzel; K Hoffmann; P Jecker; A Mueller; G Radtke; J-U Piesold; S Schultze-Mosgau; M Finkensieper; T Bitter; O Guntinas-Lichius Journal: Eur Arch Otorhinolaryngol Date: 2012-10-17 Impact factor: 2.503
Authors: Abdullah Dalgic; Omer Karakoc; Serdar Karahatay; Yusuf Hidir; Mehmet Gamsizkan; Hakan Birkent; Mustafa Gerek Journal: J Craniofac Surg Date: 2013 Impact factor: 1.046