Surgical Treatment of Submandibular Gland Pathologies

• Main Authors: Musa Özbay, Engin Şengül, Beyhan Yilmaz, İsmail Topçu
• Format: Article
• Language: English
• Published: Dicle University Medical School 2016-06-01
• Series: Dicle Medical Journal
• Subjects: Submandibular gland; surgery; histopathol­ogy
• Online Access: http://www.diclemedj.org/upload/sayi/60/Dicle%20Med%20J-03009.pdf

Objective: We aimed to evaluate clinical presentations, histopathological diagnosis and complications of patients operated for a submandibular gland pathology. Methods: Medical records of 34 patients who were oper­ated for a submandibular gland pathology between 2007 and 2016 years evaluated retrospectively. Results: 21 (61.8%) of these patients were male and 13 (38.2%) were female. The mean age of the patients was 41.7±16.6 years. Post-operative histopathological diagnosis was benign in 30 patients (88.2%), malign in 4 patients (11.8%). In the benign group, diagnosis was sialoalolithiasis in 20 patients, chronic sialoadenitis in 6 patients and pleomorphic adenoma in 4 patients. In ma­lign group, the histopathologic result for all patients was adenoid cystic carcinoma. Complication rate of subman­dibular excision surgery was 11.7%. Marginal mandibular nerve paresis was the most common complication. Conclusion: New surgery methods have been presented in the literature because of the incision scar and marginal mandibular nerve paresis during the transcervical surgi­cal approach. However, submandibular gland excision through transcervical approach is still the most used and safe method.