Submandibular sialoadenectomy with local anesthesia in the era of minimally invasive surgery.
OBJECTIVE
To assess the feasibility and advantages of submandibular sialoadenectomy under local anesthesia.


METHODS
Retrospective clinical study.


METHODS
Twenty patients with benign submandibular masses underwent submandibular sialoadenectomy. The procedure was carried out under local anesthesia (LA) in 12 patients and general anesthesia (GA) in 8 patients. The patient and tumor characteristics, as well as treatment outcome or complications, were compared between the two groups.


RESULTS
There was no conversion from LA to GA. Nine patients in the LA group could be discharged as day-case surgery versus none in the GA group, P = 0.001. The postoperative hospital stay was also much shorter in the LA group: 0.4 day vs 2.0 days, P < 0.001. Postoperative vomiting occurred in only two of the eight patients of the GA group. Complication rate was similar.


CONCLUSIONS
Submandibular sialoadenectomy under local anesthesia is feasible. It can shorten the hospital stay and facilitate day-case surgery.
Chow
Tam-Lin
TL
Division of Head and Neck Surgery, Department of Surgery, United Christian Hospital, Hong Kong. tamlinc@yahoo.com
Chan
Tony Tung-Fei
TT
Choi
Chi-Yee
CY
Lam
Siu-Ho
SH
D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D015331:Cohort Studies; D005260:Female; D006392:Hemangioma, Cavernous / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D012793:Sialadenitis / Q000473:pathology / Q000601:surgery; D013365:Submandibular Gland Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome