[Submandibular sialoadenectomy by a modified retroauricular approach].
OBJECTIVE
To evaluate the efficacy and the surgical procedures of submandibular sialoadenectomy by a modified retroauricular approach.


METHODS
Between October 2008 and April 2009, 8 patients with benign submandibular gland disorders underwent removal of benign submandibular gland lesions using a retroauricular approach. There were 4 males and 4 females with an average age of 38.5 years (range, 32-54 years), including 3 pleomorphic adenoma and 5 chronic sialadenitis with sialolithiasis. The disease duration was from 2 months to 5 years. The anterior facial vein and the facial artery were reserved only by the ligation of branching vessels in the submandibular gland.


RESULTS
Submandibular sialoadenectomy were successfully performed in 8 cases. The operative time was 45-75 minutes (mean, 60 minutes). All incisions obtained healing by first intention. No nerve paralysis occurred, including marginal mandibular branch of the facial nerve, the lingual nerve, and hypoglossal nerve. One patient had poor blood circulation of flap due to excessive traction during operation, but it returned normal after 24 hours without special treatment. Other flaps had good blood circulation. All patients were followed up 1-6 months (mean, 3 months). The incision scars were hidden with satisfactory appearance.


CONCLUSIONS
The modified retroauricular approach has some advantages such as simple operation, better cosmetic outcome, and no complication.
Hu
Xiaohua
X
Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Zunyi Medical College, Zunyi Guizhou 563003, PR China.
Huang
Guilin
G
Jiang
Lian
L
Song
Qinggao
Q
Yao
Li
L
Qiao
Xinjin
X
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D015494:Salivary Gland Calculi / Q000601:surgery*; D013364:Submandibular Gland Diseases / Q000601:surgery*; D013365:Submandibular Gland Neoplasms / Q000601:surgery*; D016896:Treatment Outcome