Through a prospective surgical trial we introduce an entirely intraoral technique
for excision of the submandibular gland. Eight cases of submandibular sialadenectomy
through the intraoral approach were performed, intru-and postoperative morbidity was
analyzed. No major complications occurred, however, mild, transient pareslhesia of the
lingual nerve developed in 3 patients (37.5%). Five patients (62.5%) had minor
postoperative hematomas. which were resolved spontaneously. No cases of wound or
deep-sited infection were reported. No case of facial palsy was encountered. We can
conclude that the intraoral submandibular sialadenectomy is a safe alternative to
extraoral approach with its major advantages being the avoidance of an external scar
and injury to the marginal mandibular nerve or the hypoglossal nerve. |
