Abstract:
The last century gave born to the concept of minimal invasive
surgery and the scarless operations. The transoral approach targeted
mainly the concept of scarless surgery, in addition, to keeping the
marginal mandibular nerve safe. The transoral approach faces many
limitations as pathology type, lump size, lump mobility, and enough
workspace.
Patients and methods: This prospective study was carried out on
20 consecutive patients. All of them were presented with
submandibular salivary gland swelling. All swellings included
should be mobile, 2 cm or less, and the patient showed a positive 3-
fingers test.
Results: In this study, 13 patients showed evidence of calcular
submandibular sialadenitis, 4 patients with non calcular
submandibular sialadenitis, and 3 patients with pleomorphic
adenoma. All cases were presented with small mobile gland. The
mean lump size was 16.4 mm (12-20 mm). all patients passed the 3-
finger test to evaluate maximal mouth opening. Two patients
developed wound infection and showed delayed wound healing.
Five cases developed abnormal tongue tip sensation. No patients
developed limitations in tongue movement.
Conclusion: In selected cases, the transoral approach can be a good
alternative, especially for those patients who are strongly
appreciating scarless operations as young age females.
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