Surgery for Submandibular Gland Diseases: 14-years of Experience of a Single Tertiary Center

Authors : Göksel, TURHAL, Arın ÖZTÜRK, Hakan CEYLAN, Nurullah Serdar AKYILDIZ, Kerem ÖZTÜRK

Pages : 16-19

Doi:10.26650/Tr-ENT.2021.27247

View : 21 | Download : 13

Publication Date : 2021-07-06

Article Type : Research Paper

Abstract :Objective: Surgical removal is a valid option in the treatment of submandibular gland diseases but there are still operative and diagnostic pitfalls. We aimed to review and investigate the long-term clinical, surgical, and pathologic outcomes of our cases that had undergone submandibular gland removal. Materials and Methods: Retrospective analysis was conducted on patients who underwent submandibular gland excision via the transcervical approach with minimal skin incision between January 2007 and April 2020. Demographic data, preoperative FNA cytology results, clinical findings, surgical procedure, postoperative histopathological diagnosis, and postoperative morbidity were reviewed and analyzed. Results: 66 patients insert ignore into journalissuearticles values(41.7%); had sialolithiasis, 47 patients insert ignore into journalissuearticles values(29.7%); had chronic sialadenitis. Pleomorphic adenoma was found in 30 of the 44 patients that been operated on for submandibular mass. Gland derived carcinoma was found in 9 patients. The sensitivity of FNA biopsy in our case series was 83.3% insert ignore into journalissuearticles values(10/12);, specificity was 78.1% insert ignore into journalissuearticles values(25/32);, positive predictive value was 71.4% insert ignore into journalissuearticles values(10/14);, and the negative predictive value was 96.1% insert ignore into journalissuearticles values(25/26);. Permanent facial nerve marginal mandibular branch palsy was found in two patients insert ignore into journalissuearticles values(1.2%);. Conclusion: The transcervical approach to the submandibular gland offers safe and reliable removal of the submandibular gland with a minimal risk of complications. FNA cytology was found to be useful in the preoperative evaluation of the submandibular masses.
Keywords : Sialolithiasis, submandibular gland, submandibular gland excision, submandibular gland neoplasm