Transcervical submandibular gland surgery; management, outcome, and complications of 120 cases

Çağlar Günebakan; Selçuk Kuzu; Abdulkadir Bucak; Orhan Kemal Kahveci; Şahin Ulu

doi:10.26900/hsq.2.1.02

Authors

Çağlar Günebakan Afyonkarahisar Health Sciences University/TURKEY 0000-0003-3281-9785
Selçuk Kuzu Afyonkarahisar Health Sciences University/TURKEY 0000-0002-0511-9874
Abdulkadir Bucak Afyonkarahisar Health Sciences University/TURKEY 0000-0003-3031-3465
Orhan Kemal Kahveci Afyonkarahisar Health Sciences University/TURKEY 0000-0002-6159-133X
Şahin Ulu Bahcesehir University/TURKEY 0000-0002-5462-9520

10.26900/hsq.2.1.02

Abstract

Objectives Surgical intervention is the treatment procedure of many diseases of the submandibular gland such as sialolithiasis, chronic sialoadenitis, and tumors. This study aims to analyze the management, outcomes, and complications of transcervical submandibular gland excision cases of a tertiary clinic and to discuss the results in light of the current literature knowledge.

Materials and Methods 120 cases who applied to a tertiary otorhinolaryngology clinic between 2014-2019 and who underwent submandibular gland excision were analyzed retrospectively.

Results Postoperative histopathological results revealed that 108 cases were benign and 12 of cases were malignant. The most frequent benign pathology was chronic sialoadenitis in 82 cases. The most common non-malignant tumor was pleomorphic adenoma in 16 cases. Although the result obtained with fine-needle-biopsy was benign in 2 patients, the histopathological result after surgery was malignant (adenocarcinoma in 1 patient, mucoepidermoid carcinoma in 1 patient). As complications of surgery; marginal mandibular nerve injury in 11 cases (permanent in 2 cases) and hematoma in 7 cases were noted.

Conclusion A benign fine-needle aspiration biopsy result does not necessarily exclude malignancy in submandibular gland masses. As a result, we found that the percentage distribution of our submandibular gland histopathological results is consistent with the literature. Although marginal mandibular nerve injury is one of the most common complications of submandibular gland excision, transcervical submandibular gland excision is still a reliable surgery.

Keywords:

Submandibular gland surgery histopathology fine-needle aspiration biopsy complication

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