Article

Endoscope assisted submandibular sialadenectomy: the face-lift approach.

Department of Otorhinolaryngology-Head & Neck Surgery, Ewha Womans University School of Medicine, 911-1 Yangcheon-Gu, Mok-Dong, Seoul, Korea.
Archives of Oto-Rhino-Laryngology (impact factor: 1.29). 10/2010; 268(4):619-22. DOI:10.1007/s00405-010-1392-y pp.619-22
Source: PubMed

ABSTRACT This study evaluated the benefits of a new approach, endoscopic resection of a submandibular gland through the face-lift approach. The study comprised the clinical trial of new procedure. Six submandibular sialadenectomies were carried out (4 women, 2 men; mean age 28 years) via the face-lift approach by endoscopy. All six submandibular gland resections were successfully performed endoscopically, and no conversion to conventional open resection was necessary. Five patients had a mixed tumor and one patient had sialadenitis. The procedures lasted 55-115 min (mean 74 min). No complications associated with the operation occurred, and the scar was almost invisible. Endoscope assisted submandibular sialadenectomy via the face-lift approach was safe and effective treatment of benign lesions. The main advantage of this procedure is that the operative scar is concealed by the hairline.

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    Article: Robotic sialoadenectomy of the submandibular gland via a modified face-lift approach.
    A De Virgilio, Y M Park, W S Kim, S Y Lee, J H Seol, S-H Kim
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    ABSTRACT: The purpose of this study was to describe and analyse the advantages and disadvantages of submandibular gland (SMG) resection using a robotic surgical system through a modified face-lift approach. The authors performed robotic sialoadenectomy of the SMG on 5 patients using the daVinci robot system through a modified face-lift approach. Three robotic arms were inserted through a modified face-lift incision; a face-down 30-degree endoscopic arm and two operative arms. The right arm was equipped with a harmonic scalpel and the left arm with a Maryland forceps. In all patients, robotic sialoadenectomy of the SMG was completed successfully. Diagnoses were sialolithiasis in two patients, pleomophic adenoma in two patients, and ranula in one patient. The mean robotic operative time was 90.2min (range 62-185min) and that for setting the robotic system was 8.2min (range 5-15min). No significant intra-operative or postoperative complications were observed. All patients were satisfied with the outcome and especially the cosmetic results at their last follow-up visit. In the authors opinion robotic sialoadenectomy of the SMG is technically feasible and secures a better cosmetic outcome than endoscopic submandibular resection.
    International Journal of Oral and Maxillofacial Surgery 05/2012; 41(11):1325-9. · 1.51 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

2 men
 
age 28 years
 
clinical trial
 
conventional open resection
 
effective treatment
 
endoscopically
 
endoscopy
 
face-lift approach
 
hairline
 
main advantage
 
mixed tumor
 
patients
 
procedures
 
six submandibular gland resections
 
submandibular gland
 
submandibular sialadenectomies
 
submandibular sialadenectomy