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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1993 May;75(3):164–167.

Submandibular gland surgery: an audit of clinical findings, pathology and postoperative morbidity.

W P Smith 1, W J Peters 1, A F Markus 1
PMCID: PMC2497897  PMID: 8323209

Abstract

A series of 86 patients who underwent submandibular gland surgery were reviewed retrospectively. Of the 92 glands excised, non-neoplastic disease accounted for 96% of cases. Preoperative clinical findings were inconsistent such that early surgery should be considered for an enlarged non-tender submandibular gland. The incidence of temporary paresis of the lower branches of the facial nerve was 36% with full recovery, on average, 4 months after surgery. The low 'non-identification' approach to the submandibular gland appears to be the technique which offers the least likelihood of permanent damage to the lower branches of the facial nerve.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Blake P. Excision of the submandibular gland: minimizing the risk of nerve damage: comment. Aust N Z J Surg. 1989 Nov;59(11):894–894. doi: 10.1111/j.1445-2197.1989.tb07035.x. [DOI] [PubMed] [Google Scholar]
  2. Crabtree G. M., Yarington C. T. Submandibular gland excision. Laryngoscope. 1988 Oct;98(10):1044–1045. doi: 10.1288/00005537-198810000-00003. [DOI] [PubMed] [Google Scholar]
  3. DINGMAN R. O., GRABB W. C. Surgical anatomy of the mandibular ramus of the facial nerve based on the dissection of 100 facial halves. Plast Reconstr Surg Transplant Bull. 1962 Mar;29:266–272. doi: 10.1097/00006534-196203000-00005. [DOI] [PubMed] [Google Scholar]
  4. Eichel B. S., Bray D. A., Kaplan H. J. The overall management of salivary gland disorders. Laryngoscope. 1981 Apr;91(4):504–511. doi: 10.1288/00005537-198104000-00002. [DOI] [PubMed] [Google Scholar]
  5. Ellenbogen R. Pseudo-paralysis of the mandibular branch of the facial nerve after platysmal face-lift operation. Plast Reconstr Surg. 1979 Mar;63(3):364–368. doi: 10.1097/00006534-197903000-00012. [DOI] [PubMed] [Google Scholar]
  6. Gallia L. J., Johnson J. T. The incidence of neoplastic versus inflammatory disease in major salivary gland masses diagnosed by surgery. Laryngoscope. 1981 Apr;91(4):512–516. doi: 10.1288/00005537-198104000-00003. [DOI] [PubMed] [Google Scholar]
  7. Gallina E., Gallo O., Boccuzzi S., Paradiso P. Analysis of 185 submandibular gland excisions. Acta Otorhinolaryngol Belg. 1990;44(1):7–10. [PubMed] [Google Scholar]
  8. Kennedy P. J., Poole A. G. Excision of the submandibular gland: minimizing the risk of nerve damage. Aust N Z J Surg. 1989 May;59(5):411–414. doi: 10.1111/j.1445-2197.1989.tb01597.x. [DOI] [PubMed] [Google Scholar]
  9. Milton C. M., Thomas B. M., Bickerton R. C. Morbidity study of submandibular gland excision. Ann R Coll Surg Engl. 1986 May;68(3):148–150. [PMC free article] [PubMed] [Google Scholar]
  10. Shaver E. F., Jr, Fujita S. Persistent, progressive or recurrent enlargement of the submaxillary gland. Laryngoscope. 1966 Feb;76(2):318–324. doi: 10.1288/00005537-196602000-00010. [DOI] [PubMed] [Google Scholar]
  11. Ziarah H. A., Atkinson M. E. The surgical anatomy of the cervical distribution of the facial nerve. Br J Oral Surg. 1981 Sep;19(3):171–179. doi: 10.1016/0007-117x(81)90002-0. [DOI] [PubMed] [Google Scholar]
  12. Ziarah H. A., Atkinson M. E. The surgical anatomy of the mandibular distribution of the facial nerve. Br J Oral Surg. 1981 Sep;19(3):159–170. doi: 10.1016/0007-117x(81)90001-9. [DOI] [PubMed] [Google Scholar]

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