Submandibulectomy - How to perform a submandibular gland resection
This Submandibulectomy course will teach you the complete resection of the submandibular gland in order to remove salivary stones, submandibular gland tumors (benign/malignant), chronic sialadenitis, sialorrhea, and as part of a level 1 neck dissection. View the full course for free here: https://www.incision.care/free-trial
In malignant tumors, the gland is resected en bloc with the level 1 neck dissection, as described in the course “Neck dissection”.
APPROACHES
A submandibulectomy can be performed through different approaches, including transoral or transcervical approaches. A transoral approach is indicated if the submandibular stones are palpable in the mouth and in the perihilar region of the gland. Endoscopic assistance can aid in the transoral salivary stone resection. A transcervical approach is indicated for patients with a neoplastic disease of the submandibular gland. This approach permits wide resection margins in case of neoplasms.
Special attention is paid to the following hazards you may encounter during the Submandibulectomy:
- Marginal mandibular branch injury
- Lingual nerve injury
With the following tips you might perform the Submandibulectomy even better:
- Marginal mandibular branch protection
After studying the Submandibulectomy course you are familiar with the most common complications:
- Injury to the marginal mandibular branch
- Injury to the lingual nerve
- Injury to the hypoglossal nerve
- Sialocele
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