Abstract:

Objective   To investigate the feasibility and advantage of endoscopic resection of submandibular gland through a minimal incision． Methods   Twenty-six  patients, diagnosed as benign diseases of submandibular gland from 2006 to 2012, were treated with endoscopic resection of submandibular gland through a 2.0-2.5cm skin incision. The incision length, intraoperative bleeding, operation duration drainage of the wound and complication were reviewed and compared with the control group in which 65 patients received conventional surgical resection. Results   Surgery in all the 91 patients were successfully performed without relapse during the follow-up (1 to 5 years). Of the endoscopic group，the incision length, total intraoperative bleeding ,operation duration and drainage of the wound were 2.3±0.2cm, 9.4±2.2mL, 74±10min and 17.2±5.7mL, respectively. One case suffered from tongue numbness which disappeared in 2 weeks. No facial and hypoglossal nerve paralysis occurred  postoperatively． Compared with the control group， the incision length and bleeding dramatically decreased,  while the difference of operational duration was not significant． Conclusion   Endoscopeic resection of submandibular gland through a minimal incision could obtain better cosmetic results， which is a feasible way to treat benign submandibular gland disease．

Key words: Submandibular gland, Aspirator； Suspension System, Minimally invasive, Endoscope