Transoral robotic submandibular sialadenectomy: How and when

Pasquale Capaccio, Filippo Montevecchi, Giuseppe Meccariello, Giovanni Cammaroto, Jeffery Scott Magnuson, Stefano Pelucchi, Lorenzo Bresciani, Claudio Vicini

Research output: Contribution to journalArticlepeer-review

Abstract

Traditional removal of the submandibular gland is done through a transcervical approach; new proposals have come into the scientific limelight such as endoscopy-assisted transcervical sialadenectomy or (robot-assisted) submandibular sialadenectomy through a postauricular facelift transcervical approach. Transoral submandibular sialadenectomy has been described in the past, but with the advent of transoral robotic surgery, the proposal of removing the submandibular gland from the oral floor is gaining strength. A transoral robotic submandibular sialadenectomy by the Si Da Vinci Surgical Robot was performed in a 68-years-old female patient under general anaesthesia. The transoral robotic procedure was successful with no major postoperative complications. A mild tingling of the tip of the tongue was described by the patient 3 months after. The surgical time took 110 minutes. No residual gland was observed at ultrasonography. The transoral robotic submandibular sialadenectomy seems to be, with selective indication based on clinical and radiological assessment, a viable and safe alternative to traditional management in patients who refuse a cervical scar and the risk of paralysis of the facial nerve.

Original languageEnglish
Pages (from-to)423-429
Number of pages7
JournalGland Surgery
Volume9
Issue number2
DOIs
Publication statusPublished - Apr 1 2020

Keywords

  • Submandibular sialadenectomy
  • Submandibular stones
  • Transoral robotic surgery (TORS)
  • Transoral surgery

ASJC Scopus subject areas

  • Surgery

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