Removal of the submandibular gland using a combined retroauricular and transoral approach.

Purpose To evaluate the feasibility and outcome of a combined retroauricular and transoral approach for removing the submandibular gland. Patients and Methods Thirteen patients underwent removal of benign submandibular gland lesions (6 sialoadenitis with sialolithiasis, 4 chronic sialoadenitis, and 3 pleomorphic adenomas) using a combined retroauricular and intraoral approach. Results All 13 submandibular sialoadenectomies were successful and all of the wounds healed uneventfully. A temporary deficit of the lingual nerve developed in 2 cases and mild limited movement of the tongue developed in 3 cases. No patient suffered from weakness of the marginal mandibular branch of the facial nerve. The follow-up averaged 14.1 months (range, 6-24 months); no tumors recurred. The incision scars were invisible. Conclusion Submandibular gland resection using a combined retroauricular and transoral approach is a feasible method for benign submandibular gland lesions that provides an acceptable cosmetic outcome.