Transoral Submandibular Gland Excision: A Review of 43 Patients

Objectives:(1) Review our experience with trans-oral excision of the submandibular gland. (2) Compare outcomes of the transoral approach with the traditional transcervical approach.Methods:A retrospective chart review of prospectively collected data. Forty-three patients with benign submandibular gland pathology who underwent trans-oral excision of the submandibular gland from 2007-2013 were identified. Data pertaining to patient demographics, conversion to open approach, recurrence of disease, length of operative procedure, length of hospital stay, and incidence of neurologic complications were collected.Results:Forty-three patients underwent transoral excision of the submandibular gland over a 6-year period. Of the 43 procedures performed, 1 transoral case required conversion to an open procedure, and therefore 98.6% of patients avoided a neck scar. Thirty-four out of 42 (80%) of patients reported transient tongue parasthesias. No patient experienced hypoglossal or facial nerve dysfunction.Conclusions:T...