Endoscopic resection of the submandibular gland via a hairline incision

Laryngoscope. 2010 May;120(5):970-4.
Endoscopic resection of the submandibular gland via a hairline incision: a new surgical approach.
Song CM, Jung YH, Sung MW, Kim KH.

Department of Otolaryngology-Head and Neck Surgery, Seoul National University Boramae Hospital, 39, Boramae-Gil, Dongjak-Gu, Seoul 156-707, South Korea.
Abstract
OBJECTIVES/HYPOTHESIS: Submandibular gland excision is traditionally performed by the transcervical approach. To avoid or reduce visible scarring and nerve injury, diverse innovative surgical trials have been reported. Here we report a patient who had an endoscopic submandibular gland resection via a hairline incision. METHODS: A 36-year-old woman presented with a right submandibular gland tumor that was found on a routine check-up. The submandibular gland was resected under endoscopic assistance via a posterior hairline incision using an ultrasonic scalpel. RESULTS: The resection was successful, causing no acute complications, such as neural injury, hematoma, or seroma formation. The incision scar healed with an excellent cosmetic result. CONCLUSIONS: Endoscopic submandibular gland resection via a hairline incision was feasible and resulted in an excellent surgical and cosmetic outcome. Laryngoscope, 2010.