Modified L-shaped surgical approach to excision of the sublingual gland
Autor: | Hong Wei Zhao, Guo Rong Zhao, Fugui Zhang, Yong Li, Ping Liu, Ying Li, Ping Ji, Lin Zeng |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Submandibular duct Oral Surgical Procedures Surgical Wound Postoperative Hemorrhage Intraoperative bleeding Sublingual Gland Young Adult Humans Medicine Risks and benefits Ranula Child Aged Surgical approach business.industry Sublingual gland Middle Aged medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Child Preschool Feasibility Studies Female Oral Surgery business Follow-Up Studies |
Zdroj: | British Journal of Oral and Maxillofacial Surgery. 53:725-729 |
ISSN: | 0266-4356 |
DOI: | 10.1016/j.bjoms.2015.04.024 |
Popis: | We present a series of 1131 patients who were treated between 1981 and 2013 using the modified L-shaped angular surgical approach to excision of the sublingual gland, and describe the risks and benefits compared with the conventional approach. A total of 365 patients were treated with the conventional approach, while the other 766 have been treated since 1991 using the modified approach. There were no serious complications or recurrences during or after the operation in the modified series. There were significant differences between the two approaches in terms of injuries to the submandibular duct (p=0.03), incidence of ranula on the opposite side (p=0.02), amount of intraoperative bleeding (p=0.000), and duration of operation (p=0.000). The modified L-shaped incision is both viable and safe, and simplifies excision of the sublingual gland while protecting the submandibular duct. |
Databáze: | OpenAIRE |
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