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Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 31 Issue: 1

Surgery for Submandibular Gland Diseases: 14-years of Experience of a Single Tertiary Center

Göksel , Turhal(Ege University School of Medicine, Department of Otolaryngology, Izmir, Turkey)0000-0003-0020-1921
Arın Öztürk(Çermik State Hospital, Department of Otolaryngology, Diyarbakır, Turkey)0000-0002-3321-7033
Hakan Ceylan(Ege University School of Medicine, Department of Otolaryngology, Izmir, Turkey)0000-0002-3822-1867
Nurullah Serdar Akyıldız(Ege University School of Medicine, Department of Otolaryngology, Izmir, Turkey)0000-0002-7472-5499
Kerem Öztürk(Ege University School of Medicine, Department of Otolaryngology, Izmir, Turkey)0000-0003-4608-6105
Pages
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Publication Date
2021-07-06
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

FNA cytology was found to be useful in the preoperative evaluation of the submandibular masses.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Surgical removal is a valid option in the treatment of submandibular gland diseases but there are still operative and diagnostic pitfalls.
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Key Findings & Data:Materials and Methods: Retrospective analysis was conducted on patients who underwent submandibular gland excision via the transcervical approach with minimal skin incision between January 2007 and April 2020.
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Conclusion & Impact:FNA cytology was found to be useful in the preoperative evaluation of the submandibular masses.
🔬Design:Review & Systematic Survey
📍Scope:2007 Verileri
⚙️Variables:Sialolithiasis · submandibular gland · submandibular gland excision

Abstract

Objective: Surgical removal is a valid option in the treatment of submandibular gland diseases but there are still operative and diagnostic pitfalls. We aimed to review and investigate the long-term clinical, surgical, and pathologic outcomes of our cases that had undergone submandibular gland removal. Materials and Methods: Retrospective analysis was conducted on patients who underwent submandibular gland excision via the transcervical approach with minimal skin incision between January 2007 and April 2020. Demographic data, preoperative FNA cytology results, clinical findings, surgical procedure, postoperative histopathological diagnosis, and postoperative morbidity were reviewed and analyzed. Results: 66 patients (41.7%) had sialolithiasis, 47 patients (29.7%) had chronic sialadenitis. Pleomorphic adenoma was found in 30 of the 44 patients that been operated on for submandibular mass. Gland derived carcinoma was found in 9 patients. The sensitivity of FNA biopsy in our case series was 83.3% (10/12), specificity was 78.1% (25/32), positive predictive value was 71.4% (10/14), and the negative predictive value was 96.1% (25/26). Permanent facial nerve marginal mandibular branch palsy was found in two patients (1.2%). Conclusion: The transcervical approach to the submandibular gland offers safe and reliable removal of the submandibular gland with a minimal risk of complications. FNA cytology was found to be useful in the preoperative evaluation of the submandibular masses.

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Cite This Article

Göksel, G., Turhal, T., Öztürk, A., Ceylan, H., Akyıldız, N. S., Öztürk, K. (2021). Surgery for Submandibular Gland Diseases: 14-years of Experience of a Single Tertiary Center. The Turkish Journal of Ear Nose and Throat, Volume: 31 Issue: 1. https://doi.org/10.26650/Tr-ENT.2021.27247

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