Tuesday, May 17, 2016

ENT Procedure 17 subandiblar gland excision

Excision of the Submaxillary (Submandibular) Gland
Objective
In cases of sialadenitis:
   Excision of the submaxillary gland.
Position
Supine.
Anesthesia
General.
Procedure
1.  Transverse incision over the gland.
2.  Structures to be proteced are the mandibular branch of the facial nerve, the lingual nerve and hypoglossal nerve.
3.  The anterior facial vein is divided.
4.  The gland is dissected free of surrounding tissues.
5.  The facial artery is ligated.
6.  Wharton’s duct is identified adjacent to the lingual nerve, ligated and divided.
7.  Wound is closed in layers.
8.  A closed suction drain is employed.
Instruments
   Plastic procedures set
   Extra mosquito clamps   6
   Lacrimal duct probes available
   Basin set
   Suction tubing
   Blades (2) No. 15
   Needle magnet or counter
   Dissectors (e.g. peanut)
   Drainage unit (e.g. Hemovac)
   Bulb syringe

    Nerve stimulator (locator)(optional)

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