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)
Any questions be sent to drmmkapur@gmail.com
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