Sublingual salivary gland excision

By

Dr. T. Balasubramanian M.S. D.L.O.

 

 

Definition: Sublingual salivary gland excision is a surgical procedure aimed at removal of sublingual salivary gland.

 

Indications:

1. In removal of benign / malignant tumors of sublingual salivary gland

2. In clearing malignant tumors involving the anterior floor of the mouth

Before embarking on the procedure the following keypoints should be considered:

1. The close proximity of the subrmandibular duct

2. If it is a malignant tumor the possible involvement of mandible

3. Possible involvement of lingual nerve in case of malignant growth.

 

Operative procedure:

Sublingual salivary gland tumor occurs as a submucosal bulge in the floor of the mouth anteriorly, lateral to the opening of Wharton's duct. It is safer to cannulate the duct in order to identify its exact position. About 1 ml of 2% xylocaine with 1 in 1 lakh units adrenaline can be infiltrated into the surgical field. This will minimize bleeding.

An incision is made over the mass using a 15 blade knife / diathermy knife. If diathermy knife is used bleeding will be minimized.

Mucosal flaps are elevated. The gland is identified and grasped with the help of Allice forceps. Care should be taken to identify lingual nerve. The gland is dissected out of its bed using a combination of blunt and sharp dissection. After complete excision of the gland the wound is closed in layers.

 

 







 






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