Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

A CLINICAL STUDY OF SUBMANDIBULAR GLAND EXCISION

악하선 절제술의 임상적 연구

  • Chung, In-Kyo (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Jong-Ryoul (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Uk-Kyu (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Byun, June-Ho (Dept. of Dentistry, College of Medicine, Gyeongsang University) ;
  • Park, Bong-Wook (Dept. of Dentistry, College of Medicine, Gyeongsang University) ;
  • Jang, Won-Seok (Public Health Center, Yeongsan township)
  • 정인교 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김종렬 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김욱규 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 변준호 (경상대학교 의과대학 치과학교실) ;
  • 박봉욱 (경상대학교 의과대학 치과학교실) ;
  • 장원석 (경상남도 창녕군 영산면 보건지소)
  • Published : 2004.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Salivary glands, major and minor, are susceptible to a wide variety of pathologic conditions. Excision of the submandibular gland is a surgical procedure often undertaken. The procedure is the treatment of choice for patients with neoplasm of the submandibular gland and those with non-neoplastic submandibular disorders which are not controlled with conservative medical measures. Extirpation of the submandibular gland may also be undertaken for diagnostic purposes. We evaluated 84 patients who had been admitted to the dept. of oral and maxillofacial surgery of Pusan National University Hospital from January, 1989 to December, 2002 and had been performed submandibular gland excision. The results are as follows : 1. The patients undertaken the excision of the submandibular gland showed an age range of 16 to 71 years. The average was 49.1. 2. They consisted of 60 males(71.4%) and 24 females(28.6%), having 2.5 : 1 of genda ratio. 3. The most common symptom was swelling in 41 cases(48.8%), followed by the pain in 23 cases(27.4%). Other symptoms included mass, dysphagia, facial abnormaly and neck dyscinesia. 4. 42 cases(50.0%) showed sialadenitis and sialodochitis associated with salivary calculus. 5. According to the histopathologic study, all cases consisted of 17 neoplasmatic conditions(20.3%) and 67 non-neoplasmatic(79.7%). The neoplasmatic cases included 13 benign tumors and 4 primary malignant tumors. Sialadenitis and sialodochitis associated with or without salivary calculus were most marked, found in 50 cases(59.3%), in the non-neoplasmatic conditions. Pleoomorphic adenoma showed the highest frequency of the benign tumor.

Keywords

References

  1. Dawes C, Wood CM : The contribution of oral minor mucous gland secretions to the volume of whole saliva in man. Arch Oral Biol 18:337-342, 1973
  2. Rauch S : Die Speicheldru ¨sen des Menschen, 1st ed. Thieme, Stuttgart, 1959
  3. Norman JE, McGurk M : Color atlas and text of the SALIVARY GLANDS, 1st ed. Mosby-Wolfe, London, 1995, p.13-39
  4. Seifert G, Miehlke A, Haubrich J, Chilla R : Diesease of the Salivary Glands, 1st ed. Georg Thieme Verlag, Germany, 1986, p.85-90
  5. Epivatianos A, Harrison JD, Dimitriou T : Ultrastructural and histochemical observations on microcalculi in chronic submandibular sialadenitis. J Oral Pathol 16:514-517, 1987
  6. Abe K, Higuchi T, Kubo s, Oka M : Submandibular sialadenitis due to a foreign body. Br J Oral Maxillofac Surg 28:50-52, 1990
  7. Scott J : The prevalence of consolidated salivary deposits in the small ducts of human submandibular glands. J Oral Pathol 7:28-37,1978
  8. Peterson LJ : Principles of Oral and Maxillofacial Surgery, 1st ed. Lippincott Company, Philadelphia, 1992, p.841-880
  9. Seifert G, Miehlke A, Haubrich J, Chilla R : Diesease of the Salivary Glands, 1st ed. Georg Thieme Verlag, Germany, 1986, p.110-163
  10. Parekh D, Stewart M, Joseph C, Lawson HH : Plunging ranula: a report of three cases and review of the literature. Br J Surg 74:307-309, 1987
  11. Nathan H, Luchansky E : Sublingual gland herniation through the mylohyoid muscle. Oral Surg Oral Med Oral Pathol 1985 59:21-23,1985
  12. Galloway RH, Gross PD, Thompson SH, Patterson AL : Pathogenesis and treatment of ranula: report of three cases. J Oral Maxillofac Surg 47:299-302, 1989
  13. Neville BW, Damm DD, Allen CM, Bouquot JE : Oral & Maxillofacial Pathology, 1st ed. W. B. Saunders Company, Philadelphia, 1995,p.395-397
  14. Som PM, Curtin HD : HEAD and NECK IMAGING, 3rd ed. Mosby,St. Louis, 1996, p.823-914
  15. Manipoud P, Rerolle S, Kemeny JL, Lafaye M : Tuberculosis of the submandibular gland: Apropos of a case and review of the literature. Ann Otolaryngol Chir Cervicofac 110:482-484, 1993
  16. Franzen A, Franzen CK, Koegel K : Tuberculosis of the parotid gland: a rare differential diagnosis of parotid tumor. Laryngorhinootologie 76:308-311, 1997
  17. Spiro RH, Huvos AG, Berk R, Strong EW : Mucoepidermoid carcinoma of salivary gland origin: A clinicopathologic study of 367 cases. Am J Surg 136:461-468, 1978
  18. Seifert G, Miehlke A, Haubrich J, Chilla R : Diesease of the Salivary Glands, 1st ed. Georg Thieme Verlag, Germany, 1986, p.171-285
  19. Norman JE, McGurk M : Color atlas and text of the SALIVARY GLANDS, 1st ed. Mosby-Wolfe, London, 1995, p.139-228
  20. Neville BW, Damm DD, Allen CM, Bouquot JE : Oral & Maxillofacial Pathology, 1st ed. W. B. Saunders Company, Philadelphia, 1995,p.336-361
  21. Carlson ER : Oral and Maxillofacial Surgery Clinics of North America: The Comprehensive Management of Salivary Gland Pathology, 1st ed. W. B. Saunders Company, Philadelphia, 1995,p.519-528
  22. Carlson ER : Oral and Maxillofacial Surgery Clinics of North America: The Comprehensive Management of Salivary Gland Pathology, 1st ed. W. B. Saunders Company, Philadelphia, 1995,p.387-422
  23. Neville BW, Damm DD, Allen CM, Bouquot JE : Oral & Maxillofacial Pathology, 1st ed. W. B. Saunders Company, Philadelphia, 1995,p.339-343
  24. Thompson LD, Wenig BM, Ellis GL : Oncocytomas of the submandibular gland: A series of 22 cases and a review of the literature. Cancer 78:2281-2287, 1996
  25. Cunning DM, Lipke N, Wax MK : Significance of unilateral submandibular gland excision on salivary flow in noncancer patients. Laryngoscope 108:812-815, 1998