Musa ÖZBAY, Engin ŞENGÜL, Beyhan YILMAZ, İsmail TOPÇU

Submandibular Bez Patolojilerinin Cerrahi Tedavisi

Amaç: Submandibular bezde görülen patolojiler nedeniyle opere ettiğimiz hastaların klinik özelliklerini, histopatolojik sonuçlarını ve cerrahi komplikasyonlarını literatür bilgileri eşliğinde değerlendirmektir.Yöntemler: Submandibular bezde görülen patolojiler nedeniyle 2007 ile 2016 yılları arasında kliniğimizde opere edilen 34 hastanın klinik verileri retrospektif olarak incelendi.Bulgular: Hastaların 21'i (%61,8) erkek, 13'ü (%38,2) kadındı. Hastaların yaş ortalaması 41,7±16,6 yıl şeklindeydi. Hastaların post-operatif patoloji sonucu 30 hastada (%88,2) benign, 4 hastada (%11,8) malign olarak geldi. Benign hastaların 20'sinde siyalolitiyazis, 6'sında kronik sialoadenit mevcuttu. Patoloji sonucu 4 hastada pleomorfik adenom olarak bulunurken, malign 4 hastanın tanısı adenoid kistik karsinomdu. Post-operatif komplikasyon oranı %11,7 bulundu. En sık komplikasyon olarak marjinal mandibular sinir parezisi görüldü.Sonuç: Boyunda oluşan insizyon skarından ve marjinal mandibular sinir parezisi komplikasyonlarından dolayı son zamanlarda yeni cerrahi yöntemler arayışına başlanmış olsa da, transservikal yol ile submandibular bez eksizyonu halen en çok kullanılan güvenli bir cerrahi yöntemdir.

Surgical Treatment of Submandibular Gland Pathologies

Objective: We aimed to evaluate clinical presentations, histopathological diagnosis and complications of patients operated for a submandibular gland pathology.Methods: Medical records of 34 patients who were operated for a submandibular gland pathology between 2007 and 2016 years evaluated retrospectively.Results: 21 (61.8%) of these patients were male and 13 (38.2%) were female. The mean age of the patients was 41.7±16.6 years. Post-operative histopathological diagnosis was benign in 30 patients (88.2%), malign in 4 patients (11.8%). In the benign group, diagnosis was sialoalolithiasis in 20 patients, chronic sialoadenitis in 6 patients and pleomorphic adenoma in 4 patients. In malign group, the histopathologic result for all patients was adenoid cystic carcinoma. Complication rate of submandibular excision surgery was 11.7%. Marginal mandibular nerve paresis was the most common complication.Conclusion: New surgery methods have been presented in the literature because of the incision scar and marginal mandibular nerve paresis during the transcervical surgical approach. However, submandibular gland excision through transcervical approach is still the most used and safe method.

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