Robot-assisted submandibular gland excision via modified facelift incision
© The Author(s). 2017
Received: 26 May 2017
Accepted: 12 July 2017
Published: 5 September 2017
The conventional transcervical resection for submandibular gland disease has some risks and an unsatisfactory cosmetic result. Recently, robot-assisted surgery has been developed as a plausible substitute for conventional surgery which provides an excellent cosmetic outcome.
The authors performed robot-assisted sialadenectomy via modified facelift incision using the da Vinci Xi surgical system (Intuitive Surgical Inc., CA, USA) with two endowrist arms (monopolar curved scissors and Maryland bipolar forceps) successfully in a 44-year-old female patient who suffered from sialolith and severe atrophic submandibular gland.
If similar studies are done in the future, this robot-assisted sialadenectomy may become established as an alternative to existing disadvantageous surgical methods.
KeywordsRobot-assisted surgery da vinci Xi Submandibular gland Sialolithiasis Modified facelift incision
The submandibular gland is vulnerable to non-neoplastic disorders (sialolithiasis and sialadenitis) due to its anatomic characteristics. The most common benign neoplasm is pleomorphic adenoma, and tumors of the submandibular gland are infrequently malignant . The conventional treatment method of transcervical resection has some risks such as paresis of the marginal branch of the facial nerve, lingual nerve paresis, xerostomia, and an unsatisfactory cosmetic result . Notwithstanding various techniques such as intraoral resection [3, 4] and endoscopic-assisted resection [5, 6] to reduce these complications, there are still postoperative discomforts, such as a temporary lack of function of lingual nerve and a temporary limitation of tongue movement . Recently, robot-assisted surgery has been developed as a plausible substitute for conventional surgery which provides an excellent cosmetic outcome [7, 8]. Earlier robot-assisted surgeries were performed via a retroauricular approach , recent surgeries are being performed via modified facelift incision (MFI) approach [9–11], the postoperative scar being completely hidden by the auricle and hair. In this paper, the authors report a case of robot-assisted submandibular sialoadenectomy via MFI.
SWJ, YKK, and YHC participated in the operation and are responsible for the data collection, drafting of the article, and the critical revision of the article. WN is responsible for the conception and design of the study, the critical revision of the article, and the approval of the article. YWK gave us some advises about robot surgery. All authors read and approved the final manuscript.
Ethics approval and consent to participate
The study was approved by the institutional review board of Yonsei Dental Hospital (IRB approval number 2-2017-0016).
The authors declare that they have no competing interests. The authors alone are responsible for the content and writing of the article.
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