Excision of the submandibular salivary gland
by Vicky S Khattar, Vicky Bachi T, Vicky Jagadish Tubachi

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video describes the excision of the submandibular salivary gland. A thorough knowledge of the anatomy of the surrounding structures as well as the bed of the gland is vital to prevent complications. The video describes the technique right from the surface marking and relations of the gland and the site for the skin incision, followed by a layer-by-layer dissection, vascular control and preservation of the marginal branch of the facial nerve. The bed of the submandibular gland comprises certain vital nerves which should be preserved, namely the lingual and hypoglossal nerves. Division of the communicating fibers to and from the submandibular ganglion, which results in freeing of the lingual nerve, has also been demonstrated. The facial vessels are encountered at two places, first during the exposure, and later during the final removal of the gland; the technique to control the same has also been described.

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