Sublingual gland cystectomy

Treatment of diseases: sublingual cysts Indication Sublingual cysts are the more common cysts in the parotid gland. When the cyst grows up, it can affect the function of the oral organs. Therefore, surgical resection should be performed. Contraindications This method should not be used for young children and frail elderly patients. Surgical procedure Incision On the outer side of the sublingual fold, along the direction of the catheter, the front from the opposite part of the mandibular canine, and then to the distal part of the first molar, make an arc-shaped incision. 2. revealing the sublingual gland Cut the bottom mucosa along the curved incision. The incision was then inserted with a curved hemostat and a blunt separation between the mucosal wound margin and the sublingual gland (and cyst) to reveal the sublingual gland and cyst. 3. Separation After the sublingual gland is revealed, the sublingual gland and the lateral and anterior portions of the cyst are separated first, that is, the sublingual gland is separated from the inside of the mandible, and the outer part and the bottom of the sublingual gland are gradually released. It is then carefully separated at its inner and rear portions. Because of the submandibular gland and the genioglossus muscle, there are important structures such as the submandibular gland duct, the lingual nerve and the deep veins of the tongue. Therefore, the operation requires sufficient light, the surgical field is clear, the submandibular gland duct is carefully selected under the clear vision, the small secretory tube of the sublingual gland is cut off, and the above-mentioned important structure such as the submandibular gland duct is protected by the periosteal stripper, and clamped with the tissue clamp. The front end of the sublingual gland is lifted and separated by the curved vascular clamp along the inner side of the sublingual gland to reach the posterior edge of the mandibular ligament. 4. Removal At this point, the sublingual gland has been basically freed, and finally the sublingual gland is completely separated at the posterior end of the deep submandibular gland, and the sublingual gland and cyst are completely removed. 5. Stitching Rinse the wound with saline and carefully ligature the bleeding point. Finally, the bottom mucosal incision was sutured from the posterior and forward, and the rubber sheet was placed for drainage. complication The main complications of sublingual gland and cystectomy include vascular injury, submandibular gland injury, lingual nerve injury, and postoperative bleeding. Therefore, the surgeon must be familiar with the applied anatomy of the operating area, and should emphasize that the intraoperative light is sufficient, the surgical field is clear, and the sublingual gland is carefully separated under the premise of properly protecting the submandibular gland duct, the lingual nerve and the deep tongue and vein. Inside and back. Secondly, during surgery, attention should be paid to reducing trauma and completely stopping bleeding. Finally, suture the wound mucosa to avoid suturing the submandibular gland ducts and causing catheter obstruction.