Trans-oral submandibular gland removal

Submandibular salivary gland excision is traditionally performed via a trans-cervical approach. Although it is considered a relatively simple surgical procedure, several untoward outcomes, such as a visible scar in the neck and injury to various nerves in the field of dissection, are possible. The trans-oral route of surgery eliminates the risk of the former and can decrease the risk of the latter. To answer the question as to why more glands aren't being removed via the trans-oral route, unfamiliarity with the surgical anatomy of the submandibular space as viewed from the oral cavity and a restricted surgical field have been touted as possible deterrents. In this review, we attempt to demonstrate that the anatomy and techniques for this type or resection are well within the skills of all otolaryngologists.