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Case Reports
. 2017 Sep 5;39(1):25.
doi: 10.1186/s40902-017-0122-4. eCollection 2017 Dec.

Robot-assisted submandibular gland excision via modified facelift incision

Seung Wook Jung  1 , Young Kwan Kim  1 , Yong Hoon Cha  1 , Yoon Woo Koh  2 , Woong Nam  1
Affiliations
Case Reports

Robot-assisted submandibular gland excision via modified facelift incision

Seung Wook Jung et al. Maxillofac Plast Reconstr Surg. .

Abstract

Background: 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.

Case presentation: 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.

Conclusions: If similar studies are done in the future, this robot-assisted sialadenectomy may become established as an alternative to existing disadvantageous surgical methods.

Keywords: Modified facelift incision; Robot-assisted surgery; Sialolithiasis; Submandibular gland; da vinci Xi.

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Conflict of interest statement

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).

Competing interests

The authors declare that they have no competing interests. The authors alone are responsible for the content and writing of the article.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The panoramic radiograph showed an elongated radiopaque structure imposed on the left submandibular area (top). Computerized tomographic (CT) scan of the mandibular region showed the presence of multiple high attenuated materials and elongated sialolith located within the left Wharton’s duct. Very severe atrophic submandibular gland was also found (bottom).
Fig. 2
Fig. 2
Preoperative technetium-99m pertechnetate salivary gland scintigraphy revealed that right salivary glands were within normal limits but with no definite radiotracer excretion in the Lt. submandibular gland
Fig. 3
Fig. 3
Modified facelift incision (MFI) for robot-assisted submandibular gland excision (left) and obtaining a sufficient amount of working space (approximately 10-cm height) for securing a self-retaining retractor (right)
Fig. 4
Fig. 4
Dissection using the da Vinci Xi surgical system (Intuitive Surgical Inc., CA, USA) with two endowrist arms (monopolar curved scissors and Maryland bipolar forceps) (left) and excised specimen (right)
Fig. 5
Fig. 5
The da Vinci Xi surgeon console
Fig. 6
Fig. 6
The patient shows stable nerve function and esthetic result at postoperative 3 months
See this image and copyright information in PMC

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