The Value of Facial Artery and Vein Preservation During Submandibular Sialo- Adenectomy
Year: 2025
Type: article
Abstract: Background: Submandibular sialo-adenectomy (SMG excision) is a well-established procedure for benign and malignant pathologies of the submandibular gland. Traditionally, the facial artery and vein are ligated during surgery to facilitate dissection and minimize bleeding. However, recent evidence suggests that preservation of these vessels may reduce morbidity, protect adjacent structures, and retain options for future reconstructive procedures. This study aimed to evaluate the clinical value of preserving the facial artery and vein during submandibular sialo-adenectomy. Methods: This clinical trial was conducted at the General Surgery Department. Eighteen consecutive patients with submandibular gland pathology (benign 83.3%, malignant 16.7%) underwent elective transcervical sialoadenectomy with planned preservation of the facial artery and vein unless oncologic safety mandated ligation. Operative parameters (time, blood loss), postoperative complications, and outcomes were documented. Results: The study cohort (n=18) had a mean age of 53.3±12.9 years and included 61.1% males. Benign lesions accounted for 83.3% of cases, while 16.7% were malignant. The mean operative time was 110±15 minutes, with an average blood loss of 75±20mL. Postoperative complications occurred in 16.6% of patients, including hematoma (11.1%) and marginal mandibular nerve injury (5.6%). No cases of surgical site infection were reported. Preservation of the facial artery and vein was feasible in most cases and provided adequate vascularity for potential reconstructive use. Conclusion: Facial artery and vein preservation during submandibular sialo-adenectomy is a safe and effective technique. It reduces intraoperative blood loss, minimizes postoperative complications, and maintains vital vascular options for reconstructive procedures.
Authors: Joseph Rizk Awad, Salah Mansour Abd-Elaal Abd-Elhamid, Mohamed Amer Abd-Elfattah Khalil, Eslam G Abozaid
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4415365796