Perioperative Difficulties and Early Postoperative Complications of Transoral Approach in Mouth Base Surgery

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dc.authoridAkbay, Ercan/0000-0003-0640-1246
dc.contributor.authorAkbay, Ercan
dc.contributor.authorCevik, Cengiz
dc.contributor.authorArli, Cengiz
dc.date.accessioned2024-09-18T20:32:59Z
dc.date.available2024-09-18T20:32:59Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective The aim of this study was to discuss perioperative difficulties and temporary or permanent complications that can be seen at early postoperative period in cases undergoing transoral surgical approach for disorders of mouth base. Study Design The study included 19 patients undergoing transoral surgical approach between September 2011 and January 2013 who were retrospectively evaluated. Exclusion criteria were patients with malign submandibular gland tumor or other suspected tumors at mouth base, those with a benign solid mass larger than 10 x 10 cm, and those who did not accept the transoral approach. Results Mean age was 28.47 17.89 years (range, 8-76 years) in 19 patients included (9 male and 10 female subjects). Of these, submandibular gland excision was performed in 9 cases, whereas thyroglossal duct cyst excision was performed in 3 (2 transfrenulum approach and 1 lateral lingual approach), lymphangioma excision in 1, diagnostic lymph node excision at the posterior of submandibular gland in 3 cases, and dermoid cyst excision (2 with midline and 1 with left submandibular localization) in 3 cases. Perioperative difficulties included dissection problems due to adhesion, partial adhesion between Wharton canal and lingual nerve, fragmented dissection of the gland, capsule rupture of submandibular adenoma, and facial artery rupture. While visualization of surgical field and retraction of mouth base muscles are an important issue in midline approaches, resection of hyoid bone corpus is challenging in lateral approaches. Early postoperative complications included edema at mouth base, lingual ecchymosis, and postoperative temporary abnormal tongue sensation. Conclusions Transoral mouth base surgery is a safe approach in selected patients. Permanent injuries of neural structures are rarely encountered, which is considered as a concern by head and neck surgeons. Temporary complications are at a level that can be tolerated by patients.en_US
dc.identifier.doi10.1097/SCS.0000000000000413
dc.identifier.endpageE148en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue2en_US
dc.identifier.pmid24448527en_US
dc.identifier.scopus2-s2.0-84897068358en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpageE143en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000000413
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11245
dc.identifier.volume25en_US
dc.identifier.wosWOS:000335381800019en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMouth base surgeryen_US
dc.subjecttransoral approachen_US
dc.subjectsubmandibular glanden_US
dc.subjectlymphangiomaen_US
dc.subjectthyroglossal cysten_US
dc.subjectdermoid cysten_US
dc.titlePerioperative Difficulties and Early Postoperative Complications of Transoral Approach in Mouth Base Surgeryen_US
dc.typeArticleen_US

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