Endoscope assisted submandibular sialadenectomy: the face-lift approach.

This study evaluated the benefits of a new approach, endoscopic resection of a submandibular gland through the face-lift approach. The study comprised the clinical trial of new procedure. Six submandibular sialadenectomies were carried out (4 women, 2 men; mean age 28 years) via the face-lift approach by endoscopy. All six submandibular gland resections were successfully performed endoscopically, and no conversion to conventional open resection was necessary. Five patients had a mixed tumor and one patient had sialadenitis. The procedures lasted 55-115 min (mean 74 min). No complications associated with the operation occurred, and the scar was almost invisible. Endoscope assisted submandibular sialadenectomy via the face-lift approach was safe and effective treatment of benign lesions. The main advantage of this procedure is that the operative scar is concealed by the hairline.