• Jin Pyeong Kim, Jung Je Park, Hyun Woo Park, and Seung Hoon Woo.
• Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University Hospital, 90 Chilam-dong, Jinju, Republic of Korea 660-702.
• Ear Nose Throat J. 2015 Sep 1; 94 (9): E30-3.

AbstractSubmandibular gland excision is traditionally performed via the transcervical approach. In an effort to avoid or reduce visible scarring and nerve injury, diverse innovative surgical trials have been conducted. We report the case of a submandibular gland mass that was endoscopically resected through a thyroidectomy incision. The patient was a 56-year-old woman with a long-standing right-sided submandibular gland mass and a smaller thyroid gland mass that was recently discovered on a routine checkup. The thyroid mass was managed with a total thyroidectomy. The submandibular mass was resected with endoscopic assistance through the thyroidectomy incision with an ultrasonic scalpel. The resection was successful, and the patient experienced no acute complications such as neural injury, hematoma, or seroma formation. Upon healing of the thyroidectomy scar, the cosmetic result was excellent. We conclude that endoscopic resection of a submandibular gland mass through a thyroidectomy incision is a feasible option that results in excellent surgical and cosmetic outcomes.

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