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Submandibular gland reduction complication rates similar to that of a neck lift

In a retrospective chart review, researchers found that the complication rate with submandibular gland reduction is comparable to that of a neck lift with platysma plication alone, with some additional specific risks.

Senior author Bryan C. Mendelson, FRCSE, FRACS, FACS, MD, performed submandibular gland reduction on 112 of 736 consecutive facelifts between 2002 and 2013, for an incidence of 13% in primary facelifts and 25% in secondary facelifts.

Major complications were reported in 1.8%, which required reoperation to manage significant hematomas. One case was potentially fatal.

Submandibular sialocele and marginal mandibular branch neurapraxia were the most frequent minor complications at 4.5% for each and resolved within 3 months.

No patient reported a permanent dry mouth, which the researchers found significant.

Prominent submandibular glands are an aesthetic concern in both primary facelift patients with detectable prominence of the glands that contribute to their neck fullness and secondary patients unhappy with their neck contour after a previous face or neck lift.

Surgeons can reduce the complication rate with preliminary intracapsular mobilization of the gland, and by surgically reducing the residual cavity after the resection, followed by overnight observation. - by Abigail Sutton

Disclosure: The researchers reported no relevant financial disclosures.