Abstract
We have evaluated transplantation of reduced submandibular glands for the treatment
of severe keratoconjunctivitis sicca. Thirty-four rabbits were allocated into three
groups: dry eye (controls, n = 10), transplantation of whole submandibular glands (n = 12), and transplantation of reduced submandibular glands (n = 12). Outcome measures included the results of Schirmer's test and the Rose Bengal
test, and histological examination of the cornea and the transplanted gland. Volume
of tears significantly increased after transplantation of the whole gland, but did
not change after transplantation of the reduced gland compared with dry eyes induced
preoperatively. Neither transplantion group had keratoconjunctivitis sicca postoperatively.
There were no histological abnormalities in the transplanted tissues. The results
that the surgical technique of using reduced submandibular glands for transplantation
was feasible, and that the secretion from the reduced gland was similar to that from
a normal lacrimal gland. In conclusion, transplantation of a reduced submandibular
glands is feasible in the treatment of keratoconjunctivitis sicca.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to British Journal of Oral and Maxillofacial SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Transplantation of salivary gland to the lacrimal basin.Scand J Rheumatol. 1986; 61: 264-267
- Submandibular gland transfer in the correction of dry eye.Aust N Z J Ophthalmol. 1992; 20: 99-103
- Transplantation of the autologous submandibular gland for most severe cases of keratoconjunctivitis sicca.Ophthalmology. 1998; 105: 327-335
- Reconstructive lacrimal gland with free submandibular gland transfer for management of xerophthalmia.Zhonghua Yan Ke Za Zhi. 1998; 34: 388-390
- Microvascular autologous submandibular gland transfer in severe cases of keratoconjunctivitis sicca.Int J Oral Maxillofac Surg. 2004; 33: 235-239
- Microvascular submandibular gland transfer for severe keratoconjunctivitis sicca: operation key points, prevention and management of complications.Zhonghua Kou Qiang Yi Xue Za Zhi. 2002; 37: 353-355
- Long-term follow-up after submandibular gland transplantation in severe dry eyes secondary to cicatrizing conjunctivitis.Am J Ophthalmol. 2010; 150: 894-904
- Microanatomic study of the vascular and duct system of the submandibular gland.J Oral Maxillofac Surg. 2011; 69: 1103-1107
Article info
Publication history
Published online: November 03, 2011
Accepted:
October 13,
2011
Identification
Copyright
© 2011 Published by Elsevier Inc.