Introduction: The last century gave born to the concept of minimal invasive surgery and the scarless operations. The transoral approach targeted mainly the concept of scarless surgery, in addition, to keeping the marginal mandibular nerve safe. The transoral approach faces many limitations as pathology type, lump size, lump mobility, and enough workspace.
Patients and methods: This prospective study was carried out on 20 consecutive patients. All of them were presented with submandibular salivary gland swelling. All swellings included should be mobile, 2 cm or less, and the patient showed a positive 3-fingers test.
Results: In this study, 13 patients showed evidence of calcular submandibular sialadenitis, 4 patients with noncalcular submandibular sialadenitis, and 3 patients with pleomorphic adenoma. All cases were presented with a small mobile gland. The mean lump size was 16.4 mm (12-20 mm). all patients passed the 3-finger test to evaluate maximal mouth opening. Two patients developed wound infection and showed delayed wound healing. Five cases developed abnormal tongue tip sensation. No patients developed limitations in tongue movement.
Conclusion: In selected cases, the transoral approach can be a good alternative, especially for those patients who are strongly appreciating scarless operations as young age females.