With all the talk that is going on about the new fields open to the otolaryngologist, it would be well to examine carefully a small segment of one area. I refer to external surgery of the submaxillary gland, in its relation to the over-all picture of radical neck surgery.
There is, of course, no substitute for cadaver surgery in a proper preparation for doing a good and safe submaxillary gland resection. If the cadaver neck is dry, hard, and atrophic, an injection of 30 or 40 cc. of plain tap water into the tissues will soften the skin, the subcutaneous tissue, and the muscles, so as to simulate conditions in the living. Twenty to twenty-five complete operations on the cadaver should be a minimum, in preparation for a confident and competent approach to the actual patient. Just as in fenestration and stapes mobilization preparation, there can be no short cuts.
LIEBERMAN GE. Submaxillary Gland Surgery and Its Complications. AMA Arch Otolaryngol. 1958;67(5):562–565. doi:10.1001/archotol.1958.00730010576012
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