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Salivary Gland Surgery

Salivary Gland Surgery

Salivary Gland Surgery is performed to treat disorders affecting the salivary glands — which produce saliva to aid in digestion and oral health. These glands can develop blockages, infections, cysts, or tumors that cause pain, swelling, or difficulty in chewing and swallowing. The surgery aims to remove obstructions or diseased glands while preserving facial nerve function and restoring normal salivary flow.

Symptoms

Common signs and symptoms indicating a salivary gland disorder that may require surgery include:

  • Swelling or lump near the jaw, cheek, or under the tongue
  • Pain or discomfort during eating or swallowing
  • Dry mouth or reduced saliva production
  • Recurrent infections or abscess formation
  • Facial pain or nerve weakness (in severe cases)
  • Drainage of pus or foul taste in the mouth
  • Difficulty opening the mouth or chewing

Causes

Conditions requiring salivary gland surgery may be caused by:

  • Salivary gland stones (sialolithiasis) blocking ducts
  • Chronic infections (bacterial or viral, such as mumps)
  • Benign or malignant tumors of the salivary glands
  • Cysts or abscesses within the gland
  • Autoimmune conditions (e.g., Sjögren’s syndrome)
  • Trauma or injury to the gland or duct

Treatment / Procedure

Salivary gland surgery depends on the underlying problem and which gland is affected — parotid, submandibular, or sublingual. Common surgical procedures include:

  • Sialendoscopy: A minimally invasive technique using an endoscope to remove small stones or relieve duct blockages.
  • Excision of the affected gland: In cases of chronic infection, large stones, or tumors, part or all of the affected gland is surgically removed.
  • Tumor removal: Both benign and malignant tumors are excised while preserving the nearby facial nerves and tissues.
  • Drainage or reconstruction: For abscesses or duct injuries, drainage or duct repair may be performed.

The surgery is performed under local or general anesthesia, typically takes 1–2 hours, and most patients can resume light activities within a few days.


Benefits

  • Relief from pain, swelling, and infection
  • Improved salivary flow and mouth moisture
  • Restoration of normal chewing and swallowing
  • Removal of tumors or stones causing obstruction
  • Prevention of recurrent infections or abscesses
  • Improved facial appearance and comfort

Prevention / Post-Surgery Care

While not all salivary gland problems can be prevented, proper care after surgery ensures faster recovery and long-term oral health:

  • Maintain good oral hygiene and stay hydrated
  • Massage the gland gently as recommended by your doctor
  • Use prescribed antibiotics or anti-inflammatory medicines
  • Eat soft foods and avoid spicy or acidic meals for a few days
  • Apply cold compresses to reduce swelling
  • Report any numbness, bleeding, or facial weakness immediately
  • Attend follow-up visits for proper healing assessment