Salivary Gland Surgery

Treatment Details

Salivary gland surgery involves diagnosing and treating disorders affecting the parotid, submandibular and sublingual glands, which produce saliva essential for digestion, lubrication, and oral health. Conditions requiring surgical intervention include benign and malignant tumours, chronic infections, salivary duct stones (sialolithiasis), and autoimmune diseases like Sjögren’s syndrome. 

Although mostly non-cancerous, salivary gland tumours may grow and cause facial asymmetry, pain, or nerve compression. Malignant tumours require prompt treatment to prevent their spread to nearby lymph nodes and structures. Obstructive conditions like salivary duct stones can lead to recurrent swelling, pain, and infection, necessitating surgical removal.

Surgical procedures for salivary gland disorders range from minimally invasive techniques to complex resections, depending on the condition's severity. 

Below are the key services:

  • Mini- incision Parotidectomy: Surgical removal of parotid gland tumours while preserving facial nerve function to prevent complications like facial paralysis. The mini-incision technique employs 3cm incision behind the ear lobe and thus avoiding the routine 10-15cm incisions over the face and neck
  • Submandibular Gland Excision: Removal of the submandibular gland for chronic infections, tumours, or large salivary stones that do not respond to conservative treatment.
  • Sialendoscopy: Minimally invasive approach used for the removal of salivary stones and treatment of ductal obstructions without significant surgery. 
  • Radical Salivary Gland Surgery: Extensive resection for malignant tumours, followed by neck dissection and reconstructive procedures to restore function and appearance. 
  • Facial Nerve Monitoring: Ensuring nerve preservation during parotid and other gland surgeries.
  • Postoperative Rehabilitation: Swallowing therapy, nerve function monitoring, and facial exercises for functional recovery. 
  • Long-term Follow-up: Regular monitoring for recurrence and management of complications.


 

Frequently Asked Questions

What are the early signs of head and neck cancer?

Early signs may include persistent throat pain, difficulty swallowing, voice changes, lumps in the neck, non-healing mouth ulcers, breathing difficulty, blood stained nasal discharge or unexplained weight loss. The symptoms will depend on the site of cancer. If you notice these symptoms for over two weeks, seek medical evaluation immediately.

How long does recovery take after head and neck surgery?

Recovery varies depending on the type of surgery and overall health. Minor procedures may take 2-3 days, while major resection surgeries may require 5-7 days. Rehabilitation—personalised post-operative care, including speech and swallowing therapy—aids faster recovery.

Can head and neck conditions be treated without surgery?

Some conditions can be managed with medication, voice therapy, radiation, or chemotherapy. Minimally invasive techniques, such as laser or robotic-assisted procedures, may also be an option. A specialist will determine the best approach based on the diagnosis.

Are head and neck disorders preventable?

Many conditions can be prevented by avoiding tobacco, alcohol, and excessive sun exposure, maintaining good oral hygiene, and vaccinating against HPV. Regular screenings and early detection prevent complications and improve treatment outcomes.

When should I see a specialist for voice or swallowing issues?

If you experience hoarseness, persistent throat discomfort, difficulty swallowing, or frequent choking for over two weeks, consult a specialist. Early intervention can prevent complications and improve long-term outcomes with appropriate therapy or treatment.