SALIVARY GLAND SURGERY


Salivary glands are organs producing saliva on demand, located in and around the mouth. There are 6 major salivary glands and about 600 minor ones.

The largest ones are the parotids, located in front and below the ears. They often get affected with tumours. Most being benign (non cancerous) there are advocates of non surgical tolerance. However, allowed to grow freely, even benign tumours can cause significant damage and discomfort and of course can be serious cosmetic nuisance. I won't like to go around with a nasty lump on face especially after knowing that it can be removed with no problem whatsoever; would you?! Alternative medicine CANNOT cure parotid tumours, it is a false claim.



PAROTOD TUMOURS



The largest ones are the parotids, located in front and below the ears. They often get affected with tumours. Most being benign (non cancerous) there are advocates of non surgical tolerance. However, allowed to grow freely, even benign tumours can cause significant damage and discomfort and of course can be serious cosmetic nuisance. I won't like to go around with a nasty lump on face especially after knowing that it can be removed with no problem whatsoever; would you?! Alternative medicine CANNOT cure parotid tumours, it is a false claim.

INTACT PRESERVED FACIAL NERVE


The other major external salivary glands are the Submandibular Glands just below the jaw at the top of neck on both sides. These glands get affected by ‘stones’. The patient suffers from a ‘MEAL-TIME SYNDROME’, where the glands swell up and ache just on commencing to eat a meal. In most cases, we succeed in extracting the stone from inside the mouth but sometimes the gland has to be removed with the stones like the gall bladder.

SUBMANDIBULAR SIALADINITIS

CANCER IN AN UNTREATED SUMANDIBULAR GLAND

The last set of major salivary glands, the sublinguals, sometimes get blocked and can give rise to a delicate, fluid filled sac in the floor of the mouth, below the tongue. It can plunge down into the throat endangering the airway or get infected and burst. Taking the intact lesion out along with the gland is the best answer.

A RANULA

The commonest salivary gland problem however, is a cyst formed out of a traumatised minor salivary gland of the lower lip. It can easily be removed under local anaesthesia and that's the end of it.

A Cyst of A Minor Salivary Gland in lower lip

Sometimes, minor salivary glands can give rise to tumours / even cancers inside the mouth. A lump inside the mouth must be seen by a Maxillofacial Surgeon or an Oral Pathologist (who would refer to the former).

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