Salivary Gland Surgery
(Parotidectomy; Submandibular Sialoadenectomy; Sublingual Gland Surgery)
- Submandibular (submaxillary)
- Sublingual glands
- Smaller glands located throughout the mouth area
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- Parotidectomy —to remove the parotid gland
- Submandibular sialoadenectomy—to remove the submandibular gland
- Sublingual gland surgery—to remove the sublingual gland
Reasons for Procedure
- Numbness of the face and ear
- Damage to the nerve that controls movement of muscles in your face
- Saliva drainage—Saliva may leak through the incision after it has been closed.
- Frey’s syndrome—This happens when salivary nerve fibers grow into the sweat glands. While eating, some people may notice sweating on the side of the face where the surgery was done.
- Swelling of the airway
- Fistula formation—This is an abnormal connection that may occur between the mouth, nose, throat, or skin.
What to Expect
Prior to Procedure
- Do a physical exam and review your medical history
- Have blood tests done
- Have x-rays of other imaging tests done
Talk to you about any medicines, herbs, and dietary supplements that you may be taking—You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin and other nonsteroidal anti-inflammatory drugs (eg, ibuprofen , naproxen )
- Blood-thinning drugs, such as warfarin (Coumadin)
- Anti-platelet drugs, such as clopidogrel (Plavix)
Description of the Procedure
How Long Will It Take?
Will It Hurt?
- Check your facial movements by asking you to smile or pout
- If you have a drain, show you how to care for it
Follow your doctor’s instructions for:
- Caring for your wound
- Caring for your drain
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- You may also need to return to the hospital to have the sutures removed. Once the sutures are out, clean the area with mild soap and water.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, a lot of bleeding, or discharge from the surgery site
- Nausea and/or vomiting that you cannot control with the medicines you were given
- Pain that you cannot control with the medicines you were given
- Cough, shortness of breath, or chest pain
- Spitting or vomiting blood
- New, unexplained symptoms
American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org/
American Cancer Society http://www.cancer.org/
Canadian Cancer Society http://www.cancer.ca/
Canadian Society of Otolaryngology http://www.entcanada.org/
Montemayor-Quellenberg M. Parotidectomy. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated December 22, 2010. Accessed February 18, 2011.
Salivary gland surgery. Cedars-Sinai website. Available at: http://www.cedars-sinai.edu/Patients/Programs-and-Services/Head-and-Neck-Cancer-Center/Treatment/Salivary-Gland-Surgery.aspx . Accessed February 18, 2011.
Salivary gland surgery. James HF Shaw, Clinical Professor of Surgery website. Available at: http://www.jameshfshaw.co.nz/salivary%5Fgland%5Fsurgery.html . Accessed February 18, 2011.
Salivary glands. American Academy of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/HealthInformation/salivaryGlands.cfm . Accessed February 18, 2011.
- Reviewer: Marcin Chwistek, MD
- Review Date: 03/2013 -
- Update Date: 00/31/2013 -