The submandibular glands, located under the jaw bone, produce saliva.

Blockages, often caused by stones or duct narrowing, can lead to painful swelling.

Investigations include X-rays, sialogram, ultrasound, and fine needle aspiration.

Surgery may be recommended based on the severity of the condition.

Stones causing gland swelling can be removed through the mouth under local or general anesthesia.

Gland Removal:If stones cause persistent inflammation, gland removal may be advised for long-term relief.

Lump Removal:

If a lump is suspected to be cancerous, removal of the entire gland helps in diagnosis.

The Procedure:

• Performed under general anesthesia with an small incision below the jaw.
• Duration: Approximately one hour.
• A drain is placed to prevent blood clot collection.
• Hospital stay: 24-48 hours post-operation.

Possible Complications:

• Hematoma (clot) occurs in up to 5% of patients, may require additional surgery.
• Wound Infection: Uncommon but treated with antibiotics; drainage may be needed.
• Facial Weakness: Very Rare, associated with nerve damage, usually temporary.
• Numbness: Temporary numbness around the wound, potential numbness of the face, ear, or tongue.
• Injury to Tongue Nerve: Unlikely but may cause temporary tongue numbness.
• Dry Mouth: Unlikely to experience significant dryness.
• Recovery: Return to work: 2 weeks off recommended.