There are four types of approaches to salivary gland problems. On the one hand, endoscopy aimed at the diagnosis and treatment of obstructive problems such as narrowing of the ducts and obstructions due to stone formation. On the other hand, resective surgery is aimed at eliminating the gland affected by tumor or chronic inflammatory problems. Biopsy, on the other hand, is used to identify local or systemic problems such as rheumatic diseases. Finally, the repositioning of the mouth of the saliva ducts is performed in patients with neurological problems and increased saliva production.
There is also the possibility of treating salivary gland stones by means of shock waves, as in the case of the kidneys.
For which patients is this salivary gland surgery recommended?
In the case of patients with tumor problems, a surgical approach with excision is necessary. If it is an inflammatory or obstructive problem we will always try to be as conservative as possible in the approach.
When the tumor develops into salivary gland cancer, complementary treatment is required.
What are the risks involved in salivary gland surgery?
The most feared risk is the appearance of an alteration of the facial nerve and its branches, usually transitory, and which is due to the close relationship of this nerve with both the parotid and submaxillary glands. Occasionally there is an accumulation of saliva that gradually subsides in cases in which the gland has been partially extirpated.
There is also a problem in the case of aberrant reinnervation of the skin in which sweating occurs at the time of ingestion. A good scar design by the specialist in Oral and Maxillofacial Surgery minimizes the risk of unsightly scarring, although some sinking of the area of excision may be perceived. In the case of removal of a calculus, scarring of the duct or formation of new calculi may occur.
What care should the patient follow after salivary gland surgery?
The patient does not require special care in the postoperative period, which is managed with the usual medications (antibiotics and anti-inflammatory drugs). To obtain a good aesthetic result, sun protection and the use of gels or silicone sheets are recommended.
When will you be able to recover your usual eating habits?
Gradually, being able to eat a normal diet in approximately one week.