The salivary glands
There are three pairs of major salivary glands: the parotid in front of the ear, the submandibular under the jaw and the sublingual under the tongue. There are also many small salivary glands inside the mouth.
Common problems
- Salivary stones: painful swelling that increases during meals
- Bacterial or viral infection (such as mumps)
- Benign tumours: most often in the parotid, a slow-growing painless lump
- Less often, malignant tumours
Diagnosis
Examination and ultrasound are enough in most cases. For lumps, a fine needle biopsy and, if needed, MRI or CT are done.
Treatment
Infections are treated with fluids, massage, sour foods and antibiotics if needed. Small stones can be removed through the mouth; gland-sparing methods such as sialendoscopy are considered where suitable. For repeated problems and lumps, the affected part of the gland is removed surgically. In parotid surgery, care is taken to protect the facial nerve.
Frequently asked questions
Can a salivary stone come out on its own?
Small stones sometimes pass with plenty of fluids, sour foods and massage. Larger stones need a procedure.
Can parotid surgery damage the facial nerve?
The facial nerve runs through the gland and is carefully protected during surgery. Temporary weakness can occur; permanent damage is rare.
Will removing a salivary gland cause a dry mouth?
Usually not. The other major and minor salivary glands keep producing saliva.
Salivary gland conditions
We can only discuss the right option for you after an examination. Write on WhatsApp to arrange a visit with Op. Dr. Efkan Mehdiyev.
Write on WhatsAppThis content is for general information only. Every surgical procedure carries its own risks and results vary from person to person. Please consult your doctor for diagnosis and treatment.