The 3 major sets of salivary surgery glands are the parotid, submandibular and sublingual glands. You can find 750-1000 minor salivary glands positioned on the lips down to the trachea.
Bilateral salivary gland enlargement may perhaps be caused by viral illnesses (for instance mumps and human immunodeficiency virus), autoimmune disorders (such as Sjogren's disease) or other systemic ailments (for instance diabetes).
A agonizing enlargement of 1 in the main glands is frequently because of a bacterial infection commonly next a period of dehydration. Therapy for this needs antibiotics, hydration and stimulation of salivary flow with sialagogues for example lemon drops. Salivary duct stones could also obstruct the outflow of saliva and cause a agonizing enlargement with the gland and secondary bacterial infection. This most generally influences the submandibular gland. Treatment for that is stone removal.
Masses inside salivary gland will need being evaluated. Normally a fine needle aspiration is executed to determine if a malignancy is present. Often an imaging study (such as a CT scan or MRI scan) is obtained too. Use of these two tests is useful in diagnosing 95% of instances. Most masses from the parotid gland are benign. Nevertheless, even these benign masses will carry on to grow and some can transform into a malignant mass. As a result, earlier excision is recommended to confirm the diagnosis and make sure an sufficient margin of excision to avoid recurrence. Parotidectomy must be performed meticulously to prevent injury towards the facial nerve, the important nerve that moves the face. The facial nerve runs proper via the parotid gland.
Half from the masses from the submandibular gland are malignant while the vast majority of masses with the sublingual and minor salivary glands are malignant. The major hazards during excision of the submanidbular gland are towards lingual nerve (the nerve that provides taste sensation inside tongue) and hypoglossal nerve (the nerve that moves the tongue).
What to expect following a parotidectomy:
* Most individuals go home within 2 times of surgery.
* A drain tube is placed under the wound to prevent fluid accumulation under the skin color. This is typically eliminated 1-2 times following surgery is total.
* Numbness with the ear and surrounding skin color is typical. Extra care must be used when removing clothes more than the head or shaving. This usually resolves slowly over time.
* Other feasible short phrase complications include bleeding and infection
* Above time, some sufferers will encounter sweating at the website with the parotidectomy while eating (“Frey's syndrome” or gustatory sweating). Commonly it is not bothersome, but symptomatic situations may be treated with medications or occasionally surgical treatment.
* Quite seldom, a salivary fistula may well happen (wherever saliva drains out through the skin color at the incision web site).