Excision of the submandibular gland is a surgical procedure to remove the entire salivary gland located beneath your jaw. This operation is typically performed to treat a tumour or to provide a definitive solution for a gland that has been irreversibly damaged by chronic infections or stones. As a specialist Head and Neck surgeon, Dr. Naveed Basheeth performs this procedure with meticulous care, focusing on complete disease removal while protecting the important surrounding nerves.
What are the main risks of this surgery?
The most significant risks are related to the three important nerves located near the gland: the marginal mandibular nerve (controls the corner of your mouth), the hypoglossal nerve (controls tongue movement), and the lingual nerve (provides sensation to your tongue). In the hands of an experienced surgeon, the risk of permanent injury to these nerves is low, but temporary weakness or numbness during the healing period can occur.
Will I have a dry mouth if you remove this gland?
No. Your remaining major salivary glands (the other submandibular gland and the two large parotid glands) and hundreds of minor glands produce more than enough saliva to compensate. You should not notice any significant difference in mouth wetness.
Why can't you just remove the tumour and leave the rest of the gland?
For tumours, removing the entire gland is the standard of care. It is the safest way to ensure the whole tumour is removed with a clear margin of healthy tissue around it, which significantly reduces the risk of it ever coming back.
Will I have a very visible scar on my neck?
Dr. Basheeth is very careful to place the incision within a natural skin crease in your upper neck. This allows it to heal beautifully, and once it has fully matured, the scar is typically very fine and difficult to see.