Submandibular Gland Excision

Table of Contents

Submandibular Gland Excision Introduction

A submandibular gland excision is a surgical procedure to remove one of the two submandibular glands – major salivary glands located beneath the jaw on each side of the neck. These glands help produce saliva, which keeps the mouth moist and aids in digestion.

This surgery is most commonly performed to remove a lump, tumour, or blocked salivary duct, and is done under general anaesthetic. Most patients go home the same day or stay overnight for monitoring.

Reasons for surgery

Dr Phillips may recommend removal of the submandibular gland for:

  • Benign tumours (e.g. pleomorphic adenoma)
  • Malignant tumours
  • Chronic infections or inflammation (e.g. sialadenitis)
  • Salivary gland stones (sialolithiasis) causing blockage and swelling
  • Persistent or painful swelling not responding to other treatments

Surgical removal is the most effective way to permanently resolve these issues and prevent complications.

Benefits of the procedure

  • Relief from swelling, pain, or infection
  • Removal of abnormal tissue for accurate diagnosis
  • Prevention of future infections or duct blockages
  • Improved comfort and appearance

Risks & complications

Submandibular gland excision is a generally safe procedure, but as with all surgeries, there are some risks. These will be discussed thoroughly with you by Dr Phillips:

  • Numbness or weakness of the tongue– due to nearby nerves (very rare)
  • Weakness of the lower lip – uncommon, normally temporary, very rarely permanent
  • Bleeding or haematoma
  • Infection
  • Scar formation – usually fades well and is hidden under the jaw
  • Salivary fistula – saliva leak from the wound (very uncommon)
  • Every precaution will be taken by Dr Phillips to minimise these risks and ensure a safe and smooth recovery.

Alternative treatments

Depending on the cause of the problem, other treatment options may be available:

  • Salivary stone removal through the duct (sialendoscopy)
  • Antibiotics and massage for infection
  • Observation for small or slow-growing lumps

However, when symptoms are persistent or when a tumour is suspected, surgery is the most definitive treatment.

Pre-operative instructions

Fasting

You will need to fast before surgery – usually 6 hours for food and 2 hours for clear fluids. You will receive detailed instructions from the hospital or anaesthetist.

Medications

Please inform Dr Phillips of all medications you are taking, especially blood thinners, as these may need to be paused before surgery.

Illness

If you develop a cold, fever, or other illness before your procedure, contact our clinic. Your surgery may need to be postponed for safety.

Procedure details

  • Surgery is performed under general anaesthetic and usually takes around 1–1.5 hours.
  • A small incision is made under the jaw in a natural skin crease.
  • The submandibular gland is carefully removed, while preserving nearby facial, lingual and hypoglossal nerves.
  • A small drain may be placed to prevent fluid buildup and is usually removed the next day.
  • The skin is closed with dissolving stitches

Most patients go home the same day or after a short overnight stay.

Post-operative care & recovery

Pain

  • Pain is usually mild and well controlled with paracetamol and/or ibuprofen.
  • Some swelling and bruising are common in the first week.

Wound Care

  • Keep the area dry for the first 48 hours.
  • After that, you may gently wash around the area.
  • Stitches may be dissolvable or removed at your follow-up visit.

Activity

  • Rest for the first few days, avoiding strenuous activity.
  • Most people return to work or normal activities in 7–10 days, depending on recovery.

Scar

  • The scar is placed in a natural fold and typically heals very well.
  • Scar care advice (e.g. silicone gels or massage) will be provided if needed.

What to watch for

Contact Dr Phillips’ clinic or seek urgent medical care if you notice:

  • Increasing pain, swelling, or redness at the wound site
  • High fever (above 38.5°C)
  • Excessive bleeding or fluid leaking
  • Numbness or weakness in the lip or tongue that worsens
  • Difficulty swallowing or breathing (rare)

Follow-up instructions

You will be reviewed by Dr Phillips approximately 1–2 weeks after surgery to:

  • Check the wound
  • Discuss the pathology results

Further follow-up may be arranged depending on the diagnosis or healing progress.

Frequently asked questions (FAQ)

  • Will removing one gland affect my saliva?

    Most people do not notice any major difference in saliva production. The remaining salivary glands compensate well.

  • Will there be a scar?

    Yes, but it is placed under the jaw in a natural fold and usually heals to a fine line. Scar care advice will be given.

  • Will I have numbness or weakness?

    Temporary numbness of the tongue or lip is uncommon but usually resolves. Permanent changes are rare and will be discussed before surgery.

  • When can I return to work?

    Most patients can return to normal activities and work within 7–10 days, depending on the nature of their job.

Book a consultation

If you’d like to discuss this procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.