Subamndibular gland surgery

Background 

Submandibular gland surgery as the name suggests involves surgery of the submandibular gland as  by placing the standardised open surgical instruments for the submandibular diseases. The submandibular swellings common salivary gland swellings. With the advancements of techniques and improvisation of surgical skills the surgical results have become excellent with time. 

Indication of Parotid  surgery 

1. Benign ( Non cancerous submandibular gland tumours) tumours commonly pleomorphic adenoma and other variants
2. Cancers of the parotid gland 
3. Parotid gland stones

Surgical procedures for parotid surgery 

1. Total parotidectomy ( compete parotid removal soaring facial nerves) 
2. Superficial parotidectomy ( incomplete parotid gland removal sparing facial nerves) 
3. Radical parotidectomy ( compete removal of parotid gland including facial nerves) 

Technical insights

Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after  the surgery they are  planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.  

1. Surgery is performed under General anaesthesia
2. Surgery is performed in supine position with lateral and extended position of the neck. 
3. Incision is planned according to the surgery to be performed. 
4. In cases of total/ superficial parotidectomy, the parotid gland is removed with careful dissection and preservation of facial nerves. 
5. The parotid gland is an extremely vascular gland so extreme care taken to prevent any major bleeding. 
6. The diseased part is removed and drain is placed according to extent of resection to remove excess of fluid after surgery.

Recovery after surgery 

1. The patient might be kept in surgical post operative recovery unit for initial observation and management. 
2. Bleeding, infection of the wound , facial nerve palsy and seroma ( collection of fluid in the operative area) are the risks involved with this surgery. 
3. Diet is usually give once patient is comfortable sitting with support.
4. Early mobilisation of the patient is recommended.
5. Patients are usually discharged in 1-2 days. 
6. Dressing  needs to be changed as advised by your clinician 
7. Follow up treatment in form of medications is very important in cases after parotid surgery. 

To consult with best team of General, ENT and cancer surgeons available at  The Surgeons House (SHL) in different global locations, please click this link for more details. 

2020-05-22 21:12:29https://thesurgeonshouse.com/?p=14555