How is the salivary gland blocked

Salivary gland removal


There are hundreds of small salivary glands in the area of ​​the oral mucosa. In addition, there is a parotid gland (parotid gland) and a submandibular gland (submandibular gland) on both sides.

The salivary glands can become chronically inflamed. This often happens as part of a rheumatic disease. By removing a small salivary gland from the inner area of ​​the lower lip, such a condition can ultimately be proven.

The salivary glands filter the components of the saliva out of the blood and use them to produce up to 1.5 liters of saliva daily. If the function of a salivary nozzle is disturbed, such components flocculate and stones can develop. When such stones block the duct of the gland in the mouth, a very painful swelling of the entire gland occurs. If the condition persists, the gland becomes inflamed and an abscess can result. If the stone is relatively close to the mouth, it can be removed with a small instrument. The hope of smashing such stones with the ultrasound analogous to kidney stone treatment has not been fulfilled. Even if a stone has been removed, the underlying malfunction of the gland persists and stones can be expected to recur. Therefore, the only promising therapy is the complete removal of the gland.

Tumors can develop in the salivary glands. The smaller the salivary gland, the greater the likelihood that this is a malignant tumor. Diagnosis is made by ultrasound, puncture and, if there is even the slightest doubt about the type of tumor, removal of the salivary gland.

Small salivary glands and a gl. The submandibular gland is usually removed on an outpatient basis. Interventions on Eq. Parotid glands are performed as an inpatient. In any case, the course of the facial nerve (facial nerve) must be observed, the injury of which must be avoided at all costs. For this reason, the operation is carried out using the surgical microscope and neuromonitoring, which acoustically indicates the proximity of the nerves during the individual steps of the operation. For this reason, permanent impairments of the nerves are extremely rare. Occasionally, wound healing disorders can occur. I also have a great deal of experience in these operations.
Therefore, I can give you meaningful advice on this type of operation, although I no longer perform the operations myself due to the lack of a neuromonitoring device.