Definitive Treatment for Submandibular Gland Disease
Submandibular gland removal is a surgical procedure used to treat conditions affecting the gland beneath the jaw.
It is most commonly performed for recurrent salivary gland stones or infection, and in some cases for tumours.
The aim is to resolve symptoms, prevent recurrence, and restore normal function.
Understanding the Submandibular Gland
The submandibular glands are one of the major salivary glands, located beneath the lower jaw.
They produce saliva that drains into the mouth via a duct.
Problems can arise when:
- Saliva flow is obstructed (most commonly by stones)
- The gland becomes repeatedly inflamed or infected
- A tumour develops within the gland
When Surgery Is Considered
Submandibular gland removal may be appropriate if you have:
- A suspected or confirmed tumour
- Recurrent salivary gland stones (sialolithiasis)
- Repeated episodes of swelling and infection
- Persistent pain or discomfort associated with eating
- Chronic inflammation not responding to conservative treatment
Removal is generally considered when less invasive measures are not effective or appropriate.
The Procedure
Surgery is performed under general anaesthetic.
- An incision is made just below the jawline
- The gland is carefully identified and removed
- Surrounding structures, including nerves, are preserved
- The wound is closed with attention to cosmetic outcome
The incision is typically placed in a natural skin crease to minimise visible scarring.
Important Anatomical Considerations
Several important nerves lie close to the submandibular gland, including:
- The marginal mandibular branch of the facial nerve (controls lower lip movement)
- The lingual nerve (provides sensation and taste to the tongue)
- The hypoglossal nerve (controls tongue movement)
These structures are carefully identified and protected during surgery.
Recovery
Recovery is usually straightforward.
- A short hospital stay may be required
- Mild swelling and discomfort settle over the first few weeks
- Sutures are typically removed within 1–2 weeks
- Normal activity can be resumed gradually
Follow-up ensures appropriate healing and recovery.
Outcomes
Submandibular gland removal is generally highly effective.
Patients typically experience:
- Resolution of recurrent swelling and infection
- Relief from pain associated with eating
- Low risk of recurrence once the gland is removed
Overall salivary function is usually well maintained by the remaining glands.
Risks and Considerations
As with any surgery, there are potential risks:
- Weakness of the lower lip and/or tongue (usually temporary, rarely permanent)
- Numbness or altered sensation of the tongue (usually temporary, rarely permanent)
- Bleeding or infection (uncommon)
- Scar formation
- Salivary collection (rare)
Consultation
A detailed consultation includes assessment of symptoms, imaging where required, and discussion of treatment options.
Book a Consultation
For assessment and treatment of submandibular gland conditions in London, arrange a consultation to discuss your options.