Salivary gland problems

There are three major salivary glands located beneath the ear, in the lower jaw and under the tongue. In addition, hundreds of small salivary glands are found in the lining of the mouth and throat. Problems can occur in these glands due to an inflammation or a tumour.

Diagnosis

At the first consultation, the surgeon will carry out a clinical examination. If necessary, a scan is made or a tissue biopsy will be performed to establsih the correct diagnosis. 

Inflammations

A salivary gland inflammation may be caused by a virus or bacteria. Often, an obstruction of the salivary duct is the underlying cause. Typical symptoms  inculude swelling, pain, fever and sometimes redness of the skin.

Treatment depends on the cause of the inflammation, but may include medication or salivary gland surgery.

Tumours

Salivary gland tumours can be benign or malignant. They usually present as a slow, painless swelling. A rapidly growing lump, pain or paralysis of the facial nerve are warning signs.

Imaging and, if necessary, a biopsy are important to determine the type of tumour. In most cases, surgery is required. For tumours in the parotid gland, neurostimulation is used during surgery to protect the facial nerve. 

In some cases, radiotherapy is required.

Recovery and aftercare

After treatment, you will have several follow-up appointments with your doctor. This allows recovery to be monitored and referrals tot other specialists made if needed.