Submandibular gland excision entails removal of the gland located beneath the lower jaw, typically indicated for chronic sialadenitis, recurrent stones (sialolithiasis), benign tumors, or rare malignancies. The procedure relieves pain, swelling, and infection risk while preserving nearby nerves—particularly the marginal mandibular branch of the facial nerve and the lingual nerve.
Preoperatively, Dr. Singhavi orders ultrasonography and sialography to pinpoint stone location or gland pathology. If cancer is suspected, contrast MRI and biopsy guide planning. A small, well-hidden incision in a skin crease affords direct access to the gland. Under magnification and nerve monitoring, he carefully dissects around the mylohyoid muscle, isolates the gland, and preserves key neural structures. Hemostatic agents control bleeding, and meticulous layered closure ensures minimal scarring. Post-op, patients follow a regimen of antibiotics, analgesics, and guided neck physiotherapy to prevent stiffness and optimize swallowing.
Patients experience swift relief from gland-related discomfort, with elimination of recurrent infections and stone episodes. The refined surgical approach preserves facial symmetry and tongue sensation, maintaining normal speech and chewing. Concealed incisions heal discreetly. Most individuals are discharged within 24 hours and return to routine within a week. By removing the diseased gland, the procedure virtually eliminates recurrence, improving long-term salivary function and overall oral health.
