What is submandibular gland removal?

Submandibular gland removal is a type of surgery. It removes a saliva gland below your lower jaw.

You may need this surgery if you have an infection or a tumor. Or you may need it if you have a blocked saliva duct. This duct is a tube that carries saliva from the gland to the mouth.

To do the surgery, the doctor makes a cut in your neck under your lower jaw. This cut is called an incision. Then he or she removes the gland and closes the incision with stitches or glue.

If your saliva duct is blocked, the doctor may also make a small incision under your tongue. Then the doctor can take out whatever is blocking the duct.

You will probably go home on the same day as the surgery. Taking out the gland won't leave you with a dry mouth. Our mouths have many saliva glands.

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Preparing for surgery

• Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
• Understand exactly what surgery is planned, along with the risks, benefits, and other options.
• If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
• Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
• Make sure your doctor and the hospital have a copy of your advance directive. If you don’t have one, you may want to prepare one. It lets others know your health care wishes. It’s a good thing to have before any type of surgery or procedure.

Activity

• Rest when you feel tired. Getting enough sleep will help you recover. For 4 or 5 days after surgery, sleep with your head up by using two or three pillows. You can also try to sleep with your head up in a reclining chair.
• Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
• Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 1 week or until your doctor says it is okay.
• For 1 week, avoid lifting anything that would make you strain. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.
• Ask your doctor when you can drive again.
• You will probably need to take 1 week off from work. It depends on the type of work you do and how you feel.
• Do not shave the incision for the first 2 weeks or until your doctor says it is okay. It is okay to shave the rest of your neck and face.

Diet

• You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
• Drink plenty of fluids to avoid becoming dehydrated.
• You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fiber supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.

Medicines

• Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructions about taking any new medicines.
• If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
• Be safe with medicines. Take pain medicines exactly as directed.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
• If you think your pain medicine is making you sick to your stomach:
  • Take your medicine after meals (unless your doctor has told you not to).
  • Ask your doctor for a different pain medicine.
• If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Incision care

• You may have a bandage over the incision. Follow your doctor's instructions about how to take care of this bandage and when to take it off.
• If you have strips of tape on the incision, leave the tape on for a week or until it falls off.
• After your doctor says it is okay to get the incision wet, wash the area daily with warm, soapy water, and pat it dry. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
• Your doctor may give you other instructions about how to care for your incision. Follow your doctor's instructions exactly.
• Keep the area clean and dry.

Ice

• Put ice or a cold pack on the surgery site for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice and your skin.