The Problem
The submandibular gland is one of the major salivary glands, located beneath the lower jaw.
Surgery may be required if you have:
 Repeated infections due to a blocked duct or salivary stone,
 A swelling or lump in the gland, or
 A tumour or cyst that needs removal for diagnosis or treatment.
Removing the affected gland (called a submandibular gland excision) can help prevent further
problems or provide a clear diagnosis.

What Does the Operation Involve?
 The operation is carried out under a general anaesthetic, so you will be fully asleep
during the procedure.
 A small incision (cut) is made in the upper part of your neck, just below the jawline, to
reach the gland.
 The gland is carefully removed, and any salivary stones or diseased tissue are taken out.
 The incision is then closed with dissolvable or non-dissolvable stitches, and sometimes
a small drain (plastic tube) is placed to prevent fluid buildup.
 The drain is usually removed within 24–48 hours.
 The scar is placed in a natural skin crease to make it less visible as it heals.

After the Operation
 You may experience some swelling, bruising, and mild discomfort in the neck area.
 Regular painkillers will be provided to help control any soreness.

 You may find it slightly uncomfortable to move your neck or open your mouth widely for
a few days.
 Most people can eat and drink normally soon after surgery.
 The dissolvable stitches usually disappear within 2–3 weeks.
 The scar will gradually fade over time, although it may remain slightly firm for several
months.

Hospital Stay
 Most patients stay in hospital for 1–2 days, depending on whether a drain is used and
how you recover.
 You will be discharged once the drain has been removed and you are eating, drinking,
and comfortable.

At Home
 Continue taking your prescribed painkillers and antibiotics (if given).
 Keep the wound area clean and dry for the first few days.
 You may gently wash around the area, but avoid rubbing or soaking the wound.
 Avoid strenuous physical activity and heavy lifting for two weeks.
 The scar can be gently massaged with moisturiser after it has fully healed to help soften
it.

Possible Complications
While complications are uncommon, it is important to be aware of potential risks:
 Bleeding: Minor oozing or bruising is normal. Significant bleeding is rare but should be
reported.
 Infection: The wound may become red, warm, or tender; antibiotics may be required.
 Nerve Injury:
o A small nerve that moves the corner of your mouth runs close to the gland.
Rarely, this can be bruised, causing temporary weakness when smiling.
o The nerve that supplies sensation to the tongue may also be affected, leading to
temporary numbness or taste changes.
o Permanent nerve damage is rare.
 Salivary Collection (Seroma): Occasionally, saliva may collect under the wound and
cause swelling. This may need draining.

 Scar Formation: The scar will usually heal well, but some people develop a slightly
thickened or raised scar.

Follow-Up Appointments
 You will have a follow-up appointment with your surgeon about 1–2 weeks after
surgery to check the wound and review any pathology results.
 Further appointments may be arranged if needed to monitor healing or nerve recovery.

When to Seek Help
Contact your surgeon or hospital immediately if you experience:
 Persistent or heavy bleeding from the wound,
 Increasing pain, redness, or swelling,
 Fever or feeling unwell, or
 Difficulty swallowing or breathing.