Submandibular excision, also known as submandibular gland removal or submandibulectomy, is a surgical procedure performed to remove part or all of the submandibular gland located beneath the lower jawbone. This gland produces saliva and can be affected by various conditions such as tumors, infections, or blockages of the salivary duct.
Before the surgery, the patient undergoes evaluation, including imaging studies like ultrasound or MRI, to assess the size and location of the gland and any associated abnormalities.
During the procedure, the surgeon makes an incision under the jawline and carefully dissects and removes the affected portion of the submandibular gland while preserving nearby structures such as nerves and blood vessels. In cases where the entire gland needs removal, the duct leading from the gland to the mouth is also severed.
After submandibular excision, patients may experience temporary or permanent changes in salivary flow or sensation in the affected area. Complications can include bleeding, infection, damage to nearby structures, or salivary fistula (leakage of saliva). However, with proper preoperative evaluation and surgical technique, submandibular excision can effectively treat submandibular gland disorders while minimizing complications and preserving facial function.