DR AGHA ARBAB ALI · ORAL & MAXILLOFACIAL SURGEON

Salivary Gland Disorders & Surgery in Sukkur

Dr Agha Arbab Ali, Oral & Maxillofacial Surgeon in Sukkur, assesses problems of the salivary glands and provides or arranges treatment depending on the diagnosis.

What is Salivary Gland Disorders & Surgery?

The main salivary glands are the parotid glands (in front of the ears), the submandibular glands (under the jaw) and the sublingual glands (under the tongue), along with many minor glands in the lips and cheeks. Problems include blocked ducts and stones, infections, mucoceles and ranulas, and benign or malignant tumours.

Common symptoms

  • Swelling under the jaw or in front of the ear, especially at mealtimes
  • Pain, a bad taste or pus in the mouth
  • A painless lump in the cheek, jaw or neck
  • A soft bluish swelling on the lip or under the tongue
  • Dry mouth, or facial weakness with a gland lump (needs urgent review)

When to seek an assessment

See a specialist for recurrent swelling at mealtimes, a persistent lump in a salivary gland, or any gland swelling with facial weakness, numbness or rapid growth.

The role of an Oral & Maxillofacial Surgeon

Salivary glands lie close to the facial nerve and other important structures. The Oral & Maxillofacial Surgeon diagnoses gland conditions and performs appropriate surgery on the minor and major glands, or refers when a combined approach is best.

Diagnosis and assessment

Investigations may include ultrasound, fine-needle aspiration cytology (FNAC), CT or MRI, and sialography. Gland tumours need a tissue diagnosis to plan surgery correctly.

Treatment options

The options below are a general overview. The right approach for you depends on your examination, imaging and any biopsy or pathology findings.

Conservative treatment

Hydration, massage, sialogogues (such as sour sweets) and antibiotics for infections.

Stone and duct procedures

Removal of accessible stones through the mouth.

Minor gland surgery

Excision of mucoceles, ranulas and minor salivary gland lesions.

Major gland surgery

Submandibular gland excision or parotidectomy for tumours or chronic disease, with care to protect nerves.

Recovery and aftercare

  • Minor procedures heal in one to two weeks
  • After major gland surgery, a short hospital stay and drain may be needed
  • Temporary facial nerve weakness can occur after parotid surgery and usually recovers
  • Follow-up to review pathology and healing

You will receive specific aftercare instructions for your procedure.

Referral and multidisciplinary care

Malignant salivary tumours are managed within a multidisciplinary head & neck team, and may involve ENT, oncology and radiotherapy colleagues.

This page provides general information and is not a substitute for a personal consultation. Outcomes vary between individuals.