Clinical Services Stanley Ear Nose Throat & Sinus Centre

  • Salivary Gland Diseases

    Stones in Salivary Glands

    Submandibular Stone
    Submandibular Stone
    • Salivary gland diseases are common in ENT practice.
    • Stones in the sub-mandibular gland leading to swelling and inflammation are the most common cause of submandibular gland swellings.
    • Stones in the sub-mandibular gland are best removed by surgical removal of the submandibular gland.
    • If stones are seen in the floor of mouth, these can be removed intra-orally.
    • Stones are rarer in the parotid gland and usually seen in Stensons duct. Endoscopic removal can be performed.
  • Parotid Gland Tumor

    Parotid Tumor
    • Parotid gland tumors usually present as a lump below the ear lobe or at the angle of jaw.
    • They are mostly benign (90%).
    • The most common tumor is that of a pleomorphic adenoma.
    • A local excision of this parotid mass is not advised because of danger to the facial nerve and extension of tumor outside of the pseudo-capsule. Hence, surgical removal would require a rim of normal parotid tissue outside the tumor capsule as in a superficial parotidectomy with facial nerve preservation is the operation of choice.
    • The minimum operation is a superficial parotidectomy with facial nerve preservation.
  • Recurrent Pleomorphic Adenoma of the Parotid Gland

    Recurrent Pleomorphic Adenoma of the Parotid Gland with skin involvement
    Facial Nerve Preservation after Total Parotidectomy
    • This patient has a recurrent pleomorphine adenoma because of inadequate primary surgery.
    • A total parotidectomy with facial nerve preservation including uninvolved skin around the previous scar in the minimum operation.
    Operative Spectrum of recurrent parotid tumour with overlaying skin

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