A submandibular salivary gland resection is a specialized surgical procedure that involves removing one of the paired submandibular glands located beneath your jawbone on either side of the neck. At our practice, we understand that procedures involving your neck and throat area can create anxiety. That's why we're committed to providing gentle, expert care. This precise procedure effectively addresses conditions like chronic sialadenitis, sialolithiasis (salivary stones), and benign or malignant tumors affecting the submandibular gland. We perform submandibular gland resections using nerve-monitoring technology and strategic approach techniques that protect the vital marginal mandibular nerve and lingual nerve, resulting in improved functional outcomes and incisions strategically placed within natural neck creases for optimal cosmetic results.
You may need a submandibular gland resection if you experience:
Recurrent swelling or pain under the jaw, especially during or after meals
Diagnosed sialolithiasis (salivary stones) that cannot be managed with less invasive methods
Chronic sialadenitis (inflammation of the gland) unresponsive to antibiotics
A palpable mass or tumor within the submandibular gland
Abnormal findings on ultrasound, CT, or MRI of the submandibular region
Xerostomia (dry mouth) related to submandibular gland dysfunction
Difficulty or pain with swallowing related to submandibular inflammation
Recurrent submandibular gland infections
Ranula (cystic lesion) originating from the submandibular gland
Persistent neck discomfort that worsens with certain foods or during meals
Visible swelling in the upper neck under-jaw area
Sialorrhea (excessive saliva) unresponsive to other treatments
Our approach to submandibular gland resection combines precision with personalized care. The procedure begins with careful patient positioning and appropriate incision planning to maximize access while minimizing visible scarring. Our surgeon's expertise in identifying and preserving critical structures is extensive, particularly the marginal mandibular branch of the facial nerve and the hypoglossal and lingual nerves that are essential for normal tongue movement and sensation. We employ advanced bipolar cautery techniques to minimize bleeding and tissue damage while precisely identifying the gland's vascular pedicle. Our distinctive approach includes preoperative mapping with high-resolution ultrasound when needed, intraoperative nerve monitoring, and meticulous attention to preserving the natural contour of the neck without depression or asymmetry, ensuring both functional excellence and aesthetic satisfaction.
Immediate Post-Procedure (24-72 hours)
Keep your head and neck elevated with 2-3 pillows to minimize swelling
Apply cold compresses to the surgical area (20 minutes on, 20 minutes off)
Take prescribed pain medication as directed to manage discomfort
Maintain a soft diet to minimize chewing and reduce strain on the surgical area
Keep the incision site clean and dry according to post-operative instructions
Watch for any signs of nerve weakness (asymmetrical smile, tongue deviation)
Expect some numbness in the surgical area, which is typically temporary
Limit neck movement and avoid strenuous activities
Continue normal oral hygiene with caution around the surgical site
Short-Term Recovery (1-3 weeks)
Attend your follow-up appointment for suture removal (typically 5-7 days after surgery)
Continue keeping the incision site clean, applying ointment if recommended
Resume normal diet as comfort allows, staying well-hydrated
Begin gentle range of motion exercises for the neck as advised by your surgeon
Return to work based on your surgeon's recommendation (typically 7-10 days)
Use scar management techniques as recommended after sutures are removed
Transition to over-the-counter pain relievers as discomfort decreases
Resume light activities gradually, avoiding strenuous exercise for 2 weeks
Be aware that mild swelling and tightness in the neck will gradually improve
Long-Term Expectations
Well-healed incision that typically fades to a thin line within 6-12 months
Complete resolution of symptoms related to the diseased submandibular gland
Normal salivary function maintained by remaining salivary glands
Return of normal sensation to the surgical area, though some may have small areas of permanent numbness
No significant change in taste or oral moisture for most patients
Follow any additional treatment recommendations based on pathology results
Most patients can resume all normal activities without restrictions after 2-3 weeks
Annual check-ups may be recommended depending on your diagnosis
Common Side Effects
Temporary numbness around the incision site and lower jaw area
Mild swelling and bruising that resolves over 1-2 weeks
Minimally visible incision line that typically fades over time
Temporary tightness or discomfort with certain neck movements
Slight change in salivary volume (typically unnoticeable)
Temporary altered sensation in the floor of the mouth
Less Common Complications
Marginal mandibular nerve weakness causing temporary asymmetrical smile (usually resolves within weeks)
Lingual nerve injury affecting tongue sensation or movement (rare, less than 1% of cases)
Hypoglossal nerve injury affecting tongue movement (very rare)
Hematoma formation requiring drainage
Surgical site infection (rare, occurring in less than 1% of cases)
Sialocele (collection of saliva under the skin)
Ranula formation (cystic lesion) in the floor of the mouth
First bite syndrome (pain with the first bite of a meal)
When to Seek Immediate Medical Attention
Excessive bleeding or large swelling at the surgical site
Severe pain not controlled by prescribed medication
Signs of infection (increasing redness, warmth, pus, or fever)
Difficulty swallowing or breathing
Significant facial asymmetry or new onset of weakness
Significant limitation in tongue movement
Opening of the incision or wound separation
Severe restriction in neck movement
From your first consultation through your complete recovery, we provide:
Thorough evaluation and explanation of your condition
Clear discussion of all treatment options, including non-surgical alternatives when appropriate
Detailed pre-operative instructions to help you prepare
Compassionate care during your hospital stay or outpatient procedure
Comprehensive follow-up care and support during recovery
Ongoing availability to address questions or concerns
We understand that facing head and neck surgery can be intimidating, but you don't have to navigate this journey alone. Our team is committed to providing expert care with a personal touch, ensuring you feel supported, informed, and confident every step of the way.
Your health and wellbeing are our highest priorities, and we're honored to be part of your care team.
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All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.
We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:
Less pain after surgery
Shorter hospital stays
Faster return to work and activities you enjoy
Smaller, less visible scars
Lower risk of complications
Better overall outcomes
Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.
I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.
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At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.
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Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!
Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.
Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.