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How Is Sialadenectomy Surgery Performed?
Question: Hi,
I am wondering if you could help me please,
I am due to have my Right Submandibular Salivary Gland Removed on 30th September 2014,
I have a few questions which I am wondering if you would be able to help me with, I am not due to see my surgeon till the day of the surgery but I have questions starting to go through my mind.
1) How long is surgery?
2) How long would I have to stay in hospital for?
3) I have been told by friends I would have a drain in my neck afterwards is this likely ?
4) How long would I need off work/ I volunteer as Medically unable to work.
5) I am also worried regarding having a General Aneasthetic as last time I was overheated and took a while to bring my temperature down into normal limits, I am also extremely nervous of being "Put to sleep" How can I over-come this?
6) How big would the incision be?
7) I have been told I may end up facially paraysled if the nerves and muscles are accidentally caught ?
I have a complex medical history.
ADS repair.
Grommets,
Tonsils and Adeniods removed twice as it regrew
I have had my nasal bone straighened due to a cuveture,
I have had my appendix removed,
I have the following medical conditions:
Asthma - Reasonably well controlled at present
Depression
Social Phobia
Anxiety
Fibromyalgia
Chronic Pain Syndrome
Polycystic Ovarian Syndrome
Chronic Sinusitis
GERD Reflux
Urine leakage -Under reasonable control from medication
I am on the following medications
Pregabalin 150mg one to be taken twice a day
Pregabalin 50mg one tablet to be taken twice a day
Paracetamol 500mg two tablets to be taken four times a day when needed
Co-codamol 30/500mg two tablets to be taken four times a day
Co-codamol 15/500 two tablets four times a day when needed
(Only either Paracetamol or co-codamol to be taken not both)
Mebeverine 135mg one tablet three times a day when needed
Phenergan 25mg one to two tablets to be taken when needed
Fultium D3 800unit one tablet to be taken twice a day
Cetirizine Hydrochloride 10mg one tablet to be taken daily
Fluoextine 20mg one tablet to be taken at night
Ranitidine 150mg one tablet to be taken twice a day
Toviaz 4mg One tablet to be taken daily
Cyclizine Hydrochloride 50mg One tablet to be taken three times a day when needed
Tranexamic acid 500mg two tablets to be taken when needed during Period
Seretide Evo inhaler two puffs twice a day
Ventolin Evo Inhaler two puffs when required up to 20 puff then after 999
Flixonase nasal spray two sprays each nostril daily
Salbutamol nebuliser solution one nebule four times a day when needed
Codiene 30mg two tablets up to four times a day when needed
I have also been on a lot of antibiotics due to flare ups of my gland
I am currently taken Clairthromycin liquid 10mls three times a day, Continuley at moment,
I am wondering if you could help me please,
I am due to have my Right Submandibular Salivary Gland Removed on 30th September 2014,
I have a few questions which I am wondering if you would be able to help me with, I am not due to see my surgeon till the day of the surgery but I have questions starting to go through my mind.
1) How long is surgery?
2) How long would I have to stay in hospital for?
3) I have been told by friends I would have a drain in my neck afterwards is this likely ?
4) How long would I need off work/ I volunteer as Medically unable to work.
5) I am also worried regarding having a General Aneasthetic as last time I was overheated and took a while to bring my temperature down into normal limits, I am also extremely nervous of being "Put to sleep" How can I over-come this?
6) How big would the incision be?
7) I have been told I may end up facially paraysled if the nerves and muscles are accidentally caught ?
I have a complex medical history.
ADS repair.
Grommets,
Tonsils and Adeniods removed twice as it regrew
I have had my nasal bone straighened due to a cuveture,
I have had my appendix removed,
I have the following medical conditions:
Asthma - Reasonably well controlled at present
Depression
Social Phobia
Anxiety
Fibromyalgia
Chronic Pain Syndrome
Polycystic Ovarian Syndrome
Chronic Sinusitis
GERD Reflux
Urine leakage -Under reasonable control from medication
I am on the following medications
Pregabalin 150mg one to be taken twice a day
Pregabalin 50mg one tablet to be taken twice a day
Paracetamol 500mg two tablets to be taken four times a day when needed
Co-codamol 30/500mg two tablets to be taken four times a day
Co-codamol 15/500 two tablets four times a day when needed
(Only either Paracetamol or co-codamol to be taken not both)
Mebeverine 135mg one tablet three times a day when needed
Phenergan 25mg one to two tablets to be taken when needed
Fultium D3 800unit one tablet to be taken twice a day
Cetirizine Hydrochloride 10mg one tablet to be taken daily
Fluoextine 20mg one tablet to be taken at night
Ranitidine 150mg one tablet to be taken twice a day
Toviaz 4mg One tablet to be taken daily
Cyclizine Hydrochloride 50mg One tablet to be taken three times a day when needed
Tranexamic acid 500mg two tablets to be taken when needed during Period
Seretide Evo inhaler two puffs twice a day
Ventolin Evo Inhaler two puffs when required up to 20 puff then after 999
Flixonase nasal spray two sprays each nostril daily
Salbutamol nebuliser solution one nebule four times a day when needed
Codiene 30mg two tablets up to four times a day when needed
I have also been on a lot of antibiotics due to flare ups of my gland
I am currently taken Clairthromycin liquid 10mls three times a day, Continuley at moment,
Brief Answer:
Explained in detail
Detailed Answer:
Hi
Welcome To Healthcare-Magic
Greetings of the day
Dear Ms
Submandibular Salivary Gland removal or Sialadenectomy is a routine neck Surgery. There is nothing to be worried about. I assume the indication for Surgery would have been Chronic Sialadenitis( Chronic Inflammation ).
Let me answer your queries
1. Duration of Surgery is dependent on Surgeons experience. It should take anywhere between 90-120 minutes including the induction time for anaesthesia.
recovery time from anaesthesia may vary depending on type of Inhalational General anaesthesia used
2. Duration of stay varies from centre to centre. I usually discharge my Patients 2 days after Surgery after changing the dressing. I see them on 6th Post Operative day for wound assessment and suture removal.
3. Drain is unlikley to be used or indicated
4. A week off from work is all that is required. Infact you will be able to carry out your daily routine the same day of Surgery
5. General Anaestheisa is preferred Anaesthesia for The surgery. You can discuss with the anaesthetist use of agents like Sevoflurane which have faster recovery. Also do discuss use of LMA ( Laryngeal mask airway ) instead of intubation with your anaesthetist.
6. The incision would be 4-6 cm long situated parallel to jaw , 2 cm below it. The final scar will be cosmetically acceptable
7. Nerve injury is quite rare : It depends on indication of removal. properly planned incision and dissection technique will prevent it.
Do get back to me if you need any further assistance, will be glad to assist you.
Take Care
Best regards
Dr Deepak Kishore
MBBS,MS,MCh
Explained in detail
Detailed Answer:
Hi
Welcome To Healthcare-Magic
Greetings of the day
Dear Ms
Submandibular Salivary Gland removal or Sialadenectomy is a routine neck Surgery. There is nothing to be worried about. I assume the indication for Surgery would have been Chronic Sialadenitis( Chronic Inflammation ).
Let me answer your queries
1. Duration of Surgery is dependent on Surgeons experience. It should take anywhere between 90-120 minutes including the induction time for anaesthesia.
recovery time from anaesthesia may vary depending on type of Inhalational General anaesthesia used
2. Duration of stay varies from centre to centre. I usually discharge my Patients 2 days after Surgery after changing the dressing. I see them on 6th Post Operative day for wound assessment and suture removal.
3. Drain is unlikley to be used or indicated
4. A week off from work is all that is required. Infact you will be able to carry out your daily routine the same day of Surgery
5. General Anaestheisa is preferred Anaesthesia for The surgery. You can discuss with the anaesthetist use of agents like Sevoflurane which have faster recovery. Also do discuss use of LMA ( Laryngeal mask airway ) instead of intubation with your anaesthetist.
6. The incision would be 4-6 cm long situated parallel to jaw , 2 cm below it. The final scar will be cosmetically acceptable
7. Nerve injury is quite rare : It depends on indication of removal. properly planned incision and dissection technique will prevent it.
Do get back to me if you need any further assistance, will be glad to assist you.
Take Care
Best regards
Dr Deepak Kishore
MBBS,MS,MCh
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi thanks for responding
Due to my history of bleeding badly is this likely to be a problem ?
Im also comcerned ive been told to expect my fibromyalgia to flare up due to the surgery ?
Im also wprried i was told to lose 4st before surgery ive sucessfully lost 2st 2lb which has been hard wpuld they postpone again due to weight i weigh 16st 10lbs i was 18st 9lb.
Also why would i of gotten over heated last time ? Was there a medical reason ?
Also all the medication im on would this also be a worry woth the aneasthetic ?
Due to my history of bleeding badly is this likely to be a problem ?
Im also comcerned ive been told to expect my fibromyalgia to flare up due to the surgery ?
Im also wprried i was told to lose 4st before surgery ive sucessfully lost 2st 2lb which has been hard wpuld they postpone again due to weight i weigh 16st 10lbs i was 18st 9lb.
Also why would i of gotten over heated last time ? Was there a medical reason ?
Also all the medication im on would this also be a worry woth the aneasthetic ?
Brief Answer:
Get complete bleeding profile
Detailed Answer:
Hi
Greetings
If you previously had history of previous bleeding, then pre-operative bleeding profile will definitely be done.
It will include
Complete Blood count
Prothrombin time
Activated Partial Thromboplastin time (APTT)
INR
If these parameters are normal then there is nothing to be worried about.
What was the bleeding history you previously had? Any further haematological workup was done for it?
Also the risk of bleeding is not much in the surgery
Regarding the weight issue, I dont think there should be problem with Surgery. Unlikley to be postponed because of weight issue.
Overheating in the post operative period is known as Malignant Hyperthermia. The cause or chance of recurrence depends on type of anaesthetic agent used. I would suggest you to inform it clearly to your Anaesthetist in the pre-operative assessment. Also nomne of your medicines taken by you seem to affect the anaesthetist outcome.
Do keep me updated.
Take Care
Best Regards
Deepak
Get complete bleeding profile
Detailed Answer:
Hi
Greetings
If you previously had history of previous bleeding, then pre-operative bleeding profile will definitely be done.
It will include
Complete Blood count
Prothrombin time
Activated Partial Thromboplastin time (APTT)
INR
If these parameters are normal then there is nothing to be worried about.
What was the bleeding history you previously had? Any further haematological workup was done for it?
Also the risk of bleeding is not much in the surgery
Regarding the weight issue, I dont think there should be problem with Surgery. Unlikley to be postponed because of weight issue.
Overheating in the post operative period is known as Malignant Hyperthermia. The cause or chance of recurrence depends on type of anaesthetic agent used. I would suggest you to inform it clearly to your Anaesthetist in the pre-operative assessment. Also nomne of your medicines taken by you seem to affect the anaesthetist outcome.
Do keep me updated.
Take Care
Best Regards
Deepak
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for getting back to me
I just have a tendency to bleed heavily during surgery theyve never done any blood work at all
Was it likely a aneasthetic med which caused the over-heating rather than anythinh ?
I just have a tendency to bleed heavily during surgery theyve never done any blood work at all
Was it likely a aneasthetic med which caused the over-heating rather than anythinh ?
Brief Answer:
Overheating could be due to anaesthetic agent
Detailed Answer:
Hi
Certain Anaesthetic agents like Halothane are known to cause malignant hypertension or over heating.
If there has been no history of post operative bleeding from wound or surgical site, then it is unlikely to be any bleeding tendency. I would suggest you to get Bleeding profile done as previously suggested in consultation with your Surgeon.
Take Care
Regards
Dr Deepak
Overheating could be due to anaesthetic agent
Detailed Answer:
Hi
Certain Anaesthetic agents like Halothane are known to cause malignant hypertension or over heating.
If there has been no history of post operative bleeding from wound or surgical site, then it is unlikely to be any bleeding tendency. I would suggest you to get Bleeding profile done as previously suggested in consultation with your Surgeon.
Take Care
Regards
Dr Deepak
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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