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Home  >  Liposuction  > Gland Excision

Gland Excision Surgery

Gland excision surgery is an open surgical procedure to remove an entire gland or part of it due to tumors, chronic infections, stones, or structural abnormalities. Common types include parotidectomy for salivary gland disease, submandibular gland excision, lymph node excision, and thyroid gland surgery. Pristyn Care offers gland excision performed by experienced ENT and head and neck surgeons using precise techniques to ensure complete removal and minimal complications.

Gland excision surgery is an open surgical procedure to remove an entire gland ... or part of it due to tumors, chronic infections, stones, or structural abnormalities. Common types include parotidectomy for salivary gland disease, submandibular gland excision, lymph node excision, and thyroid gland surgery. Pristyn Care offers gland excision performed by experienced ENT and head and neck surgeons using precise techniques to ensure complete removal and minimal complications. Read More

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    Dr. Jonnalagadda Prashanta Varnika - Liposuction Treatment Specialist in Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd, over 15  Years Experience

    Dr. Jonnalagadda Prashan...

    MBBS, DNB-General Surgery & M.Ch-Plastic Surgery
    15 Yrs.Exp.

    4.5/5

    15 Years Experience

    location icon Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd
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    Dr. Soumya Sharad Agrawal - Liposuction Treatment Specialist in Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003, over 13  Years Experience

    Dr. Soumya Sharad Agrawa...

    MBBS, M.Ch-Plastic surgery
    13 Yrs.Exp.

    4.5/5

    13 Years Experience

    location icon Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003
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    Dr. Mohit Bhandari - Liposuction Treatment Specialist in Plot No 13, KH Ara Marg, In front of Kendriya Vihar, Sector 56, Gurugram, Haryana 122011, over 23  Years Experience

    Dr. Mohit Bhandari

    MBBS, MS, DMAS (France)
    23 Yrs.Exp.

    5.0/5

    23 Years Experience

    location icon Plot No 13, KH Ara Marg, In front of Kendriya Vihar, Sector 56, Gurugram, Haryana 122011
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    Dr. Sasikumar T - Liposuction Treatment Specialist in 1st floor, No Z/281, 5th Ave, beside St Lukes church, Y Block, Anna Nagar, Chennai, Greater Chennai, Tamil Nadu 600040, over 24  Years Experience

    Dr. Sasikumar T

    MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY
    24 Yrs.Exp.

    4.5/5

    24 Years Experience

    location icon 1st floor, No Z/281, 5th Ave, beside St Lukes church, Y Block, Anna Nagar, Chennai, Greater Chennai, Tamil Nadu 600040
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Overview

Open gland excision involves making a direct incision over or near the affected gland to access, isolate, and remove it. The extent of surgery depends on the type and nature of the gland condition. Complete excision is required for malignant tumors, while partial excision may suffice for benign conditions. The procedure is performed under general or local anesthesia depending on the gland involved.

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Causes

Common conditions requiring gland excision surgery include:

  • Benign or malignant tumors of salivary, thyroid, or lymph glands
  • Chronic sialadenitis with recurrent infections and stone formation
  • Salivary duct obstruction due to calculi or strictures
  • Enlarged lymph nodes due to infection, lymphoma, or metastatic cancer
  • Thyroid nodules or goiter requiring surgical removal
  • Cystic lesions or abscesses not responding to conservative treatment

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Symptoms

Symptoms indicating need for gland excision include:

  • Painful swelling near the jaw, neck, or cheek area
  • Difficulty swallowing or opening the mouth
  • Discharge or pus from a blocked salivary duct
  • A visible or palpable lump that is growing in size
  • Recurrent infections despite antibiotic treatment
  • Fever, tenderness, and redness over the affected gland

Types of Gland Excision

Parotidectomy involves removal of the parotid gland in the cheek region. Submandibular gland excision removes the gland beneath the jaw. Lymph node excision removes diseased cervical or axillary lymph nodes. Thyroid gland excision includes hemithyroidectomy or total thyroidectomy depending on the extent of disease. Each procedure is tailored to the anatomy and extent of pathology.

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Who Needs Gland Excision Surgery?

Gland excision is recommended when a gland develops a confirmed or suspected malignant tumor, when recurrent infections cause significant quality-of-life impairment, when gland stones cause persistent pain and obstruction unresponsive to conservative measures, or when a benign gland mass causes cosmetic concern or functional impairment to surrounding structures.

Diagnosis

Diagnosis for gland excision surgery includes:

  • Physical examination to assess gland size, consistency, and tenderness
  • Ultrasound of the affected gland to evaluate mass characteristics
  • Fine needle aspiration cytology to characterize the lesion
  • CT scan or MRI to assess extent and involvement of nearby structures
  • Sialography to evaluate salivary duct anatomy and stone location
  • Blood tests including thyroid function tests when applicable
  • PET scan when lymphoma or metastatic cancer is suspected

Surgical Procedure

Gland excision is performed under general or local anesthesia. The surgeon makes an incision over or near the affected gland, carefully dissects surrounding tissues, identifies and preserves nearby nerves and blood vessels, and removes the gland. The incision is closed in layers. Pathological examination of the excised tissue confirms the final diagnosis.

Gland Excision Procedure Steps

The open gland excision procedure involves:

  • Administration of general or local anesthesia based on procedure extent
  • Making a carefully placed incision to minimize visible scarring
  • Dissecting through skin, subcutaneous tissue, and muscle layers
  • Identifying and protecting nearby important nerves such as the facial nerve
  • Mobilizing the gland from surrounding tissues
  • Ligating the gland duct and blood supply
  • Removing the gland and sending it for pathological examination
  • Placing a drain if required and closing the incision in layers

After the Surgery

Recovery after gland excision typically takes 2 to 4 weeks. Most patients are discharged the same day or after one night. Swelling, bruising, and mild discomfort around the surgical site are expected for a few days. A soft or liquid diet may be recommended after salivary gland surgery. Normal activities can be resumed within 2 weeks with surgeon guidance.

Complications of Gland Excision Surgery

Potential complications of gland excision surgery include:

  • Facial nerve weakness or paralysis after parotidectomy in rare cases
  • Frey syndrome causing sweating and flushing during eating after parotid surgery
  • Wound infection or hematoma formation
  • Salivary fistula or sialocele in the early post-operative period
  • Sensory changes or numbness near the incision site
  • Scar formation that may be visible
  • Recurrence of disease if excision was incomplete

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FAQs About Gland Excision Surgery

Is gland surgery safe?

Gland excision is a safe and commonly performed surgical procedure. Risks include infection, nerve injury, and scarring, but serious complications are uncommon when performed by an experienced surgeon. Most patients recover well without significant long-term effects.

What is recovery like after gland surgery?

Recovery after gland excision takes 2 to 4 weeks. Most patients are discharged the same day or after one night. Swelling and mild discomfort resolve within a few days. Normal activities can be resumed within 2 weeks.

Can the gland grow back?

Most glands do not regrow after complete surgical excision. If excision was incomplete, residual tissue may remain. Pathological examination confirms complete removal of the gland tissue.

Will there be a scar after gland excision surgery?

A small scar is expected after gland excision surgery. It fades significantly within 6 to 12 months. Silicone gels or scar creams can help improve cosmetic outcomes after surgery.

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Medically Reviewed By
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Dr. Jonnalagadda Prashanta Varnika
MBBS, DNB-General Surgery & M.Ch-Plastic Surgery
15 Years Experience Overall
Last Updated : August 06, 2026

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