Surgical Intervention in Salivary Gland Lesion - Pankaj Goyal - Bog

Benign salivary gland tumors, such as pleomorphic adenomas and Warthin's tumors, often require surgical excision for complete removal and to prevent recurrence. This typically involves techniques like parotidectomy, submandibular gland excision, or even minimally invasive approaches, depending on the location and size of the lesion. Precise surgical planning is essential to minimize damage to adjacent structures like facial nerves and maintain salivary function. In cases of malignant salivary gland tumors, surgery remains a cornerstone of treatment. The extent of surgical intervention varies based on the tumor type, stage, and the patient's overall health. Surgeons may perform radical resections, neck dissections, or selective lymph node removal to ensure the removal of cancerous tissue while preserving function and appearance. Surgical intervention also addresses non-neoplastic conditions, including salivary gland infections, sialolithiasis (salivary gland stones), and chronic inflammatory disorders. Procedures like salivary gland drainage or stone removal can alleviate pain, discomfort, and inflammation. Overall, surgical intervention in salivary gland lesions demands a multidisciplinary approach, involving skilled surgeons, pathologists, and radiologists to ensure accurate diagnosis and treatment planning. Advances in surgical techniques, including the use of minimally invasive procedures and nerve monitoring, have improved outcomes and reduced complications, enabling patients to regain their quality of life and salivary function. Nonetheless, each case is unique, highlighting the importance of individualized treatment strategies in the comprehensive management of salivary gland lesions.