Salivary Gland Removal: ENT Specialist Insights

Q: Salivary Gland Removal: ENT Specialist Insights

Dear Inquirer： Based on your literal question, do you really need to remove the salivary glands due to excessive saliva secretion? Even if one side of the salivary gland is removed, the other side often compensates by increasing secretion, resulting in a similar condition as befo

Hi! Dr. Chen

Thank you for your response.
I apologize for asking questions that you may not be able to answer >o<" … Without discussing the various causes of saliva production, may I ask you a few questions regarding the removal of salivary glands? (1) Is it appropriate for me to see an otolaryngologist for issues related to the salivary glands? If there is a more suitable specialty, which department should I seek treatment from? Such as internal medicine, surgery, dentistry, neurosurgery, or plastic surgery? (2) a.
If seeing this specialty is the most appropriate, does health insurance cover partial salivary gland removal? b.
If not, what would be the approximate cost for the procedure? c.
Will there be any significant long-term effects after the removal of the salivary glands? Thank you!

jer, 20~29 year old female. Ask Date: 2009/11/11

Dr. Chen Jianzhi reply Otolaryngology

Dear Inquirer: Based on your literal question, do you really need to remove the salivary glands due to excessive saliva secretion? Even if one side of the salivary gland is removed, the other side often compensates by increasing secretion, resulting in a similar condition as before.
Consulting an otolaryngologist is appropriate, and oral surgeons can also assist.
If the surgery is performed due to a salivary gland tumor, it is covered by health insurance; however, if it is due to excessive saliva secretion, it does not meet the criteria for insurance coverage.
Without insurance coverage, the surgical costs will vary depending on the complexity of the procedure.
Complications after salivary gland surgery primarily include facial nerve paralysis, and reduced saliva secretion can also be a concern.
Sincerely, Dr.
Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.

Reply Date: 2009/11/11

More Info

When it comes to understanding salivary gland removal, it's essential to approach the topic with a clear understanding of the anatomy involved, the reasons for surgery, and the potential implications of such a procedure.

(1) Appropriate Specialist for Salivary Gland Issues
The most suitable specialist for issues related to the salivary glands is indeed an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. ENT specialists are trained to diagnose and treat conditions affecting the head and neck, including salivary gland disorders. While other specialties such as oral and maxillofacial surgery or even dental specialists may also deal with salivary gland issues, the ENT is typically the first point of contact for such problems. If surgical intervention is necessary, the ENT can perform the procedure or refer you to a qualified surgeon.

(2) Insurance Coverage and Costs
a. Insurance Coverage: Whether health insurance covers the partial removal of a salivary gland (also known as a sialadenectomy) depends on the specific circumstances and the insurance policy. Generally, if the surgery is deemed medically necessary—such as in cases of tumors, chronic infections, or significant obstruction—insurance may provide coverage. It is advisable to consult with your insurance provider and the ENT specialist’s office to understand the coverage specifics.

b. Cost Estimates: If the procedure is not covered by insurance, the cost can vary widely based on several factors, including the complexity of the surgery, the facility where it is performed, and the geographic location. On average, the cost for a sialadenectomy can range from $3,000 to $10,000 or more. This estimate typically includes the surgeon's fee, anesthesia, and facility charges. It's crucial to discuss the financial aspects with your healthcare provider beforehand to avoid unexpected expenses.

(3) Potential Complications and Aftereffects
c. Post-Surgical Complications: Like any surgical procedure, the removal of a salivary gland carries potential risks and complications. Common concerns include:
- Dry Mouth: The most significant consequence of salivary gland removal is the potential for dry mouth (xerostomia), which can occur if the remaining glands do not compensate adequately for the loss. This condition can lead to difficulties in swallowing, speaking, and an increased risk of dental issues due to reduced saliva, which is essential for oral health.

- Changes in Taste: Some patients may experience alterations in taste sensation following surgery, which can be temporary or, in some cases, permanent.

- Infection: As with any surgical procedure, there is a risk of infection at the surgical site.

- Nerve Damage: There is a possibility of nerve injury during the procedure, which could lead to facial weakness or other neurological symptoms.

- Scarring: Depending on the surgical technique used, there may be visible scarring.

In conclusion, if you are considering salivary gland removal, it is crucial to have a thorough discussion with your ENT specialist about the reasons for the surgery, the expected outcomes, potential risks, and the financial aspects involved. They can provide personalized advice based on your specific medical condition and needs. Always ensure that you are fully informed before proceeding with any surgical intervention.

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