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Submaxillary Gland Excision

Submaxillary Gland Excision is most commonly performed to prevent future chronic infections. These chronic infections typically occur when calcium deposits in the salivary glands and ducts develop and form stones, simiar to what happens in the kidneys.

Patient Instructions

Please read and familiarize yourself with these instructions both BEFORE and AFTER surgery. By following them carefully, you will assist in obtaining the best possible results from your surgery. If questions arise, please contact our physicians or nurses.

PRE-OPERATIVE:

Do not take any aspirin or aspirin-containing, ibuprofen or ibuprofen- cough and cold preparations for one week prior to surgery..Additionally, you should not take any containing drugs prior to surgery. Examples of these include Aspergum, Darvon, Fiorinal, Norgesic, Advil, Motrin and many over-the-counter nonsteroidal anti-inflammatory drugs such as Naprosyn which have a similar effect. If you are on this type of medication, please discuss this matter directly with us before stopping it.
Your physician will provide you with prescriptions for medications to take at home following surgery.Please be prepared by filling these prescriptions prior to your surgery. Take only the medications prescribed by your physician. Call our office at (610) 200-6413 if you have any questions about your procedure.

POST-OPERATIVE:

On occasion, you may be sent home the same day as your surgery. You may have a large, bulky dressing on your neck, and there may be a drain within the large, bulky dressing. If so, you may ask to be seen in our office the following day to have the drain removed and the dressing changed
On other occasions, patients are asked to stay one night in the hospital and have a more substantial drain arrangement in place. This would be required to be removed prior to your discharge from the hospital.Occasionally, a pressure dressing may be applied to the neck area after the drain is removed
Prescriptions, which will include a pain relief medication and possibly an antibiotic, should be taken as directed by your physician. These pain relief medications prescribed by your physician are safe to use in the postoperative period. For children, liquid acetaminophen (brand names Tempra and Tylenol) may be used with the dosage determined by the age and weight of the child. Adults may use tablets or capsules of acetaminophen with the same brand names
Excisional areas do not generally require dressings unless they are irritated by clothing or exposed to dirt. If a dressing is required, keep it dry and change it as instructed and as necessary.It should be changed if it becomes wet.Do not get the incisional areas wet and do not wash them for 72 hours after surgery. Keep these areas clean and dry. Apply Bacitracin Ointment three times daily with a clean Q-tip over the incisional lines. Please notify us of any unusual swelling,redness, bleeding, drainage or discomfort in the incisional areas. Suture removal usually occurs approximately one week to ten days after the surgery was completed. Numbness around the incisional site is normal and should regress slowly over time.

If you have any questions concerning your comfort or care, please contact our office at (610) 200-6413.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”