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Salivary Glands

Salivary glands produce saliva and deliver the secretion to our mouth, throat, pharynx and organs through channels. Saliva contains enzymes that aid in the digestion of food. It also contains antibodies and other substances that help prevent mouth and throat infections.⠀ ⠀ There are three sets of large salivary glands on each side of the face: ⠀ • Parotid glands are the largest salivary glands and are located just in front of the ears.⠀ ⠀ • Submandibular glands are smaller and located under the chin. ⠀ ⠀ • Sublingual glands, the smallest sublingual glands, are located under the floor of the mouth and on both sides of the tongue. ⠀ ⠀ Slow growth is observed in the salivary gland in front of the ear, where tumors are frequently located. This well-circumscribed mass can be felt as a movable lump and does not cause pain. Malignant tumors, on the other hand, grow faster and are masses that have little or no movement ability when touched. Sometimes it can cause facial paralysis in the patient. During the examination, the mass is felt manually and facial nerve functions are evaluated. Radiological examinations (MRI, Computed Tomography) are used. Open biopsy of the salivary glands is not performed except in special cases. Fine needle aspiration biopsy is the preferred method. ⠀ ⠀ Surgical treatment is applied to most benign tumors. Very rarely, they can turn into cancer if left untreated for a long time or if they are not completely removed and grow back.⠀ ⠀ Surgical treatment method is also valid for malignant salivary gland tumor. However, in the presence of some malignant tumors, some additional treatments such as postoperative radiotherapy or surgical removal of neck lymph nodes may be required.⠀ ⠀ The way to reduce the risk of damage to the facial nerve in salivary gland tumor surgeries in front of the ear and under the jaw; The surgery is performed by experienced ENT specialists who are familiar with the anatomy of the region.

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