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ENT Services

Parotid (Salivary Gland) Surgery in Annapolis, MD

Saliva is critical for everyday functions such as swallowing and digestion, and can also help to protect teeth from decay caused by bacteria. Saliva is produced by three specific glands in the body called the submandibular gland, the sublingual gland, and the parotid gland. The parotid gland accounts for approximately 25% of all saliva production in the mouth. 

Dysfunctions of the parotid gland, or problems within the cells of this tissue, may require comprehensive treatment from Dr. Lee Kleiman. Such treatment is most often related to a type of parotid surgery.

Common Problems with the Parotid Gland

Complications of the salivary glands are most often related to a blockage within the ducts of this gland that prevent the saliva from releasing properly, or are due to the growth of a tumor within the tissue of the gland.

Salivary Ductal Issues

A salivary duct may become blocked for a variety of reasons, though the most common causes consist of:

  • Sialadentitis: An infection of the gland
  • Viral infections: The salivary glands are likely to swell when the body is compromised by the mumps, the flu, or other viral infections
  • Sialadenosis: The enlargement of the parotid gland without a known cause
  • Sialolithiasis: The formation of a calcified stone within the gland (similar to the development of a kidney stone)
  • A cyst: A benign, fluid-filled sac
  • Sjögren’s syndrome: A chronic, autoimmune disease that leads the white blood cells to attack the body’s salivary glands in addition to other moisture-producing glands in the body

Parotid Tumors

Of the three types of salivary glands, the parotid are by far the most likely to be affected by the development of a tumor. These tumors are often found to be totally harmless and benign, though it is possible for cancerous tumors to form within the salivary glands as well. A physical exam, biopsy, and diagnostic imaging tests may each need to be performed in order to accurately diagnosed a case of salivary gland cancer.

Parotid Surgery Options

Surgical procedures can be utilized to treat issues of parotid gland cancer, or to correct a number of other problems with this gland. Such methods of treatment may result in a portion of the parotid gland being removed, or may even require the removal of the entire gland in severe instances.

Superficial Parotidectomy

The parotid gland consists of two lobes: the superficial lobe and the deep lobe. A superficial parotidectomy aims at removing part of, or all of the superficial lobe of this gland.

The procedure involves Dr. Kleiman making an incision to the side of the face, which is where the parotid glands are located. At this point, the surgeon will remove an appropriate amount of tissue from the gland, and may also excise some additional tissue to ensure that there are clean margins around the area to prevent the tumor from returning.

Total Parodtidectomy

Dr. Kleiman also has specialized expertise in performing a total parotidectomy using the same type of incision made for a superficial parotidectomy. As its name implies, a total parotidectomy is the complete removal of the parotid gland, which includes both the superficial and deep lobes being expelled from the patient’s facial tissue.

Related Surgery for the Lymphatic System

Cancers of the parotid gland are known to spread to nearby lymph nodes if the disease progresses. Patients with this type of case will often have lymphatic tissues within the neck removed at the same time that parotid surgery is performed.


HEALTH ALERT:  COVID-19 (Novel 2019 Corona virus)

Attention:  Severn River ENT does not have the ability to test for COVID-19.  Please contact your primary care doctor, if you have concerns or questions about being tested.

1)  If you or your loved one is experiencing cough, shortness of breath, fever or other flu-like symptoms, and you already have a scheduled appointment with us, we are asking you to please call us instead of coming into the office. A medical professional will triage you over the phone, and determine the appropriate course of action.

2)  If you are over the age of 60 and/or have underlying medical conditions like diabetes or heart or lung disease, cancer, compromised immunity, we strongly encourage you to consider rescheduling your non-essential appointments for at least 10-12 weeks out.

3)  Please be assured that we are closely following the Centers for Disease Control and Prevention (CDC) and State of Maryland guidelines during this evolving COVID-19 crisis, and taking every precaution to protect the health of our patients and staff. 

4)Please go to the following websites for the latest updates:

Please contact us if you have any questions or concerns, and remember to wash your hands frequently, and limit your social contacts in these ensuing weeks, as much as possible, in order to slow the spread of the virus in our community.  We appreciate your understanding and cooperation.

Thank you,
Dr. Kleiman and the medical team 
Severn River ENT

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