Salivary Gland Disease

At Spokane ENT, we provide comprehensive evaluation and treatment of salivary gland disorders, including both benign and malignant conditions affecting the major salivary glands (parotid, submandibular, and sublingual glands) and minor salivary glands. Salivary gland diseases can present with various symptoms including swelling, pain, dry mouth, or masses in the face or neck. Common conditions include salivary gland stones (sialolithiasis), infections, inflammatory conditions, benign tumors such as pleomorphic adenoma and Warthin's tumor, and malignant tumors. Our team specializes in the diagnosis and management of salivary gland disorders, offering both medical and surgical treatment options.

We utilize advanced diagnostic techniques to evaluate salivary gland conditions, including detailed history taking to assess symptoms, medical history, and risk factors. Our evaluation includes comprehensive physical examination with careful palpation of the salivary glands and neck. We may perform imaging studies including ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI) to characterize masses and assess their extent. When indicated, we perform fine needle aspiration (FNA) biopsy to obtain tissue samples for pathological analysis, which helps determine whether lesions are benign or malignant. For obstructive conditions such as salivary stones, we offer minimally invasive procedures including sialoendoscopy to visualize and remove stones while preserving gland function.

Our treatment approach for salivary gland conditions is individualized based on the specific diagnosis and patient factors. For benign tumors and some malignant tumors, we offer surgical removal with preservation of surrounding nerves and structures when possible. Parotid gland surgery requires careful dissection around the facial nerve to preserve facial movement. Submandibular and sublingual gland procedures also require meticulous technique to protect adjacent nerves and structures. We utilize modern surgical techniques including nerve monitoring when appropriate to minimize the risk of nerve injury. For patients with salivary stones or strictures, we offer minimally invasive sialoendoscopy procedures that can often resolve the problem while preserving gland function. Our goal is to provide safe, effective treatment that addresses the underlying condition while minimizing complications and preserving function. Following surgery, we provide comprehensive postoperative care and monitor for any potential complications.