Ultrasonography is one of the most commonly used methods for imaging salivary glands. Submandibular gland ultrasonography is performed to evaluate the structural and functional characteristics of the salivary glands located under the jaw. This radiation-free method works with sound waves and provides results in a short time.<\/p>\n
It is preferred when there is pain, swelling, hardness, or a mass sensation in the submandibular region. It is also a reliable diagnostic tool for detecting salivary stones, inflammation within the gland, and tumoral formations. By clearly visualizing soft tissues, it helps in establishing an accurate diagnosis.<\/p>\n
There are three pairs of major salivary glands in the human body: the parotid, submandibular, and sublingual glands. The submandibular gland is located just beneath the jawbone and produces a significant portion of saliva. The fluid it secretes keeps the mouth moist during digestion and facilitates the swallowing of food.<\/p>\n
The proper functioning of this gland is also crucial for oral and dental health. Reduced saliva secretion can lead to dry mouth, tooth decay, and increased susceptibility to infections. Therefore, any disorder in the submandibular gland directly affects overall oral health.<\/p>\n
Ultrasonography is performed on individuals with swelling, pain, hardness, or a mass sensation under the jaw. Patients experiencing recurrent salivary gland infections, swelling during meals, or painful nodules inside the mouth are also candidates for this examination.<\/p>\n
Additionally, in cases suspected of salivary stones, the condition of the gland ducts is clarified by ultrasonography. Salivary gland tumors, more common in older adults, as well as congenital cysts or anomalies in childhood, can also be evaluated through ultrasound. The procedure can be safely applied to all age groups when deemed necessary by the physician.<\/p>\n
Both benign and malignant tumors can develop in the salivary glands. The most common benign tumor in the submandibular region is pleomorphic adenoma. It grows slowly, usually does not cause pain, but can compress surrounding tissues over time.<\/p>\n
Malignant tumors are rarer but may present with rapid growth, pain, swelling in the lymph nodes, and skin changes. Ultrasonography evaluates the size, borders, and tissue characteristics of these formations. If suspicious findings are observed, further tests such as biopsy are planned.<\/p>\n
Inflammation in the salivary glands is usually infection-related, and the submandibular gland is among the most commonly affected areas. The most prominent symptom is pain and swelling under the jaw. Pain often intensifies during meals as saliva production increases.<\/p>\n
During the inflammation process, fever, fatigue, bad taste in the mouth, and sometimes purulent discharge can also occur. In severe cases, swelling progresses with redness of the skin and tenderness upon touch. Recurrent infections may be accompanied by salivary stones. Chronic cases increase the risk of permanent damage to the gland.<\/p>\n
Insufficient saliva production by the submandibular gland leads to dry mouth. This affects not only daily comfort but also oral and dental health. Without adequate saliva, tooth decay progresses rapidly, gums become more prone to inflammation, and bad breath can develop.<\/p>\n
Additionally, chewing and swallowing food becomes more difficult. Reduced oral secretions, the first step of digestion, can eventually lead to stomach problems. Chronic low saliva production also increases the risk of oral fungal infections.<\/p>\n
Swelling in the submandibular region can result from several causes. One of the most common is the blockage of the gland duct by salivary stones. When saliva flow is blocked by a stone, fluid accumulates, causing swelling.<\/p>\n
Infections are also a significant cause. Bacterial or viral infections lead to inflammation in the gland, resulting in pain and swelling. Less commonly, tumors or cystic structures can also manifest as enlargement and swelling of the submandibular gland.<\/p>\n
Surgical intervention may be necessary due to stones or tumors. As with any surgery, this procedure carries some risks. Infection, bleeding, or wound healing problems may occur during the operation.<\/p>\n
Since the submandibular gland is located near nerves under the jaw, nerve damage can rarely occur. This may lead to loss of sensation in the lips or tongue. Modern surgical techniques minimize these risks, but they are not completely eliminated.<\/p>\n
As of 2026, the cost of submandibular gland ultrasonography, biopsy, or surgery varies depending on the center, the technology used, and the procedure. A simple ultrasound examination generally costs between 3000 TL and 8000 TL, while surgical interventions can reach much higher costs.<\/p>\n
Surgical procedures in private hospitals can cost up to 30,000 TL. Patients covered by SGK (Social Security Institution) can receive treatment at lower costs in public hospitals. However, private centers may charge additional fees, so it is important to check beforehand.<\/p>\n
The submandibular gland, located under the jaw, is responsible for producing a large portion of saliva. Its secretion has both serous (watery and enzyme-containing) and mucous (thicker and lubricating) properties. The enzyme amylase, important in the initial phase of digestion, is present in its secretion.<\/p>\n
Amylase breaks down starches into simpler sugars, preparing digestion in the mouth before it reaches the stomach. The secreted mucus also aids in swallowing food and keeps the oral cavity moist. This secretion plays a protective role against bacteria, supporting oral health.<\/p>\n
The human body has three pairs of major salivary glands, one of which is the submandibular gland. It is located under the lower jaw, in the upper neck region. The gland is paired, positioned symmetrically under the right and left jaw.<\/p>\n
Due to its anatomical location near both the oral cavity and the neck, swelling caused by infection, stones, or tumors can be noticeable externally. Its position also allows easy imaging through ultrasonography for early diagnosis of potential diseases.<\/p>\n
The saliva from this gland is transported into the mouth through a duct called Wharton\u2019s duct. The opening of this duct is located on either side of the lingual frenulum (under the tongue). During meals, the gland becomes more active, and saliva passes into the oral cavity through this duct.<\/p>\n
Salivary stones are most frequently observed in this duct. If the duct is blocked, saliva production increases during meals but cannot reach the mouth, causing pain and swelling under the jaw. Therefore, duct patency is critical for salivary gland health.<\/p>\n
Inflammation of the salivary glands (sialadenitis) usually develops due to bacterial infections. The most common symptom is pain and swelling under the jaw. Pain intensifies during meals because saliva production increases, but if the duct is blocked, the fluid cannot exit.<\/p>\n
Fever, fatigue, bad taste, and sometimes purulent discharge may accompany the condition. In severe cases, swelling causes skin redness and tenderness. Chronic cases show recurrent pain and swelling attacks. Untreated inflammation can lead to permanent gland damage.<\/p>\n
Tumors in salivary glands can be benign or malignant. Benign tumors generally grow slowly, do not spread to surrounding tissues, and may not cause pain. However, over time, they can exert pressure on nearby structures, leading to cosmetic or functional issues under the jaw.<\/p>\n
Malignant tumors grow faster, have the potential to spread to surrounding tissues, and may metastasize to lymph nodes. If not diagnosed early, they can lead to serious health problems. Therefore, any suspicious swelling or hardness should be evaluated with ultrasonography and possibly biopsy. Early diagnosis is crucial for treatment success.<\/p>\n
The submandibular gland has both serous and mucous characteristics. Most of its secretion is serous, containing amylase enzyme, which initiates carbohydrate digestion in the mouth.<\/p>\n
The mucous secretion is thicker, lubricating food and keeping the mouth moist. This dual secretion is vital for oral health and proper digestion. Loss of gland function can disrupt digestion and increase the risk of oral dryness and infections.<\/p>\n
Insufficient salivary gland activity leads to dry mouth. Without enough saliva, tooth protection is compromised, cavities develop faster, and gum diseases increase. Bad breath is also a common result.<\/p>\n
Swallowing food becomes difficult, and initial starch digestion is impaired, potentially causing stomach issues. Chronic dry mouth often leads to oral fungal infections. Thus, reduced salivary gland function affects not only comfort but overall health.<\/p>\n
The most common cause of swelling under the jaw is a salivary stone. Stones blocking the duct prevent saliva flow, causing fluid accumulation and swelling, especially during meals.<\/p>\n
Infections, either bacterial or viral, can also cause inflammation, pain, tenderness, and redness. Less commonly, tumors or congenital cysts may be responsible for swelling. Persistent swelling under the jaw should always be investigated through imaging.<\/p>\n
Salivary gland tumors often progress silently, causing minimal symptoms in early stages. The most frequent sign is a noticeable swelling in the area of the gland, usually painless and slowly enlarging. Malignant tumors may grow rapidly and invade surrounding tissues.<\/p>\n
Other symptoms include pain, facial numbness, limited movement due to nerve compression, and swollen lymph nodes in the neck. Advanced cases may experience difficulty opening the mouth, reduced saliva production, and swallowing problems. Persistent unexplained swelling should be evaluated by a specialist.<\/p>\n
The most common cause of duct obstruction is salivary stones, which form from calcium deposits and block narrow points of the duct. During meals, saliva accumulates behind the stone, causing pain and swelling.<\/p>\n
Infections, duct narrowing, or congenital anomalies can also cause blockages. Long-term dehydration or certain medications causing dry mouth increase the risk of stone formation. Recurrent blockages may lead to chronic infections and permanent gland damage.<\/p>\n
The submandibular gland under the jaw produces the majority of oral saliva. Its secretion has both serous and mucous properties. Serous secretion contains amylase enzyme, initiating starch digestion in the mouth.<\/p>\n
Mucous secretion lubricates the mouth, facilitating swallowing, and helps maintain oral moisture. The gland\u2019s saliva also has antibacterial properties, supporting oral health.<\/p>\n
Under normal conditions, healthy salivary glands are not palpable externally. However, glands may become noticeable when enlarged, swollen, or affected by tumors, cysts, or stones. Masses felt under the jaw, in front of the ears, or under the tongue should be carefully evaluated.<\/p>\n
Tenderness may indicate infection or inflammation. Hard, irregular, rapidly growing structures suggest tumor suspicion. In such cases, detailed examination using ultrasonography or advanced imaging is required.<\/p>\n
Salivary gland disorders are usually evaluated by ear, nose, and throat (ENT) specialists. ENT physicians examine the gland structure, duct blockages, inflammation, and tumors and manage the treatment process.<\/p>\n
Radiologists may perform imaging and biopsies if needed. For oncologic concerns, a multidisciplinary approach involving surgeons and oncologists may be required. However, the initial consultation is typically with an ENT specialist.<\/p>\n
Stress affects the immune system and hormones. Prolonged stress can weaken the body\u2019s defenses and increase susceptibility to infections. Therefore, salivary glands may become more prone to inflammation or swelling.<\/p>\n
Stress may also lead to dry mouth. Reduced saliva can promote stone formation and duct blockage. While stress does not directly cause swelling, it can indirectly trigger salivary gland problems.<\/p>\n
A salivary gland examination is typically conducted by an ENT specialist. The doctor listens to the patient\u2019s complaints and then manually examines the submandibular, preauricular, and sublingual regions for swelling, hardness, or pain.<\/p>\n
The examination may include inspecting duct openings inside the mouth. Redness, swelling, or decreased saliva flow at the duct opening can indicate stones. If necessary, detailed evaluation is performed using ultrasonography, MRI, or sialography.<\/p>\n
Infection-related inflammation is treated with antibiotics. Medications may also be given for fever and pain. Adequate fluid intake and sour foods that stimulate saliva help the gland function.<\/p>\n
If there is obstruction or stones, treatment of inflammation should be combined with addressing the blockage. Some stones may pass spontaneously, while others require surgical or endoscopic removal. Untreated inflammation can become chronic and cause permanent gland damage.<\/p>\n
During ultrasonography, the patient lies on their back, and gel is applied to the area to facilitate sound wave transmission. The device probe captures images of the submandibular, preauricular, and sublingual regions.<\/p>\n
The procedure is painless and takes approximately 10\u201315 minutes. Ultrasound provides clear information about gland size, structure, presence of stones or masses, as well as vascular structures and duct patency.<\/p>\n
A healthy salivary gland is generally not palpable. However, in cases of swelling, infection, stones, or tumors, the gland may enlarge and be felt. Hardness under the jaw or in front of the ears should be carefully evaluated.<\/p>\n
Imaging methods are used to assess the nature of palpable structures. Hard, irregular, and rapidly growing structures may indicate a tumor, while soft, painful swelling usually indicates infection.<\/p>\n
Surgical removal of the submandibular gland is called submandibular gland excision. It is performed in cases of recurrent stones, chronic inflammation, or suspected tumors. During the operation, the gland is removed and may be sent for pathological examination.<\/p>\n
The surgery should be performed by experienced surgeons due to the proximity of important nerves and blood vessels. Postoperative complications are rare, though temporary numbness in the lips or tongue may occur.<\/p>\n
The submandibular gland has both serous and mucous characteristics, though the majority of its secretion is serous. This allows for amylase-containing saliva to initiate carbohydrate digestion.<\/p>\n
Mucous secretion is thicker and lubricates food. This dual secretion is critical for maintaining oral health and proper digestion.<\/p>\n
If a duct-blocking stone is not treated, saliva accumulates in the gland continuously. This leads to repeated pain and swelling attacks. Over time, inflammation may become chronic, causing permanent gland damage.<\/p>\n
Infection risk increases, and abscesses may develop in some cases. In advanced stages, the gland may completely lose function and require surgical removal. Early treatment of stones is therefore extremely important.<\/p>\n","protected":false},"excerpt":{"rendered":"
What is Submandibular Gland Ultrasonography? Ultrasonography is one of the most commonly used methods for imaging salivary glands. Submandibular gland ultrasonography is performed to evaluate the structural and functional characteristics of the salivary glands located under the jaw. This radiation-free method works with sound waves and provides results in a short time. It is preferred […]<\/p>\n","protected":false},"author":1,"featured_media":793,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[],"class_list":["post-792","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-our-services"],"_links":{"self":[{"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/posts\/792","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/comments?post=792"}],"version-history":[{"count":3,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/posts\/792\/revisions"}],"predecessor-version":[{"id":1230,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/posts\/792\/revisions\/1230"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/media\/793"}],"wp:attachment":[{"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/media?parent=792"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/categories?post=792"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/echomar.com\/en\/wp-json\/wp\/v2\/tags?post=792"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}