King Edward VII's Hospital, London


University College London Hospital (NHS base)




Researching, Developing & Teaching Minimally Invasive Head & Neck Surgery 



Salivary Gland Disorders



Other Salivary Conditions





Mega Duct

This condition is very uncommon but troublesome when it occurs. It occurs when a partial stricture forms near the salivary duct opening. The flow of saliva is held up but never stopped. The increased pressure caused by the obstruction leads to the duct expanding until it looks like a sausage lying just under the skin of the face. Treatment is to re-establish the duct opening using a rubber stent.


Large Parotid Glands

It is known that parotid glands can enlarge with some systemic illnesses such as diabetes or liver disease. Some patients with eating disorders develop large parotid glands,


Sjogren's Syndrome

This is an auto-immune disorder, there are two types. One is associated with other auto-immune disorders such as rheumatoid arthritis. (Secondary Sjogrens) The other arises on its own, (Primary Sjogrens) The parotid gland is filled with immune cells that stop the gland working so the patient complains of dry mouth and eyes.

There is no effective treatment. But in a small number of cases the patients can develop a low grade MALT lymphoma (mucous associateded lymphoid tissue)

It should be suspected if the parotid gland swells and starts to be painful as if it were infected. A biopsy of the tail of the  parotid will clinch the diagnosis.




Please use our contact page for treatment enquiries and further information




HCA Healthcare UK, The Shard,  St Thomas' Street, London SE1 9BS 

Practice Secretary: Mrs Marzieh Sandi

tel  +44 (0)20 7403 3876  fax +44 (0)20 7357 6824 e:

Consulting Sessions: Monday PM, Thursday AM/PM at The Shard


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