Salivary gland swellings may result from obstruction, infection, or neoplasia.

Early differentiation between inflammatory and neoplastic causes is key for appropriate management.

Referral is appropriate when:

• There is recurrent swelling or pain, especially during meals.

• A firm or fixed mass is palpable in the submandibular, parotid, or minor salivary glands.

• Sialography, ultrasound, or imaging suggests a ductal stone or tumour.

Oral and maxillofacial surgeons can perform diagnostic imaging, sialendoscopy, or surgical excision as required.

Histopathology is obtained for all excised lesions to exclude malignancy.

When to refer to AWOMS Oral and Maxillofacial Surgery: Any recurrent or unexplained salivary gland swelling, pain, or mass - prompt evaluation ensures correct diagnosis and treatment.