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Last updated: 30 March, 2020 15:59pm

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Salivary Gland Disorders – Information for GPs

Referral Criteria / Commissioning position

Refer to secondary care when:

  • conventional primary care management is unsuccessful
  • Salivary lumps that are persistent for 3 weeks should be referred to ENT/or Maxillo Facial
  • Fever or abscess formation should prompt immediate admission

Red flag symptoms

  • Facial nerve weakness
  • Rapidly growing lump
  • Ulceration/Induration of the mucosa or skin
  • Numbness of skin
  • Severe progressing pain
  • History of skin cancer, Sjogrens syndrome or radiation of the head and neck

Investigations prior to referral


Information to include in referral letter

  • Description of conditions and symptoms
  • Treatments and interventions tried including the results
  • Current regular medication
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • BMI
  • Smoking status
  • Alcohol consumption

Patient information leaflets

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