The stone may be squeezed directly out of the duct if it is small enough. For larger stones that cannot completely pass out of the duct opening, a small incision can be made to remove it. Occasionally, the gland and its stone may be completely removed.
Surgical removal of the stone may lead to scarring of the duct opening. This can then cause failure of the gland to drain properly. Other problems may then arise, such as additional stone formation and infection. If the entire gland is removed, complications involve damage to the nearby nerves. This can result in paralysis and loss of sensation in the tongue or face.
After successful stone removal, the condition usually returns to normal. For recurrent acute or chronic infection, gland removal may be needed.
Any new or worsening symptoms should be reported to the healthcare provider.