Parotidectomy is surgery to remove all or part of the parotid gland. These glands make saliva. They are located on your jaw, in front of and below each ear.
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The surgery is done to:
If you are planning to have a parotidectomy, your doctor will review a list of possible complications, which may include:
Discuss these risks with your doctor before the procedure.
Before the surgery, your doctor may:
Be sure that you have a ride to and from the hospital the day of your surgery.
General anesthesia will be used. It will block pain and keep you asleep through the surgery. It is given through an IV (needle) in your arm or through gas that you breathe.
The doctor will make a cut in front of the ear and down into the neck. He will locate and protect the nerves in the area during surgery. There are two types of parotidectomy surgery. The type you will have depends on why the surgery is being done.
If you have a tumor and it is above the facial nerve, then a superficial parotidectomy is done. The tumor and affected tissue can usually be removed safely without harming the nerve.
If you have a tumor that surrounds or grows into the facial nerve, a total parotidectomy is done. The tumor, affected tissue, and parts of the nerve are removed.
Once all tissue has been removed, the doctor will close the area with sutures. He will also place a drain behind your ear. It will be used to remove any fluids (eg, blood and saliva) from the wound.
Anesthesia prevents pain during surgery. Pain or soreness during recovery will be managed with pain medicine.
This procedure is done in a hospital setting. The usual length of stay is one day. If you have any problems, you will need to stay longer.
Once the surgery is over, you will be moved to a recovery room. The hospital staff will monitor you. The staff may:
When you return home, do the following to help ensure a smooth recovery:
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American Academy of Otolaryngology—Head and Neck Surgery
American Cancer Society
Canadian Cancer Society
Canadian Society of Otolaryngology
Dictionary of cancer terms. National Cancer Institute website. Available at: http://www.cancer.gov/dictionary/?CdrID=44770 . Accessed November 19, 2010.
Ghorayeb B. Parotidectomy: frequently asked questions. Otolaryngology Houston website. Available at: http://www.ghorayeb.com/parotidectomyfaq.html . Updated November 17, 2010. Accessed November 22, 2010.
Parotidectomy. Georgetown University Hospital website. Available at: http://www.georgetownuniversityhospital.org/body_dept.cfm?id=1017 . Accessed November 19, 2010.
Surgical procedures: neck dissection. Greater Baltimore Medical Center website. Available at: http://www.gbmc.org/body.cfm?id=198 . Accessed November 19, 2010.
Last reviewed September 2012 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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