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Parotid Surgery

Parotid Surgery

Parotid Surgery (also known as Parotidectomy) is a surgical procedure performed to remove all or part of the parotid gland — the largest of the salivary glands, located just in front of and below the ear. This surgery is usually required to treat benign or malignant tumors, chronic infections, or obstructive stones. The goal is to remove the diseased portion of the gland while preserving the vital facial nerve that controls facial movements.

Symptoms

Common signs and symptoms indicating the need for parotid surgery include:

  • Swelling or lump near the jawline, ear, or cheek
  • Pain or discomfort while chewing or swallowing
  • Facial weakness or numbness on one side
  • Recurrent infections or pus discharge from the parotid duct
  • Dry mouth or difficulty opening the mouth
  • Rapidly growing mass in the parotid region
  • Visible or palpable asymmetry of the face

Causes

Parotid gland problems that require surgery may occur due to several causes, including:

  • Benign tumors such as pleomorphic adenoma or Warthin’s tumor
  • Malignant tumors of the salivary glands
  • Chronic infections or abscess formation
  • Salivary gland stones (sialolithiasis) causing duct obstruction
  • Cysts or inflammatory diseases like sialadenitis
  • Metastatic lymph node involvement near the parotid gland

Treatment / Procedure

Parotid surgery is performed under general anesthesia and typically takes 2–3 hours. The type of procedure depends on the extent and nature of the disease:

  • Superficial Parotidectomy: Removal of the outer (superficial) portion of the gland, commonly performed for benign tumors.
  • Total Parotidectomy: Removal of the entire gland when deep lobe or malignant involvement is suspected.
  • Selective Parotidectomy: Targeted removal of the affected portion while preserving normal tissue.
  • Minimally Invasive or Endoscopic Parotid Surgery: Performed in select cases for smaller, accessible lesions with minimal scarring.

During surgery, the facial nerve is carefully identified and preserved. A small drain may be placed temporarily to prevent fluid collection. Most patients can go home within 1–2 days after surgery.


Benefits

  • Removal of tumors or infections for permanent relief
  • Prevention of cancer spread or recurrence
  • Restoration of normal jaw and facial function
  • Improved facial appearance and comfort
  • Minimal risk with modern, nerve-sparing surgical techniques
  • Enhanced long-term oral and salivary gland health

Prevention / Post-Surgery Care

While parotid gland conditions are not always preventable, following proper care after surgery ensures a smooth and quick recovery:

  • Keep the surgical area clean and dry as directed
  • Take prescribed antibiotics and pain medications regularly
  • Avoid hard or spicy foods for a few days
  • Apply cold compresses to reduce swelling
  • Perform gentle facial exercises if advised by your doctor
  • Report any facial weakness, numbness, or fluid leakage immediately
  • Attend regular follow-up visits for wound care and monitoring