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Need surgery to remove a lump or tumour in your cheek or near your jaw? Parotidectomy is a safe and effective procedure to remove part or all of the parotid gland. At Pristyn Care, our expert ENT surgeons use modern techniques for a smooth surgery and quicker recovery. Book your appointment today.
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Pristyn Care La Midas, DLF Phase 3, Gurugram
bur, Mumbai, Maharashtra 400089
WH6J+7R6, MARIGOLD SQUARE, 9th Cross Rd, ITI La
76, 17th Cross Rd, Malleshwaram, Bengaluru, Karnataka 560055
The parotid gland is one of the major salivary glands in the body. There are two parotid glands, one on each side of your face, located just in front of the ears. These glands produce saliva, which helps in chewing, swallowing, and digestion by keeping your mouth moist.
Each parotid gland is divided into two parts:
The facial nerve, which controls the muscles of facial expression, runs through the parotid gland. This is why parotid surgery (parotidectomy) must be performed with great care to avoid damaging the nerve.
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A parotidectomy is a surgical procedure to remove part or all of the parotid gland, one of the major salivary glands located in front of the ear, on each side of the face. This surgery is done to treat a tumour, infection, or salivary duct stone that affects the gland.
Healthcare professionals classify parotidectomy by the area of the gland involved and the extent of removal. Pristyn Care offers the following:
This surgery removes only the affected portion, usually the superficial lobe while preserving as much of the gland as possible.
Why it is done:
Procedure steps:
Benefits:
This surgery removes all parotid tissue in one or both lobes, potentially including adjacent lymph nodes, a more involved procedure.
Why it is done:
Procedure steps:
Benefits and risks:
This is a minimally invasive procedure using a tiny endoscope inserted into the salivary duct.
Why it is done:
Procedure steps:
Benefits:
Preparing for a parotidectomy is an important step to ensure a safe and successful outcome. Your ENT specialist (otolaryngologist) will provide specific instructions tailored to your case, but here are general guidelines most patients follow:
If your parotidectomy is being performed due to a tumour or abnormal growth in the parotid gland, your surgeon may recommend:
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Parotidectomy is usually performed to remove a tumour, cyst, or chronic infection. Here’s what typically happens during the parotidectomy procedure:
4. Lymph nodes may also be removed, especially if imaging or biopsy shows signs of cancer spread.
5. After the gland is removed, the surgeon will insert a small drain (surgical tube) to collect fluid and reduce swelling.
6. The incision is then closed with sutures or surgical glue.
Once your parotid surgery is complete, you will be moved to a recovery room where a healthcare provider will closely monitor your vital signs and ensure you’re comfortable. Your medical team may ask you to perform small facial movements like smiling or blinking to check that your facial nerve is functioning properly after the parotid gland removal.
While the surgery is generally safe and effective, it is still a major operation and may carry certain risks and side effects. Here are the most commonly reported outcomes:
Here are the key benefits of undergoing a parotidectomy:
Most patients recover within 2 to 4 weeks, with gradual improvement in swelling and facial movement after parotid gland removal.
Contact your doctor if you experience severe pain, excessive swelling, fever, bleeding, or facial weakness beyond the expected recovery period.
The incision is usually placed discreetly in front of the ear, and scarring fades over time with proper care.
Mild pain, numbness, swelling, and slight facial weakness can occur but generally improve within weeks.
You can resume a normal diet once you feel comfortable, usually within a day or two post-surgery.
Most patients return to work within 2 to 3 weeks, depending on the type of parotidectomy and the nature of their job.
Light exercise can often resume after 2 weeks, but strenuous activities should be avoided for at least 4 to 6 weeks.
The cost of parotidectomy surgery in India ranges from ₹80,000 to ₹1,00,000 but varies based on various factors. These factors include the hospital, location, room type, and any complications encountered during or after the parotidectomy procedure.
Most health insurance plans cover parotid surgery when medically necessary; our team can assist you with the insurance process.
Parotidectomy surgery generally lasts 2 to 4 hours, depending on the complexity and type of gland removal.
Extracapsular dissection
It is performed for benign tumors that are not pleomorphic adenoma. The surgeon uses a facial nerve monitor to identify the facial nerve and the tumor is removed from the top.
Partial/superficial parotidectomy
During the surgery, the tumor is resected with a cuff of parotid tissue, while preserving the facial nerve. It is generally performed for benign parotid lesions and lymph node metastasis into the superficial lobe.
Total parotidectomy
The entire parotid gland is removed during total parotidectomy while identifying and preserving the facial nerve for aggressive malignant tumors, deep parotid lobe tumors, lymph node excision in the deep lobe, vascular malformations, or in large tumors where the distinction between superficial and deep lobes is unclear.
Radical parotidectomy
During a radical parotidectomy, the entire gland is removed and facial nerve damage is pre-established due to extensiveness of the tumor. Nerve grafting and facial reanimation procedures are performed simultaneously during the surgery.
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