Parotidectomy is the removal of the parotid gland, a salivary gland near the ear. This procedure is performed under a general anesthetic. The gland is removed to treat an infection that keeps returning or to take out a. The surgery is performed by making an sshaped incision along a crease in the front part of the ear. Patients are advised to apply antibiotic ointment, like neosporin, to the incision twice a day for the first ten days, followed by vitamin e ointment twice a day and sunblock in the morning for the. If you have any problems or questions, please contact. Atlas of advanced operative surgery 1st edition pdf. This approach leaves scarring and facial contour deformities. The uppermost branches were identified and preserved. This surgery is usually intended to remove lymph nodes or masses. An expositive atlas is designed to expand this comprehensive and unique general surgery reference while remaining true to the special character of the work. Dissection was carried well around this, and it was rotated upwards with the specimen. Since then the procedure has been modified and applied to a variety of benign and malignant conditions affecting the gland. Parotidectomy keep the incision dry for 7 to 10 days while the steristrips are in place.
After the steristrips are removed at the office on your followup appointment, gently wash the incision with soap and water two to three times a day as. Superficial parotidectomy deep lobe parotidectomy surgeons will spend their entire career trying to learn when it is safe or necessary to do more or less than a superficial parotidectomy 6 superficial parotidectomy indications neoplasm risk of metastasis recurrent infectionabscess surgical exposure deep lobe parapharynx. A parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. You will be given a thorough physical, and blood and urine samples will be taken for analysis. Parotid tumor operationsthe case against enucleation. If a tumor forms in the parotid gland, it can press on the facial nerve, causing discomfort and pain. The extended parotidectomy is a complex surgery reserved, generally, for the. The stigma of a visually prominent facial scar following parotid surgery can be. Pdf the patient and may help in deciding the extent of surgery.
Serious complications from parotidectomy are very rare. Parotid surgery post operative instructions nurse line 8. More than 90% of these operations are for benign tumors adenomas of various types of this salivary gland. A cosmetic incision is made in front of the ear on the effected side and sweeps behind the ear and down onto the neck for a short distance. Specimen sent to pathology from surgical events 20 80. The surgical procedure that is used to remove tumors of the parotid gland, or sometimes stones or chronic infection of the gland, is called parotidectomy. Parotidectomy procedure cpt days1 excision of parotid tumor or parotid gland. The lateral parotidectomy specimen was separated and set aside. Parotidectomy is the removal of the parotid gland, located below the ear. Parotidectomy is one of the most commonly performed procedures by otorhinolaryngologists. You will be given pain medicine and possibly antibiotics. Enucleation is often a hazardous and incomplete procedure. The extended parotidectomy is a complex surgery reserved, generally, for the advanced parotid malignant lesions that.
A parotidectomy is a surgical procedure to remove the parotid gland. When one of these glands becomes chronically infected or obstructed, a common treatment is to remove the problem gland in a procedure called a parotidectomy. Right superficial parotidectomy intraoperative findings. Management of the facial nerve, amount of parotid gland removed, and dissection of regional nodes are. The first week of recovery heres what you can expect for a parotidectomy recovery time should you decide to go ahead with this procedure. It is important to confirm that the patient has regained full motor function as determined by twitch monitoring before attempting to dissect out the.
The surgical procedure can damage the facial nerve. Your parotid glands are found in your cheeks, over your jaw, and in front of your ears. Introduction superficial parotidectomy is a common procedure for most surgically correctable lesions of the parotid. Upon waking from the procedure i felt very sick and had a bad reaction to the anaesthetic not uncommon i had a drain on the wound and was released the next day providing the drain slowed down and was not draining too much. Though in the past, the parotidectomy recovery time could be quite extensive, new procedures have made this surgery minimally invasive and recoveries very predictable. The procedure is most typically performed due to neoplasms tumors, which are growths of rapidly and abnormally dividing cells. The majority of the operated parotid or submandibular glands are preserved, and surgical complications are also decreased. Approximately 90% of parotid tumors occur in this part of the gland. Patients who need a parotid tumor removed may have many questions regarding facial surgery. The most common reasons for removal of all or part of this gland are a. Thank you for the opportunity to care for you or your loved one. This new resource picks up where other surgical references leave off, providing highly visual, stepbystep guidance on more than 100 advanced and complex procedures in both general and subspecialty areas.
Parotidectomy surgery postoperative instructions keep the incision dry for 7 to 10 days while the steristrips are in place. Many patients note a scratchy throat for the first day or two and may prefer soft foods initially. Parotidectomy is a common procedure usually done for a parotid mass necessitating a histological diagnosis. Superficial parotidectomy versus partial superficial parotidectomy in. For many people with parotid gland tumors, surgery performed by a head and neck surgeon is the main treatment. Parotidectomy is performed with an incision in front and below the ear. Parotidectomy postoperative instructions main content. The parotid glands are large salivary glands that are located just beneath and slightly in front of the ear, with one gland located on each side of the neck. Neoplasms can be benign noncancerous or malignant cancerous. Lya crichlow, md lutheran medical center november 21, 2008. The majority of parotid gland tumors are benign, however 20% of parotid tumors are. Parotidectomy baptist downtown southside baptist south your surgeon has recommended a procedure called a parotidectomy. Parotidectomy is typically performed with the patient under general anesthesia.
To allow adequate monitoring of the facial nerve, paralytics should not be used beyond the induction of anesthesia. They make saliva, which enters the mouth through a tube duct near the back teeth. Post op instructions for parotidectomy raleigh capitol ent. Lateral parotidectomy medical transcription sample report. Sialendoscopy allows these obstructive stones, which are causing the gland to be swollen, to be removed nonsurgically, avoiding the standard risk associated with parotidectomy such as. Subtotal or total parotidectomy with exposure of the facial nerve to avert accidental damage to it is the treatment of choice. Tumors that extend into the deep lobe may require total parotidectomy. Conservative and functional surgery in the treatment of salivary. Near total parotidectomy with facial nerve dissection was documented for educational purposes. Pdf new approaches in parotid gland surgery researchgate. During parotid gland surgery the preservation of the facial nerve depends upon its exposure and on the surgeon being able to nd it without damaging it. It is usually a welltolerated procedure with only mild to moderate pain afterwards.
Parotidectomy discharge care what you need to know. This is due to the fact that a large part of the gland extends deep into the neck and is not commonly. Advance your surgical expertise with atlas of advanced operative surgery. Although the incisional parotid biopsy is the diagnostic procedure of choice for systemic disease involving the parotid, the superficial parotidectomy remains the minimal biopsy of choice for a mass suspected to be a neoplasm in the parotid. Diet patients may resume a regular diet without restrictions.
There was an obvious mass within the inferior lateral gland. They release saliva into your mouth through the parotid duct. Parotidectomy is a surgical operation to remove a large salivary gland the parotid gland located in front and just below the ear. After the steristrips are removed at the office on your followup appointment, gently wash the incision with soap and water 2 to 3 times a day as needed. This gland makes saliva, which enters the mouth through a tube duct near the back teeth. This study examined whether current surgical techniques improved functional outcomes after surgery for benign parotid tumours. The parotidectomy procedure is the modern patient choice for parotid tumor removal. Postoperative infection is uncommon, and it is reported to occur in less than 3% of patients. Professor luigi califano is chief of the maxillofacial surgery department in the faculty of medicine at the university. Whilst every effort has been made to ensure accuracy, the information contained may not be. This involves resection of the entire parotid gland, usually with preservation of the facial nerve. Parotidectomy procedure pdf parotidectomy procedure pdf parotidectomy procedure pdf download.
Parotidectomy procedure pdf the facial nerve is central to parotid surgery for both surgeon and patient. Typically, long facial incisions are used to gain access. Chassins operative strategy in general surgery 4th. The majority of lesions are benign and affect the superficial parotid lobe. Today, surgery for benign parotid tumors has evolved into a procedure that is both. Parotidectomy is considered a clean surgical procedure. The procedure preparing for surgery there is no special preparation for total parotidectomy. Patients may be quite sedated for several hours after surgery and may remain sleepy for much of the day. Parotidectomy parotid gland tumor surgery memorial. Both benign and malignant nodal clearance for primary scalp, face and eyelid tumors as an. Pdf various skin incision for access to the parotid region are described by different authors. Top 10 benefits of minimally invasive parotid surgery.
Msks parotid gland surgeons, including ian ganly, have extensive experience in using precise techniques that help preserve the facial nerve. Operation is normally performed under general anesthesia with a nerve stimulator to facilitate facial nerve stimulation. This publication is designed for the information of patients. Activity light to moderate activity as tolerated is permitted. No matter if you are a patient about to have surgery, a family member caregiver, a. Eisele, in complications in head and neck surgery second edition, 2009. The skin overlying the parotid gland is then elevated to expose the entire gland. Surgical management of pleomorphic adenoma of parotid gland in. To treat a parotid tumor, part or all of the gland is removed. We describe a new technique with reports of three cases, making total parotidectomy under local anesthesia possible. The incision extends beneath the earlobe and moves forward to the upper neck. Variations of parotidectomy indications and technique. Accessory parotid gland tumors are located in difficult to reach areas of the face. This is a teaching video for residents in head and neck surgery.
You will be warned that some facial weakness may be present after the operation. To minimize the length of parotid surgery recovery and promote healing following parotid surgery, patients are advised to adhere to the centers postsurgery instructions incision instructions. Atlas of advanced operative surgery 1st edition pdf free. A parotidectomy is surgery to remove part or all of your parotid gland. Chassins operative strategy in general surgery 4th edition pdf. Most tumours that grow in the parotid glands are benign, meaning they are not cancer. Patients with recurrent pa or history of any other parotid gland surgery were excluded from the study. Parotidectomy for a benign tumour is demonstrated in four steps.
The surgery involves the area around the facial nerve the nerve governing facial expressions. Your blood will be crossmatched in the unlikely event of you needing a. Introduction a parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. Article information, pdf download for parotidectomy. Learn about the parotidectomy, an online 3dvideobased course, accredited by the royal college of surgeons of england. Please insert local department routine and emergency contact details here. This sheet explains the surgery and what to expect. The majority of parotid gland tumors are benign, however 20% of parotid tumors are found to be malignant. It helps produce and control the release of saliva.
Parotidectomy say puhrawtihdektuhmee is the removal of the parotid glands, located below the ears. The term itself means to remove the parotid gland, and it is a misnomer, in that the entire gland is almost never entirely removed. This elearning course provides a step by step approach, lessons on objectives, preoperative information and postoperative complications, procedural anatomy and a test. The standard treatment for obstructive salivary gland stones is a total parotidectomy. The procedure is most typically performed due to benign or malignant tumors. The fourth edition of chassins operative strategy in general surgery. Get a printable copy pdf file of the complete article 2. Superficial parotidectomy for benign parotid lesions operative. The puf contains patientlevel, aggregate data and does not identify hospitals, health care providers, or patients.
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