Parotid Gland Removal – Parotidectomy in India at Affordable Cost

Parotid Gland Removal – Parotidectomy

This is the gland that is affected by Mumps. Lumps (tumours) in the parotid gland are common and are seen in all age groups. They are the result of an abnormal growth of cells within the gland, though the exact reasons for this are not clear. The vast majority (approximately 80%) of these tumours are not cancerous and are called benign tumours. Rarely, however, some tumours can be cancerous...

Investigations and Treatment of Parotid Problems

During the initial consultation, a detailed history is taken and also an assessment of your problem. This is usually followed by an ultrasound scan, which is performed by an expert radiologist. During the ultrasound scan, a needle may be inserted into the lump to collect a sample of cells. These cells are then analysed under the microscope by the pathologist who will often determine the nature of the swelling...

Facial Nerve Considerations

Where the parotid mass is located relative to the facial nerve also determines how extensive the surgery will be. Regardless of location, the BEST way to protect the facial nerve is to identify and protect all branches of the facial nerve BEFORE removing the mass. Facial nerve identification is done by microscopic dissection with nerve monitoring. It is this facial nerve identification that takes so much time...

A "total parotidectomy" is required. Risk to facial nerve paralysis is higher than the first scenario. Surgical duration is quite long. ..

Surgery (parotidectomy) explained

The surgery to remove the parotid lump is called a parotidectomy. This involves removing either part or all of the parotid gland. The operation is usually performed under a general anaesthetic, which means that you will be asleep throughout the procedure...

Potential complications

In the following section some of the common and serious risks of parotidectomy are discussed briefly. Please note that the chances of these happening are very low...

Weakness (paralysis) of the face

The facial nerve that moves the muscles which help the eyes to close and the mouth to smile and eat runs through the parotid gland. We always diligently identify and preserve the nerve. We also use a specialised nerve monitoring technique which adds further safety to the procedure...

Bleeding and leakage of saliva

Rarely, blood can collect beneath the skin resulting in swelling in the operated area. It is also normal for small quantities saliva to leak from the cut surface of the gland and cause it to swell. Most often this blood and saliva is mopped up by our body and therefore the swelling is self limiting...

Numbness/altered sensation of the face and the ear

The nerves that are responsible for appreciating sensation on the face, side of the neck and the ear lie just under the skin and are damaged to a variable degree. This transpires as numbness of the ear, particularly felt in the ear lobe and to a variable degree on the side of the face and neck..

Cosmetic deformity

You may notice some hollowing under the skin at the back of the jawbone from where the gland and swelling has been removed. This is usually mild and is not a concern to the majority of patients...

Skin changes – sweating and flushing (frey’s syndrome)

You may notice that the cheek skin on the operated side becomes flushed and sweaty, particularly associated with eating or thought of food. Should this occur and become troublesome...

Pain and stiffness

You may notice pain and stiffness in the area of the neck and shoulder. This recovers quickly. Gentle daily massage with your regular skin cream starting two to three weeks after surgery helps to supple the scar and eases the discomfort...

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