Parotidectomy plastic surgery for facial deformity correction. 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 main reason for a parotidectomy is to remove abnormal growths that occur in the parotid gland. They release saliva into your mouth through the parotid duct. Dissection was carried well around this, and it was rotated upwards with the specimen. They consist of major and minor glands and ducts that drain secretions into the mouth. Warthins tumor benign papillary cystadenoma lymphomatosum is the second most common benign tumor of the parotid gland. Data sources include ibm watson micromedex updated 4 may 2020, cerner multum updated 4 may 2020. Partial parotidectomy versus superficial or total parotidectomy. A lazy s incision is made in front of the pinna and behind the angle of the mandible some surgeons used a modified facelift incision. Accessory parotid gland tumors are located in difficult to reach areas of the face. A parotidectomy is the surgery used to treat benign or malignant disorders of the parotid salivary gland. Feb 03, 2020 a parotidectomy is surgery to remove a part, or all of one of your parotid glands.
An adequate parotid resection technique must be chosen to achieve the least disturbing outcome. Patients may be quite sedated for several hours after surgery and may remain sleepy for much of the day. In our case we made the accurate diagnosis of warthins tumor in a short period of time and performed superficial parotidectomy without delay. These enlargements should be checked by an otolaryngologist head and neck surgeon. Salivary glands distributed throughout the neck and oral cavity provide saliva to aid in digestion. Your parotid glands are found in your cheeks, over your jaw and in front of your ears. Surgeons describe the parotid gland as having two lobes, superficial and deep.
Saliva drains from it through a tube that opens on the inside of the cheek next to the first upper molar. Pdf purpose the aim of this paper is to present an overview of our experience in treating parotid gland tumours over a period of 10 years. In addition, in our patient collective, there was no increased recurrence rate found after limited parotid resection for pleomorphic. Although damage to the facial nerve when transversing the gland is the main complication, gustatory sweat syndrome, also known as freys syndrome, should be. Parotidectomy with or without facial nerve removal is performed without delay4, 5. Parotidectomy is the removal of the parotid gland, a salivary gland near the ear. Evolution of a less than superficial parotidectomy has been reported. A number of tumors can develop in the parotid gland. Parotidectomy under general anaesthesia a case report. Facial nerve preservation mandatory deep lobe tumors total parotidectomy with facial nerve preservation.
In cases of superficial and partial superficial parotidectomy with facial nerve protection for benign parotid gland tumors, the rates of permanent and transient facial nerve dysfunction range from. There was an obvious mass within the inferior lateral gland. Parotidectomy is a surgical operation to remove a large salivary gland the parotid gland located in front and just below the ear. In particular with neck surgery there is a risk of. Many of these are tumors that have spread from other areas of the body, entering the. Definition parotidectomy is the removal of the parotid gland, a salivary gland near the ear. Most tumours that grow in the parotid glands are benign, meaning they are not cancer.
Informed consent for parotidectomy introduction this information is given to you so that you can make an informed decision about having parotidectomy. The micro parotidectomy is the most minimally invasive technique available and involves a minute incision near the ear to minimize scarring, recovery time and longterm complications. 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. Please be advised that this video contains graphic footage of surgery. Your parotid glands are one of the glands that release saliva spit into your mouth. Traditionally, superficial parotidectomy is the standard technique employed to organy ochrony prawnej overview of wimax technology pdf rp pdf resect. Surgical techniques of repair ben nageris, md, raphael feinmesser, md every surgical procedure has its price, and so does resection of parotid tumors. Rearrange individual pages or entire files in the desired order. The aim of the present study was to compare the outcomes of superficial parotidectomy sp and partial superficial parotidectomy psp in treating benign parotid tumors. As with any surgical procedure, there is a risk of bleeding, infection, scarring, and unforeseen complications. Recently, some surgeons suggest that extracapsular dissection ecd instead of superficial parotidectomy sp for treatment of benign parotid. Benign or low grade tumor of the superficial lobe of the parotid gland 2. The procedure is most typically performed due to neoplasms tumors, which are growths of rapidly and abnormally dividing cells. Larian will remove all or a portion of the parotid gland through a very small and wellhidden.
This surgery, which removes the parotid gland, helps people with nerve issues, tumors, and other gland problems. Partial superficial parotidectomy via retroauricular hairline. Patientfamily will verbalize understanding of routine preoperative instructions. The stigma of a visually prominent facial scar following parotid surgery can be.
This involves resection of the entire parotid gland, usually with preservation of the facial nerve. Sep 26, 2016 superficial lobe parotidectomy if the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. Parotidectomy aftercare instructions what you need to know. Purpose the main purpose of parotidectomy is to remove cancerous tumors in the parotid gland. This liquid is usually very red as it is mostly blood. Parotidectomy is a surgical removal of parotid gland. They make saliva, which enters the mouth through a tube duct near the back teeth. Superficial lobe parotidectomy if the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. Clinical characteristics, therapy and prognosis of parotid acinar cell. The transoral approach eliminates all facial incisions. The parotidectomy procedure is the modern patient choice for parotid tumor removal.
Recurrence postoperative radiation local control rates exceed 95%. Outcome, general, and symptomspecific quality of life after. The very surgery is performed in order to remove tumors from the gland. Size and location of tumors, operative time, occurrence of facial nerve paralysis and freys syndrome, and cosmetic outcomes were compared among rahi, facelift incision fli, modified blair incision mbi groups. Partial superficial parotidectomy for pleomorphic adenoma khalid b alghamdi, md objective. Conservation of salivary secretion and facial nerve function in partial.
Unlike the pleomorphic adenoma, it is more common in older white men and is the most likely to be bilateral in 10% of the cases. Parotidectomy is typically performed with the patient under general anesthesia. Feb 03, 2020 a parotidectomy is surgery to remove part or all of your parotid gland. Surgery in superficiallobe pleomorphic parotid adenoma. Purpose the parotid gland is the largest of the salivary glands. Technical modifications based on tumour characteristics article pdf available in journal of craniomaxillofacial surgery 326. Lymph nodes filter lymphatic fluid and produce lymphocytes blood cells.
The most common reasons for removal of all or part of this gland are a mass in the gland, chronic infection of the gland, or obstruction of the saliva outflow from the gland causing chronic enlargement of the gland. The parotid gland is affected most often, ranging from 36. Measure the content of the drain bulb to be done twice a day until the drain is removed. Total versus superficial parotidectomy for stage iii melanoma. Superficial parotidectomy versus partial superficial. It is important to confirm that the patient has regained full motor function as determined by twitch monitoring before attempting to dissect out the. To learn more about the department of otorhinolaryngology a. Twelve patients % developed parotid bed recurrence after superficial parotidectomy alone versus zero after total parotidectomy p 5. Apr 04, 2016 superficial parotidectomy technique duration. They are rare in children, but when they occur over 50% are cancers. Sever al complications have been reported in parotid surgery. Lateral parotidectomy medical transcription sample report. Although some evidence suggests that certain lesions of the parotid gland can be treated or investigated with enucleation, it is the authors.
Neck dissection and superficial parotidectomy what are lymph nodes and what do they do. This study examined whether current surgical techniques improved functional outcomes after surgery for benign parotid tumours. Parotidectomy is the removal of the parotid gland, located below the ear. Outcome, general, and symptomspecific quality of life. Typically, long facial incisions are used to gain access. To allow adequate monitoring of the facial nerve, paralytics should not be used beyond the induction of anesthesia. The parotid gland is located in front and below of the ear. This gland makes saliva, which enters the mouth through a tube duct near the back teeth. Saliva drains from it through a tube that opens on the inside of the. Parotid salivary gland removal, superficial parotidectomy. Jan 30, 2019 parotidectomy is typically performed with the patient under general anesthesia.
The most common reasons for removing all or part of this gland are a tumor, chronic infection, or obstruction of the saliva outflow causing chronic enlargement of the gland. 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. Surgery in superficial lobe pleomorphic parotid adenoma. A video presentation of right superficial or lateral parotidectomy.
You need saliva to help with chewing and swallowing. There are two parotid glands, one on each side of the face, just below and to the front of the ear. This is the largest salivatory gland localized near the eye. A duct through which saliva is secreted runs from each gland to the inside of the cheek. Parotidectomy, facial nerve dissection and sialoceles. Informed consent for parotidectomy ent center of utah.
Superficial parotidectomy is the most applied surgical procedure in the parotid tumors. Pdf partial superficial, superficial and total parotidectomy in the. Any information contained in this pdf file is automatically generated from digital material. Variations of parotidectomy indications and technique. Parotid surgery post operative instructions nurse line 8. Cal technique of parotidectomy via a facelift incision is described and evaluated. Parotidectomy say puhrawtihdektuhmee is the removal of the parotid glands, located below the ears. While removing tumor, the critical part of the surgery is to protect and preserve all the facial nerves that are crucial to many facial functions. A parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. This study aimed to determine the indications of partial superficial parotidectomy with extracapsular dissection and traditional superficial parotidectomy for the removal of pleomorphic adenoma. The aim of parotid surgery is to eradicate the pathologic process and at the same time preserving the integrity of the facial nerve. Take as much time as you wish to read this information and ask questions of your doctor or the assistants.
Parotidectomy procedure pdf the facial nerve is central to parotid surgery for both surgeon and patient. In particular with neck surgery there is a risk of damage to multiple nerves in the head and neck area. Parotidectomy surgery patient information and surgical informed consent you have been recommended to undergo a parotidectomy. At the center, every micro parotidectomy is performed by both dr. Case presentation laboratory datalaboratory data 14. The main reason for a parotidectomy is to remove abnormal growths that. It is occasionally performed for chronic infections. Clean the area of the incision with qtips soaked in peroxide, to remove the small blood clots. Your parotid glands are found in your cheeks, over your jaw, and in front of your ears. Pdf pleomorphic adenoma is the commonest tumor of the parotid gland and mostly arises from its superficial lobe. Superficial parotidectomy involves removing all of the gland superficial to the facial nerve to treat superficial parotid tumors. Partial superficial parotidectomy for pleomorphic adenoma. Nursing teaching for parotidectomy iowa head and neck.
Post operative instructions parotidectomy total or subtotal. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Azizzadeh, as we have found that a team approach to this surgery provides. During the microparotidectomy procedure, or minimally invasive parotid surgery, dr. Deep lobe parotidectomy indications both benign and malignant tumors deep lobe parotidectomy alone usually benign disease for malignant disease deep lobe parotidectomy generally done in conjunction with a superficial parotidectomy facial nerve preserved or removed depending on the individual case 30 deep lobe parotid surgery. Jun 03, 2016 tumors that extend into the deep lobe may require total parotidectomy. Which surgical method is superior for the treatment of parotid tumor.
Post operative instructions parotidectomy total or subtotal background information the salivary glands are responsible for a variety of disorders that may or may not require surgery. Post operative instructions parotidectomy total or. Some are treatable and not so serious while others can lead to permanent damage. Lya crichlow, md lutheran medical center november 21, 2008. A superficial parotidectomy is the surgical removal of the superficial part of the parotid gland, which is a large salivary gland that lies near the facial nerve there are two parotid glands, one on each side of face near the ear.
The parotid gland is a salivary gland that lies immediately in front of the ear. The lateral parotidectomy specimen was separated and set aside. The extended parotidectomy is a complex surgery reserved, generally, for the advanced parotid malignant lesions that interest several anatomical structures, with the objective of eradicating. A skilled head and neck surgeon is needed for both a deep and superficial lobe parotidectomy due to the close proximity of the facial nerve to the surgical site. Obrien cj current management of benign parotid tumors the role of limited superficial parotidectomy.
Commonly within parotid tail, superficial to angle of mandible. Parotidectomy discharge care what you need to know. The uppermost branches were identified and preserved. There are thousands of lymph nodes in your body and the collection of lymph nodes in your neck filter the lymphatic fluid from your head and neck area. This approach leaves scarring and facial contour deformities. Parotidectomy is a surgical operation to remove the parotid which is a large salivary gland located in front of the ear and slightly below it. Neoplasms can be benign noncancerous or malignant cancerous. Parotidectomy definition of parotidectomy by medical. The gland is removed to treat an infection that keeps returning or to take out a tumor. Superficial parotidectomy is indicated for most benign and malignant tumors limited to the superficial lobe, for chronic sialadenitis, and as part of a lymphadenectomy for skin cancer of the scalp.
Nov 27, 2014 the aim of the present study was to compare the outcomes of superficial parotidectomy sp and partial superficial parotidectomy psp in treating benign parotid tumors. The parotid gland is the largest of the salivary glands. We usually used the standard modified blair sshaped incision. The majority of parotid gland tumors are benign, however 20% of parotid tumors are. Nursing teaching for parotidectomy iowa head and neck protocols.