PATIENT REVIEW AFTER PAROTID SURGERY

Parotid surgery, also known as parotidectomy, involves the surgical removal of the parotid gland, one of the major salivary glands located near the ear. This procedure is typically performed to treat tumors, which can be benign (non-cancerous) or malignant (cancerous), chronic infections, or other abnormalities affecting the gland.

Here are some key points about parotid surgery:

1. Indications:

• Tumors (both benign and malignant)

• Chronic infections or inflammation

• Obstructive salivary gland disorders

• Cysts and other growths

2. Types of Parotidectomy:

• Superficial Parotidectomy: Removal of the outer portion of the gland. This is the most common type, especially for benign tumors.

• Total Parotidectomy: Removal of the entire gland, often necessary for malignant tumors or extensive disease.

• Partial Parotidectomy: Removal of only a portion of the gland.

3. Procedure:

• Anesthesia: Performed under general anesthesia.

• Incision: Typically made in front of the ear, extending down to the neck.

• Dissection: Careful dissection to avoid the facial nerve, which runs through the parotid gland.

• Tumor Removal: The affected part of the gland is removed, and the incision is closed with sutures.

4. Risks and Complications:

• Facial Nerve Injury: Can cause temporary or permanent facial weakness or paralysis.

• Frey’s Syndrome: Sweating and flushing in the cheek area during eating due to nerve miscommunication.

• Infection: Post-operative infection at the surgical site.

• Hematoma: Accumulation of blood under the skin.

• Salivary Fistula: Leakage of saliva from the incision site.

5. Recovery:

• Hospital stay usually lasts a day or two.

• Pain, swelling, and bruising around the surgical site are common.

• Patients are advised to keep the head elevated and avoid strenuous activities.

• Full recovery may take several weeks, and follow-up appointments are necessary to monitor healing and manage any complications.

6. Post-Operative Care:

• Wound care instructions to prevent infection.

• Physical therapy may be recommended if there is facial nerve weakness.

• Regular monitoring for recurrence in cases of malignant tumors.

Parotid surgery is a specialized procedure performed by head and neck surgeons, often with the involvement of an ENT (ear, nose, and throat) specialist or an oncologic surgeon for cancerous conditions. The goal is to effectively treat the underlying condition while preserving facial nerve function and ensuring the best possible aesthetic and functional outcomes.

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