Parotid surgery, also known as parotidectomy, is a surgical procedure performed to remove part or all of the parotid gland, which is the largest of the salivary glands. This gland is located on the sides of the face, in front of and just below the ear. Parotidectomy is usually performed to treat tumors, infections, or other disorders affecting the parotid gland.
Indications for Parotid Surgery
- Benign Tumors:
- Pleomorphic Adenoma: The most common benign tumor of the parotid gland.
- Warthin’s Tumor: Another common benign tumor that often affects older adults.
- Malignant Tumors:
- Mucoepidermoid Carcinoma: The most common type of cancer in the parotid gland.
- Adenoid Cystic Carcinoma: A less common but more aggressive cancer.
- Chronic Infections and Inflammation:
- Chronic sialadenitis (inflammation of the salivary gland) not responding to medical treatment.
- Recurrent parotid gland infections.
- Obstructions: Salivary stones (sialolithiasis) causing obstruction and chronic infections.
- Cysts and Other Growths: Non-cancerous cysts or other growths requiring removal due to size, symptoms, or diagnostic uncertainty.
Types of Parotid Surgery
1. Superficial Parotidectomy:
- Removal of the superficial part of the parotid gland, which is the portion above the facial nerve.
- Often performed for benign tumors or small malignant tumors.
2. Total Parotidectomy:
- Removal of the entire parotid gland, including both superficial and deep parts.
- Typically necessary for large or malignant tumors.
3. Partial Parotidectomy:
- Removal of a portion of the parotid gland.
- Used for small, well-defined tumors.
Benefits of Parotid Surgery
- Removal of Tumors: Effective removal of benign and malignant tumors, alleviating symptoms and preventing complications.
- Resolution of Infections: Eliminates chronic infections and obstructions causing recurrent inflammation and discomfort.
- Diagnostic Clarity: Provides a definitive diagnosis through histopathological examination of the removed tissue.