A parotidectomy is the surgery used to treat benign or malignant disorders of the parotid salivary gland. The very surgery is performed in order to remove tumors from the gland. 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. Parotidectomy aftercare instructions what you need to know.
Obrien cj current management of benign parotid tumors the role of limited superficial parotidectomy. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. In particular with neck surgery there is a risk of. In addition, in our patient collective, there was no increased recurrence rate found after limited parotid resection for pleomorphic. Partial superficial parotidectomy via retroauricular hairline.
Case presentation laboratory datalaboratory data 14. To learn more about the department of otorhinolaryngology a. Although damage to the facial nerve when transversing the gland is the main complication, gustatory sweat syndrome, also known as freys syndrome, should be. At the center, every micro parotidectomy is performed by both dr. Recurrence postoperative radiation local control rates exceed 95%. Azizzadeh, as we have found that a team approach to this surgery provides. Jun 03, 2016 tumors that extend into the deep lobe may require total parotidectomy. 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. 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. Parotidectomy surgery patient information and surgical informed consent you have been recommended to undergo a parotidectomy. 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.
Parotidectomy, facial nerve dissection and sialoceles. Twelve patients % developed parotid bed recurrence after superficial parotidectomy alone versus zero after total parotidectomy p 5. Technical modifications based on tumour characteristics article pdf available in journal of craniomaxillofacial surgery 326. Parotid salivary gland removal, superficial parotidectomy. Though in the past, the parotidectomy recovery time could be quite extensive, new procedures have made this surgery minimally invasive and recoveries very predictable.
Parotid surgery post operative instructions nurse line 8. Lymph nodes filter lymphatic fluid and produce lymphocytes blood cells. To allow adequate monitoring of the facial nerve, paralytics should not be used beyond the induction of anesthesia. Larian will remove all or a portion of the parotid gland through a very small and wellhidden. 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. Parotidectomy is the removal of the parotid gland, a salivary gland near the ear. Cal technique of parotidectomy via a facelift incision is described and evaluated.
Nursing teaching for parotidectomy iowa head and neck. Sever al complications have been reported in parotid surgery. Superficial parotidectomy superficial lobe parotidectomy describes removal of all or a portion of the parotid gland superficial to the facial nerve. Variations of parotidectomy indications and technique.
Typically, long facial incisions are used to gain access. This gland makes saliva, which enters the mouth through a tube duct near the back teeth. Partial superficial parotidectomy for pleomorphic adenoma. In particular with neck surgery there is a risk of damage to multiple nerves in the head and neck area. An adequate parotid resection technique must be chosen to achieve the least disturbing outcome. They consist of major and minor glands and ducts that drain secretions into the mouth. Purpose the main purpose of parotidectomy is to remove cancerous tumors in the parotid gland. This involves resection of the entire parotid gland, usually with preservation of the facial nerve. This approach leaves scarring and facial contour deformities. Measure the content of the drain bulb to be done twice a day until the drain is removed.
Purpose the parotid gland is the largest of the salivary glands. Patientfamily will verbalize understanding of routine preoperative instructions. Take as much time as you wish to read this information and ask questions of your doctor or the assistants. Pdf partial superficial, superficial and total parotidectomy in the. Rearrange individual pages or entire files in the desired order. 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. It is important to confirm that the patient has regained full motor function as determined by twitch monitoring before attempting to dissect out the.
Superficial parotidectomy versus partial superficial. During the microparotidectomy procedure, or minimally invasive parotid surgery, dr. Any information contained in this pdf file is automatically generated from digital material. Your parotid glands are one of the glands that release saliva spit into your mouth. 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. There was an obvious mass within the inferior lateral gland.
Baptist downtown southside baptist south possible risks and 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. Lateral parotidectomy medical transcription sample report. Salivary glands distributed throughout the neck and oral cavity provide saliva to aid in digestion. 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. Patients may be quite sedated for several hours after surgery and may remain sleepy for much of the day. These enlargements should be checked by an otolaryngologist head and neck surgeon. Feb 03, 2020 a parotidectomy is surgery to remove a part, or all of one of your parotid glands. 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. 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. The uppermost branches were identified and preserved.
Although some evidence suggests that certain lesions of the parotid gland can be treated or investigated with enucleation, it is the authors. Parotidectomy is a surgical operation to remove a large salivary gland the parotid gland located in front and just below the ear. Traditionally, superficial parotidectomy is the standard technique employed to organy ochrony prawnej overview of wimax technology pdf rp pdf resect. Parotidectomy with or without facial nerve removal is performed without delay4, 5. As with any surgical procedure, there is a risk of bleeding, infection, scarring, and unforeseen complications. A number of tumors can develop in the parotid gland. We usually used the standard modified blair sshaped incision. Post operative instructions parotidectomy total or subtotal.
Benign tumours and inflammatory conditions of the parotid gland rarely invade the facial nerve and cause dysfunction. In our case we made the accurate diagnosis of warthins tumor in a short period of time and performed superficial parotidectomy without delay. Feb 03, 2020 a parotidectomy is surgery to remove part or all of your parotid gland. Many of these are tumors that have spread from other areas of the body, entering the. The transoral approach eliminates all facial incisions. Superficial lobe parotidectomy if the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. This is the largest salivatory gland localized near the eye. The parotid gland is a salivary gland that lies immediately in front of the ear.
The main reason for a parotidectomy is to remove abnormal growths that. The parotid gland is located in front and below of the ear. Your parotid glands are found in your cheeks, over your jaw and in front of your ears. This liquid is usually very red as it is mostly blood. The procedure is most typically performed due to neoplasms tumors, which are growths of rapidly and abnormally dividing cells.
Informed consent for parotidectomy ent center of utah. Jan 30, 2019 parotidectomy is typically performed with the patient under general anesthesia. Outcome, general, and symptomspecific quality of life after. Accessory parotid gland tumors are located in difficult to reach areas of the face. Parotidectomy procedure pdf the facial nerve is central to parotid surgery for both surgeon and patient. You may leave the hospital with stitches in the cut incision the. Conservation of salivary secretion and facial nerve function in partial. Babak larian, microparotidectomy is a revolutionary way to treat parotid tumors through the full or partial removal of the parotid gland what is microparotidectomy. Nursing teaching for parotidectomy iowa head and neck protocols. Saliva drains from it through a tube that opens on the inside of the cheek next to the first upper molar. Definition parotidectomy is the removal of the parotid gland, a salivary gland near the ear. Informed consent for parotidectomy introduction this information is given to you so that you can make an informed decision about having parotidectomy. 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. Parotidectomy under general anaesthesia a case report.
The stigma of a visually prominent facial scar following parotid surgery can be. The main reason for a parotidectomy is to remove abnormal growths that occur in the parotid gland. This surgery, which removes the parotid gland, helps people with nerve issues, tumors, and other gland problems. Recently, some surgeons suggest that extracapsular dissection ecd instead of superficial parotidectomy sp for treatment of benign parotid. Superficial parotidectomy is the most applied surgical procedure in the parotid tumors.
Please be advised that this video contains graphic footage of surgery. This study aimed to determine the indications of partial superficial parotidectomy with extracapsular dissection and traditional superficial parotidectomy for the removal of pleomorphic adenoma. Data sources include ibm watson micromedex updated 4 may 2020, cerner multum updated 4 may 2020. Partial superficial parotidectomy for pleomorphic adenoma khalid b alghamdi, md objective. Warthins tumor benign papillary cystadenoma lymphomatosum is the second most common benign tumor of the parotid gland.
They release saliva into your mouth through the parotid duct. Lya crichlow, md lutheran medical center november 21, 2008. Parotidectomy plastic surgery for facial deformity correction. A duct through which saliva is secreted runs from each gland to the inside of the cheek. Surgery with superficial or total parotidectomy and postoperative radiotherapy could achieve the satisfying disease control. The gland is removed to treat an infection that keeps returning or to take out a tumor. Parotidectomy is the removal of the parotid gland, located below the ear. Neck dissection and superficial parotidectomy what are lymph nodes and what do they do.
Partial parotidectomy versus superficial or total parotidectomy. 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. 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. Parotidectomy discharge care what you need to know. Apr 04, 2016 superficial parotidectomy technique duration. Benign and early stage malignant neoplasms localized in the superficial. Surgical techniques of repair ben nageris, md, raphael feinmesser, md every surgical procedure has its price, and so does resection of parotid tumors. The parotidectomy procedure is the modern patient choice for parotid tumor removal. Facial nerve preservation mandatory deep lobe tumors total parotidectomy with facial nerve preservation.
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. They make saliva, which enters the mouth through a tube duct near the back teeth. Clean the area of the incision with qtips soaked in peroxide, to remove the small blood clots. It is occasionally performed for chronic infections. 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. 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. Most tumors that grow in the parotid gland are benign. A video presentation of right superficial or lateral parotidectomy. These glands produce saliva, the first secretion involved in digestion. The lateral parotidectomy specimen was separated and set aside. Benign or low grade tumor of the superficial lobe of the parotid gland 2. Saliva drains from it through a tube that opens on the inside of the. Parotidectomy say puhrawtihdektuhmee is the removal of the parotid glands, located below the ears.
Clinical characteristics, therapy and prognosis of parotid acinar cell. 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. 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. Superficial parotidectomy involves removing all of the gland superficial to the facial nerve to treat superficial parotid tumors. The parotid gland is the largest of the salivary glands.
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. Most tumours that grow in the parotid glands are benign, meaning they are not cancer. They are rare in children, but when they occur over 50% are cancers. The aim of parotid surgery is to eradicate the pathologic process and at the same time preserving the integrity of the facial nerve.
Commonly within parotid tail, superficial to angle of mandible. A parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. Dissection was carried well around this, and it was rotated upwards with the specimen. Pdf pleomorphic adenoma is the commonest tumor of the parotid gland and mostly arises from its superficial lobe. Parotidectomy definition of parotidectomy by medical. Parotidectomy is a surgical removal of parotid gland. Surgeons describe the parotid gland as having two lobes, superficial and deep. The parotid gland is affected most often, ranging from 36. The pleomorphic adenoma comprises 4560% of all salivary gland tumors. There are two parotid glands, one on each side of the face, just below and to the front of the ear.
You need saliva to help with chewing and swallowing. The majority of parotid gland tumors are benign, however 20% of parotid tumors are. Outcome, general, and symptomspecific quality of life. Which surgical method is superior for the treatment of parotid tumor. 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. Some are treatable and not so serious while others can lead to permanent damage. Evolution of a less than superficial parotidectomy has been reported. Parotidectomy is typically performed with the patient under general anesthesia. Surgery in superficial lobe pleomorphic parotid adenoma. Total versus superficial parotidectomy for stage iii melanoma. Partial superficial parotidectomy via retroauricular.
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