Parotidectomy

Indications for Parotidectomy

Parotid Tumors: To remove benign or malignant tumors from the parotid gland. The most common types include pleomorphic adenomas (benign) and mucoepidermoid carcinoma (malignant).

Chronic Infections: To address severe or recurrent infections of the parotid gland that do not respond to antibiotics.

Salivary Duct Stones: To remove stones obstructing the salivary ducts, leading to pain and swelling.

Facial Nerve Disorders: To treat conditions affecting the facial nerve that runs near the parotid gland, although this is less common.

Parotidectomy is effective in treating conditions affecting the parotid gland, with most patients experiencing significant relief from symptoms and improved quality of life after recovery. The procedure involves careful management of potential complications, particularly regarding facial nerve function. With proper postoperative care and follow-up, the majority of patients recover well and regain normal function.

The Procedure

Preparation: Parotidectomy is performed under general anesthesia. Preoperative imaging, such as CT or MRI scans, may be conducted to assess the extent of the disease and plan the surgery.

Surgical Process: An incision is made near the ear, and the surgeon carefully dissects through the tissues to access the parotid gland. The affected portion of the gland is removed, and efforts are made to preserve the facial nerve, which controls facial movements. The procedure typically lasts 2 to 4 hours.

Techniques: Modern techniques, including intraoperative facial nerve monitoring, help reduce the risk of nerve damage and improve surgical outcomes.



Parotidectomy is a surgical procedure aimed at removing all or part of the parotid gland, typically performed to address tumors, infections, or salivary duct stones affecting the gland. The surgery, which can be done through superficial, total, or subtotal approaches depending on the condition, involves making an incision near the ear to access the gland while carefully preserving the facial nerve to prevent complications. Postoperative care includes managing pain, monitoring for potential facial nerve issues, and avoiding strenuous activities to promote healing. While risks include infection, bleeding, and potential facial nerve injury, parotidectomy generally offers effective treatment for gland-related issues, with most patients experiencing significant symptom relief and a good recovery with appropriate care and follow-up.