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Parotidectomy

Surgical removal of the parotid gland for benign or malignant tumors

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Parotidectomy?

The parotid is the largest of the major salivary glands, located in front of the ear, with the facial nerve passing through it dividing the gland into superficial and deep lobes. Parotidectomy is most commonly performed for tumors; approximately 80% of parotid tumors are benign, with pleomorphic adenoma being the most frequent type.

Surgical extent depends on tumor location and pathology: superficial parotidectomy preserves the deep lobe and is suitable for most superficial benign tumors; total parotidectomy resects both lobes and is used for deep lobe and malignant tumors. Identification and preservation of the facial nerve is the cornerstone of the procedure and is achieved with intraoperative nerve monitoring.

Frey syndrome (gustatory sweating), salivary fistula, and temporary facial nerve weakness are common postoperative concerns. Recurrence is rare with adequate margins.

Symptoms

Slow-growing painless mass in front of the ear
Facial asymmetry
Pain (suggests malignancy or inflammation)
Facial nerve weakness (red flag for malignancy)
Skin fixation or ulceration
Cervical lymphadenopathy

Risk Factors

Smoking (Warthin tumor)
Prior head and neck radiation
Occupational exposure (rubber, nickel)
Chronic sialadenitis
Genetic predisposition
Advanced age (malignancy risk)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent parotid mass, especially when growing
  • Sudden onset of pain in a known mass
  • Facial nerve weakness or paralysis
  • Skin invasion or rapid growth
  • Cervical lymphadenopathy accompanying the mass

Treatment Methods

01
Ultrasound and fine needle aspiration biopsy
02
MRI for deep lobe and perineural extension
03
Superficial parotidectomy (most benign tumors)
04
Total parotidectomy (deep lobe and malignant tumors)
05
Intraoperative facial nerve monitoring
06
Adjuvant radiotherapy (high-grade malignancies, positive margins)

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.