Parotid Gland Surgery (Parotidectomy)

Parotidectomy removes part or all of the parotid gland, the largest salivary gland, which sits in front of and below each ear. The most common reason is a lump in the gland. Most parotid lumps are benign, but they tend to keep growing and some can turn cancerous over the years.

The operation removes the lump with a margin of normal gland and gives a firm diagnosis. Its main difficulty is the facial nerve, which runs through the middle of the gland and controls the muscles of facial expression.

What Parotid Gland Surgery (Parotidectomy) involves

Under general anaesthetic the surgeon makes a curved incision that runs in the crease in front of the ear, around the earlobe and into a neck crease, much like a facelift incision. The skin is lifted and the trunk of the facial nerve is found where it leaves the skull. Each branch is then followed forward through the gland, usually with a nerve monitor giving an audible warning if a branch is stimulated. The part of the gland containing the lump is freed from the nerve and removed in one piece. A small drain is placed and the skin is closed with fine stitches. The specimen goes to pathology for a final report.

Who is a good candidate for Parotid Gland Surgery (Parotidectomy)?

Almost every persistent parotid lump is assessed with ultrasound and a needle sample before surgery is planned.

• A benign tumour such as a pleomorphic adenoma or Warthin tumour confirmed or suspected on needle biopsy
• A parotid lump where cancer cannot be excluded
• Repeated parotid infections or stones that have not settled with simpler treatment
• People fit for 2 to 4 hours of general anaesthetic

Es ist normalerweise nicht die richtige Wahl, wenn:

• Small Warthin tumours in older or frail people, which can often be watched with scans
• Generalised swelling of both glands from a medical cause such as Sjogren syndrome
• Advanced parotid cancer that needs combined planning with oncology near home
• Anyone unable to stop blood thinners safely

Technikoptionen

• Superficial parotidectomy: Removes the part of the gland lying outside the facial nerve. The standard operation for most benign lumps.
• Partial or extracapsular dissection: Removes the lump with a cuff of gland without exposing the whole nerve. Used for small, mobile, superficial benign tumours.
• Total parotidectomy: Removes gland on both sides of the nerve. Used for deep lobe tumours and for cancer, sometimes with neck dissection.
• Facial nerve monitoring: Electrodes in the facial muscles alert the surgeon when the nerve is touched. Widely used as an aid, although it does not replace careful dissection.

Was passiert während Ihrer Behandlung

Surgery takes 2 to 4 hours under general anaesthetic. You wake with a drain in the neck and a dressing. The cheek and earlobe feel numb. The team will ask you to smile, close your eyes and raise your eyebrows to check the facial nerve. Most people stay 1 or 2 nights, until the drain produces little fluid and can be removed.

Vorbereitung auf Ihre Reise

Plan for 8 to 10 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Pain is usually mild. Stitches come out at 5 to 7 days. Swelling in front of the ear settles over 2 to 4 weeks. Numbness of the earlobe is expected and improves slowly over months, though a patch often stays numb. If the face is weak after surgery it normally recovers over weeks to a few months because the nerve has been stretched rather than cut. Most people return to desk work in 1 to 2 weeks. The pathology report takes about a week and decides whether any further treatment is needed.

• Zurück zur alltäglichen Aktivität: 1 bis 2 Wochen
• When results show: Final pathology in about 1 week
• How long they last: Permanent removal; long-term checks for some tumour types

Sicherheit, Risiken und Revisionspolitik

The risks are dominated by the facial nerve and by changes in the skin over the gland.

• Temporary weakness of part of the face, which affects a substantial minority and usually recovers within months
• Permanent facial weakness, which is uncommon in benign surgery but more likely in cancer or revision surgery
• Frey syndrome: sweating and flushing of the cheek when eating, appearing months later
• Lasting numbness of the earlobe
• Salivary collection or leak under the skin, which usually settles with pressure dressings
• Bleeding or haematoma needing a return to theatre
• A hollow behind the jaw where the gland was removed
• Recurrence of the tumour, mainly if a pleomorphic adenoma capsule is breached

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Parotid Gland Surgery (Parotidectomy) in Türkiye

Clinic-Y does not publish a single price for Parotid Gland Surgery (Parotidectomy), because the honest figure depends on your case. What moves it:

• Superficial versus total parotidectomy and operating time
• Use of nerve monitoring
• MRI, ultrasound and needle biopsy before surgery
• Dauer des Krankenhausaufenthalts
• Any reconstruction used to fill the contour defect

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