Parotid gland surgery as the name suggests involves surgery of the thyroid by placing the standardised instruments of the parotid diseases. Since Parotid swellings are most common salivary gland swellings. With the advancements of techniques and improvisation of surgical skills the surgical results have become excellent with time.
Indication of Parotid surgery
- Benign ( Non cancerous submandibular gland tumours) tumours commonly pleomorphic adenoma and other variants
- Cancers of the submandibular gland
- Submandibular gland stones
Surgical procedures for submandibular gland involves submandibular gland excision.
Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after the surgery they are planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.
- Surgery is performed under General anaesthesia
- Surgery is performed in supine position with lateral and extended position of the neck.
- Incision is planned according to the surgery to be performed.
- The submandibular gland is removed with careful dissection and preservation of nerve structures.
- The submandibular gland is an extremely vascular gland so extreme care taken to prevent any major bleeding.
- The diseased part is removed and drain is placed according to extent of resection to remove excess of fluid after surgery.
Recovery after surgery
- The patient might be kept in surgical post operative recovery unit for initial observation and management.
- Bleeding, infection of the wound and seroma ( collection of fluid in the operative area) are the risks involved with this surgery.
- Diet is usually give once patient is comfortable sitting with support.
- Early mobilisation of the patient is recommended.
- Patients are usually discharged in 1-2 days.
- Dressing needs to be changed as advised by your clinician
- Follow up treatment in form of medications is very important in cases after parotid surgery.
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