(Superficial Parotidectomy; Total Parotidectomy)
Parotidectomy is surgery to remove all or part of the parotid gland. These glands make saliva. They are located on your jaw, in front of and below each ear.
Reasons for Procedure
The surgery is done to:
If you are planning to have a parotidectomy, your doctor will review a list of possible complications, which may include:
Discuss these risks with your doctor before the procedure.
What to Expect
Prior to Procedure
Before the surgery, your doctor may:
Be sure that you have a ride to and from the hospital the day of your surgery.
General anesthesia will be used. It will block pain and keep you asleep through the surgery. It is given through an IV or nasal mask.
Description of the Procedure
The doctor will make a cut in front of the ear and down into the neck. The nerves in the area will be located and protected during surgery. There are two types of parotidectomy surgery. The type you will have depends on why the surgery is being done.
If you have a tumor and it is above the facial nerve, then a superficial parotidectomy is done. The tumor and affected tissue can usually be removed safely without harming the nerve.
If you have a tumor that surrounds or grows into the facial nerve, a total parotidectomy is done. The tumor, affected tissue, and parts of the nerve are removed.
After all tissue has been removed, the area will be closed with sutures. A drain will be placed behind your ear. It will be used to remove any fluids, such as blood and saliva, from the wound.
How Long Will It Take?
How Much Will It Hurt?
Anesthesia prevents pain during surgery. Pain or soreness during recovery will be managed with pain medication.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is one day. If you have any problems, you will need to stay longer.
At the Hospital
After the surgery is over, you will be moved to a recovery room. The hospital staff will monitor you. The staff may:
When you return home, do the following to help ensure a smooth recovery:
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American Academy of Otolaryngology—Head and Neck Surgery
American Cancer Society
Canadian Cancer Society
Canadian Society of Otolaryngology
Dictionary of cancer terms: parotidectomy. National Cancer Institute website. Available at: http://www.cancer.gov/dictionary/?CdrID=44770 . Accessed July 23, 2013.
Ghorayeb B. Parotidectomy: frequently asked questions. Otolaryngology Houston website. Available at: http://www.ghorayeb.com/parotidectomyfaq.html . Updated May 24, 2013. Accessed July 23, 2013.
Parotidectomy. MedStar Georgetown University Hospital website. Available at: http://www.georget... . Accessed July 23, 2013.
Surgical procedures: neck dissection. Greater Baltimore Medical Center website. Available at: http://www.gbmc.org/body.cfm?id=198 . Accessed July 23, 2013.
Last reviewed July 2013 by Marcin Chwistek, MD; Michael Woods, MD