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The estimated incidence of a benignant parotid tumor is around 2.4 per 100,000 individuals(1 ) .
Most serious complication of parotidectomy are associated with the injury to the facial nerve(2 ) .
How Long Does It Take To Recover From Parotidectomy?
The recovery of the affected role after minimally invading parotidectomy is speedy and the incisions take around 6 weeks to bring around ; however , the wound remodeling remain for a couple of year . Pain medicinal drug are prescribed as postulate for a few days postoperatively(4 ) .
The main aim of the parotid surgery is to remove the tumor mass either through trivial parotidectomy or full parotidectomy with the conservation of the facial nerve since most of the complications of parotidectomy are associated with the combat injury of the facial nerve , which may either be temporary or permanent . The stretch of the nerve during the operative function may be concern to impermanent facial paralysis . Even temporary facial palsy can cause an eye infection or photograph keratitis due to non - occlusion of the eyelid . However , most of the case of facial palsy recover within a year(1 ) .
The facial nerve function of the patient role should be assessed with regular follow - ups and they should be followed - up for 18 calendar month after parotidectomy . Permanent expiration of facial face function is attributed to impairment of 1 or 2 outgrowth of the facial spunk , most commonly the marginal mandibular arm . world facial nerve palsy may be noted in the removal of malignant tumors due to the removal of facial nerve when near to the tumor(1 ) .
Patients should also be take after - up for local return and remote metastasis every 3 month for 2 year , every 6 months for the next 3 years , and then each year . Chest ten - rays and liver affair tests should also be obtained yearly(3 ) .
What Type Of Surgeon Does Parotidectomy?
The removal of parotid gland tumor or parotidectomy requires a multidisciplinary plan of attack , which let in a team of specialists , which includes Ear , Nose , and Throat physicians ( otolaryngologists ) , head and neck opening surgeons , charge plate sawbones , medical oncologists , irradiation oncologists , radiologists , nurses , speech diagnostician , psychologists , pathologist , and social prole . oncologist are involve when the tumor is malignant . rehabilitative surgical procedure may be required for cosmetic reasons when the neoplasm extension involves a large country . A language pathologist may be needed for help in speech and withdraw after surgery . The patient may follow - up with an ENT doctor postoperatively(5 ) , ( 6 ) .
Why Is There A Need For Parotidectomy?
Salivary gland disorders do not enforce any health business organization . Moreover , tumor of the salivary secreter are even rare accountancy for less than 3 % of the tumor in the US and 6 % of all forefront and neck tumors . However , 80 % of all the salivary gland tumors are found in the parotid glands . Of these , 70 - 80 % are benign and the rest are malignant tumors(2 ) .
These tumors are seen as a painless mickle in most of the cases . annoyance is less common in both benign and malignant tumour . Facial nerve paralysis is rare in benign tumors and is mostly indicate malignant transformation(3 ) .
Parotidectomy
In both benign and malignant neoplasm , the definitive treatment is the operative resection of the tumor mass , which is cognize as parotidectomy . In malignant tumors or recurrent benignant tumor , this may be ( if show ) followed by radiation therapy . In around 90 % of the cases superficial parotidectomy is carry out ; however , when deep lobe is necessitate cryptic lobe parotidectomy or accomplished full parotidectomy may be carry out along with the removal of regional lymph leaf node . Functional cervix dissection may ask to be carry out in high - grade and tumors > 4 cm in diameter(2 ) , ( 3 ) .
The operative slit should be made as aesthetically as possible since the operation is in the most esthetic geographical zone . In most cases , the wound can be close principally . However , when the neoplasm sizing is big and extending to the surrounding body structure reconstructive routine , such as skin grafts and tizzy ( cervicofacial , trapezius muscle , pectoral muscle , deltopectoral , and microvascular free flap ) may be needed for the restoration of subroutine and esthetics(3 ) .
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