Lya crichlow, md lutheran medical center november 21, 2008. These glands produce saliva, the first secretion involved in digestion. Parotidectomy surgery patient information and surgical informed consent you have been recommended to undergo a parotidectomy. In another study from australia the authors reported that the incidence of initial postoperative facial weakness varied with the type of pathology and the extent of. Based on the diagnosis and extent of surgery, rates of facial weakness were 16. The majority of parotid masses are benign pleomorphic adenomas that rarely recur, leaving a large group of patients. Pdf pleomorphic adenoma is the commonest tumor of the parotid gland and mostly arises from its superficial lobe. A total of 268 patients with previously untreated benign parotid tumours within the superficial lobe, who underwent a primary parotidectomy between 1995 and. The anatomical and functional characteristics of parotid fascia. The type of surgical treatment of parotid tumors is based on the tumor histology and stage, ranging in the majority of cases from superficial parotidectomy with preservation of the facial nerve to. Total versus superficial parotidectomy for stage iii melanoma. It is occasionally performed for chronic infections. Introduction this booklet has been written as a guide for anyone having surgery to remove the parotid gland.
Superficial parotidectomy is the most applied surgical procedure in the parotid tumors. You will next have to see if the facial nerve was dissected and preserved during the procedure. The parotid gland is the largest of the salivary glands. Developing world ent is important as more than 50% of the worlds people live in the developing world. Neck dissection and superficial parotidectomy what are lymph nodes and what do they do. Deep lobe parotidectomy indications both benign and malignant tumors deep lobe parotidectomy alone usually benign disease for malignant disease deep lobe parotidectomy generally done in conjunction with a superficial parotidectomy facial nerve preserved or removed depending on the individual case 30 deep lobe parotid surgery.
Post operative instructions parotidectomy total or subtotal background information the salivary glands are responsible for a variety of disorders that may or may not require surgery. This study examined whether current surgical techniques improved functional outcomes after surgery for benign parotid tumours. This publication is designed for the information of patients. Lymph nodes filter lymphatic fluid and produce lymphocytes blood cells. Animated procedures sialendoscopy parotid tumor surgery. Case presentation laboratory datalaboratory data 14. Which surgical method is superior for the treatment of parotid tumor. Superficial parotidectomy was the most common choice of treatment 71. Deeper part of residual parotid tissues will continually secrete saliva and accumulates as sialocele.
Parotidectomy is the removal of the parotid gland, located below the ear. Partial superficial parotidectomy versus conventional superficial parotidectomy for benign parotid tumors. The book aims to promote exchanges of ideas between practitioners and institutions in the developing world, to promote appropriate. Parotid salivary gland surgery is needed when there is a salivary gland growth either in. How to merge pdfs and combine pdf files adobe acrobat dc. Chem 7, cbc, pt, ptt, ekg, chest xray age 45 and above, accepted up to 6 months prior to surgery no dental work including dental cleanings 4 weeks prior to and 4 weeks following surgery. Neoplasms can be benign noncancerous or malignant cancerous. Code 20926 is correct for dermal fat graft from left abdomen. Except in unusual circumstances, parotidectomy is appropriate when you have a mass in your parotid salivary gland. Identification of facial nerve during parotidectomy. Variations of parotidectomy indications and technique. Whilst every effort has been made to ensure accuracy, the information contained may not be. Parotid salivary gland removal, superficial parotidectomy.
Techniques for dissection of the facial nerve in benign parotid surgery. It answers those questions most frequently asked by patients and has been compiled by. The parotidectomy miniincision is a procedure to remove a parotid tumor with a small incision, allowing patients to recover more quickly. If you choose to have parotidectomy, it is important to understand that part or all of your parotid gland will be removed. This study aimed to identify the pattern of postoperative drainage following partial superficial parotidectomy with and without the use of a bipolar vesselsealing device.
This involves resection of the entire parotid gland, usually with preservation of the facial nerve. You will be asked to attend a preassessment appointment before surgery where we will assess your fitness to undergo an operation. Lateral parotidectomy medical transcription sample report. Predictive factors for postoperative drainage after. Next, the sternocleidomastoid muscle was detached from the mastoid process figure 1. Finally, the shortest distances from the main trunk i. Benign or low grade tumor of the superficial lobe of the parotid gland 2. These enlargements should be checked by an otolaryngologist head and neck surgeon. Of the 49 patients undergoing parotidectomies, a bipolar vesselsealing device was used for 20. Take as much time as you wish to read this information and ask questions of your doctor or the assistants. Brought to you by serona health private limited 9703977769.
Oxford centre for head and neck oncology parotidectomy. The doctors tv showosborne head and neck institute duration. In 25% of cases 25 in 100 the cut surface of the parotid gland leaks a little. The majority of parotid gland tumors are benign, however 20% of parotid tumors are. Click, drag, and drop to reorder files or press delete to remove any content you dont want. Surgeons describe the parotid gland as having two lobes, superficial and deep. Informed consent for parotidectomy ent center of utah. How is a neck dissection and superficial parotidectomy performed. Although the incisional parotid biopsy is the diagnostic procedure of choice for systemic disease involving the parotid, the superficial parotidectomy remains the minimal biopsy of choice for a mass suspected to be a neoplasm in the parotid. There are thousands of lymph nodes in your body and the collection of lymph nodes in your neck filter the lymphatic fluid from your head and neck area. If you have any problems or questions, please contact. An objective assessment of proximal and distal facial nerve. Rearrange individual pages or entire files in the desired order. Post operative instructions parotidectomy total or.
The most common reasons for removing all or part of this gland are a tumor, chronic infection, or obstruction of the saliva outflow causing chronic enlargement of the gland. Please insert local department routine and emergency contact details here. Operative technique of superficial parotidectomy by dr. An external file that holds a picture, illustration, etc.
Though in the past, the parotidectomy recovery time could be quite extensive, new procedures have made this surgery minimally invasive and recoveries very predictable. In case of extension of the lesion to the adjacent structures, such as the skin, the external ear, and the bone including the temporal bone or the mandible, etc, an extended parotidectomy. Informed consent for parotidectomy introduction this information is given to you so that you can make an informed decision about having parotidectomy. Using a 15 blade, the skin incision was made and carried down to the level of the parotid fascia and platysma muscle. Pdf superficial parotidectomy an excellent procedure in the.
Once you merge pdfs, you can send them directly to your email or download the file to our computer and view. Superficial or total parotidectomy as a standard procedure is often said to be the. If you have any other questions that the leaflet does not answer or would like further explanation please ask a. Parotid superficial and profound fascias are considered to originate from a bifurcation of the profound fascia. Parotidectomy is a surgical operation to remove a large salivary gland the parotid gland located in front and just below the ear. Facial flap was elevated forward, superficial to the parotid fascia using tenotomy scissors. Oxford centre for head and neck oncology parotidectomy information for patients. Conservation of salivary secretion and facial nerve function in partial. Recently, some surgeons suggest that extracapsular dissection ecd instead of superficial parotidectomy sp for treatment of benign parotid. Superficial parotidectomy superficial lobe parotidectomy describes removal of all or a portion of the parotid gland superficial to the facial nerve.
Recurrence postoperative radiation local control rates exceed 95%. A parotidectomy is the surgery used to treat benign or malignant disorders of the parotid salivary gland. A skilled head and neck surgeon is needed for both a deep and superficial lobe parotidectomy due to the close proximity of the facial nerve to the surgical site. You have two parotid glands, one on either side of your mouth in front of your. In fact, in most cases we do not remove all of the parotid, just the lump with a good border of normal tissue around it. Pdf merge combine pdf files free tool to merge pdf online. As a result the decision to do lumpectomy usually an extracapsular dissection or superficial parotidectomy for benign parotid lumps is. They consist of major and minor glands and ducts that drain secretions into the mouth. Distal, facial nerve, proximal, superficial parotidectomy. Factors related to facial nerve palsy were malignant tumor, type of parotidectomy and repeated surgery. This surgery, which removes the parotid gland, helps people with nerve issues, tumors, and other gland problems. Rare parotid salivary fistula post superficial parotidectomy. Parotidectomy parotidectomy is removal of part or all of the parotid gland, a salivary gland that lies in front of and below the ear.
The operation is performed under general anaesthetic and lasts four to six hours. If the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. The patients right face was then prepped and draped in the usual sterile manner. This initial evaluation suggests that use of twf is safe in superficial parotidectomy and may help reduce the development of postoperative facial paresis. Parotidectomy for parotid masses in ramathibodi hospital, benign lesion were. The most common complication was facial nerve injury 63. This leaflet has been designed to improve your understanding of your forthcoming treatment and contains answers to many of the common questions. Inter ventions compared were superficial and total parotidectomy, which was determined by. A short introduction to the surgery salivary gland includes a pair of parotid gland, a pairs of submandibular gland and few thousands of minor salivary glands. Superficial parotidectomy the most common indications are. The procedure is most typically performed due to neoplasms tumors, which are growths of rapidly and abnormally dividing cells. The gland is removed to treat an infection that keeps returning or to take out a tumor. Both procedures will be done at the same time and will involve two different entry points cuts in order to gain access to. You can merge pdfs or a mix of pdf documents and other files.
This leaflet provides some background information about parotid gland surgery. Once files have been uploaded to our system, change the order of your pdf documents. Teenager with parotid tumor undergoes parotidectomy. Parotidectomy procedure cpt days1 excision of parotid tumor or parotid gland.
Since your surgeon performed a superficial parotidectomy, you will have to report the procedure with either 42410 or 42415 as this was not a total removal of the parotid gland. Parotidectomy is a surgical operation to remove the parotid which is a large salivary gland located in front of the ear and slightly below it. In 25% of patients the cut surface of the parotid gland leaks a little saliva. There are two of them, one on each side of the face and they produce saliva that drains into the mouth through a duct that lies next to the upper molar teeth. Superficial parotidectomy deep lobe parotidectomy surgeons will spend their entire career trying to learn when it is safe or necessary to do more or less than a superficial parotidectomy 6 superficial parotidectomy indications neoplasm risk of metastasis recurrent infectionabscess surgical exposure deep lobe parapharynx. Benign and early stage malignant neoplasms localized in the superficial. Facial nerve preservation mandatory deep lobe tumors total parotidectomy with facial nerve preservation. Use code 42420lt, excision of parotid tumor or parotid gland. Click add files and select the files you want to include in your pdf. Tumors that extend into the deep lobe may require total parotidectomy. Most tumors that grow in the parotid gland are benign. The most common reasons for removal of all or part of this gland are a mass in the gland, chronic infection of the gland, or obstruction of the saliva outflow from the gland causing chronic enlargement of the gland. This gland makes saliva, which enters the mouth through a tube duct near the back teeth.
No laser or chemical peel treatments 4 weeks prior to surgery, and receive. The aim of the present study was to compare the outcomes of superficial parotidectomy sp and partial superficial parotidectomy psp in treating benign parotid tumors. A parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. Superficial parotidectomy versus partial superficial. Facial nerve dysfunction after total parotidectomy was found to be significantly higher p superficial parotidectomy 18. A parotidectomy is the surgical removal of the parotid gland.