What is a superficial parotidectomy?
Surgery to remove a tumor in the superficial lobe is called a superficial parotidectomy. Surgery to remove a tumor in the deep lobe — or in both the deep and superficial lobes — is called a total parotidectomy. The two lobes are separated by the facial nerve.
Is a superficial parotidectomy major surgery?
A parotidectomy is the surgical excision (removal) of the parotid gland, the major and largest of the salivary glands. The procedure is most typically performed due to neoplasms (tumors), which are growths of rapidly and abnormally dividing cells….
| Parotidectomy | |
|---|---|
| Specialty | endocrinology |
How long does a superficial parotidectomy take?
The parotid gland is removed under a general anaesthetic (you are asleep during the operation). The procedure will take approximately 1 to 2 hours. It involves a cut immediately in front of the ear and extending to the upper part of the neck. The cut will be made in a crease in the skin of the neck to hide the scar.
How is a parotidectomy performed?
A traditional parotidectomy is performed through a Modified Blair Incision. During the procedure, an incision several inches in length is made extending from the top of the ear down toward the jaw. From there, the surgeon is able to visualize the entire side of the face, including the parotid gland and facial nerve.
How are parotid gland tumors treated?
Treatment. Parotid tumor treatment usually involves surgery to remove the tumor. If the tumor contains cancer cells, your doctor may recommend additional treatments, such as radiation therapy and chemotherapy.
What is the CPT code for superficial parotidectomy?
42415
CPT® Code 42415 in section: Excision of parotid tumor or parotid gland.
What to expect after a superficial parotidectomy?
You may have some trouble chewing and swallowing for several days after you go home. You may have numbness in your earlobe and weakness in your face. For most people, these problems get better within 3 to 4 months. But it can take as long as a year.
How do you do a superficial parotidectomy?
Technique
- The procedure is performed under general anesthesia with the endotracheal tube fixed to the contralateral side.
- After incising the dermis and platysma, an anterior skin flap is raised in a plan between the SMAS and the superficial capsule of the parotid.
Should a benign parotid tumor be removed?
Treatment Surgery is recommended for almost all parotid gland tumors, whether cancerous or benign. Although most tumors grow slowly and are non-cancerous, they will often continue to grow and occasionally can become cancerous. Treatment of a parotid tumor generally requires removing the parotid gland (parotidectomy).
What are the side effects of a parotidectomy?
Normal Side Effects of Surgery:
- Incisional and facial swelling.
- Mild incisional redness.
- Skin numbness.
- Jaw stiffness.
- Muffled or plugged ear feeling.
- Some pain/discomfort.
- Fatigue.
- Temporary facial weakness.
Is salivary gland surgery painful?
A saliva duct is a tube that carries saliva from the gland into the mouth. The area below your jaw may be sore for several days after your surgery. The area also may be slightly swollen or bruised. It will probably take 1 to 2 weeks for the cut (incision) to heal.
What’s the difference between superficial and superficial parotidectomy?
For more information about the relevant anatomy, see Facial Nerve Anatomy. A superficial (or lateral) parotidectomy involves removing all of the gland superficial to the facial nerve, whereas a partial superficial parotidectomy involves removing only the portion of the gland surrounding a tumor or mass.
Which is the best treatment for a benign parotid gland tumor?
Superficial parotidectomy remains the initial procedure of choice for benign parotid gland tumors. A modified Blair incision (see the image below) is often used.
How is the parotidectomy of the facial nerve removed?
For a total parotidectomy, the superficial gland is dissected free of all of the facial nerve branches to the extent feasible, and the branches are then completely mobilized and the deep portion of the gland removed.
Can a parotid abscess be treated with a parotidectomy?
Inflammatory processes (eg, chronic parotitis, deep salivary calculi, or parotid abscess) are occasionally treated with total parotidectomy, with the recognition that surgery in an inflamed gland probably carries a higher risk of postoperative facial nerve dysfunction. [ 1]