Prior to Procedure
Before the surgery, your doctor may:
- Do a physical exam and review your medical history
Order blood tests and have
Talk to you about any medications, herbs, and dietary supplements that you may be taking—You may be asked to stop taking some medications up to one week before the procedure, like:
- Nonsteroidal anti-inflammatory drugs such as ibuprofen
- Blood-thinning medications
- Anti-platelet medications
Be sure that you have a ride to and from the hospital the day of your surgery.
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.