Parotid gland surgery

Diagnosis, treatment and prevention / ENT

What is a parotidectomy

It is a surgery during which a portion or the entire parotid gland is removed.

Who is a good candidate for the procedure

The reason of this surgery is an inflammation or a tumour of the parotid gland. The sooner the affected gland or a part thereof is removed and histologically examined, as well as the type and extent of the disease determined, the greater the chance of successful treatment.

Before the procedure

The procedure may be preceded by an X-ray or an ultrasound examination of the gland, a cytological examination of the gland by puncture with a thin needle or a histological examination by removing a tissue sample from the gland.

If the excision of a portion or of the entire parotid gland has already been indicated by the physician, you will be explained in detail the surgery technique and the type of anaesthesia; the doctor will also inform you about the possible risks associated with the surgery. During the consultation, you can ask any questions, in particular those related to the course of the surgery, as well as your expectations and concerns.

When scheduling the procedure, you will be given and explained instructions on how to prepare for the procedure, as well as information regarding eating, drinking, smoking and taking or withdrawing from certain medications. Compliance with all these instructions is necessary and will facilitate a smooth procedure and seamless healing after the parotidectomy.

How is parotidectomy performed

The surgery is performed under general anaesthesia. The incision is made just in front of the auricle or along the edge of the ear canal cartilage. Then, it turns backwards around the earlobe and continues forward on the side of the neck. The facial nerve runs through the parotid gland which innervates the muscles for facial expression. The surgeon always aims for the surgery to be as radical as possible, i.e. to remove all pathological changes, but to be gentle enough to avoid damage to the nerve function. In some cases when the pathological process is very extensive, the surgeon will proceed based on the current situation and may change the technique and the scope of the surgical procedure, including the excision of the facial nerve. Depending on the scale of the surgical procedure and the preservation of the facial nerve, there may be partial superficial conservative parotidectomy (only the superficial gland lobe is removed and the facial nerve is preserved), total conservative parotidectomy (the entire parotid gland is removed and the nerve is preserved) or total radical parotidectomy (both the gland and the nerve are removed). The material removed during the surgery is always sent for histological examination.

After the procedure

The expected recovery time after the release from the Clinic is 7 –14 days on average (depending on the extent of the surgery and the complications).

I am interested in
Length of procedure: 1 - 4 hours
Length of hospitalisation: 1 - 2 days
Price: 54.300 - 70.300 CZK
Example of price estimate

The price of parotidectomy includes:

  • Preoperative evaluation
  • ENT examination
  • General anaesthesia: 1 – 4 hrs
  • Postoperative care package
  • Surgery procedure 
  • Postoperative stay at the Clinic 1 – 2 days

The price only includes services as shown above. If a combination of procedures is necessary, based on the initial consultation, the Clinic will present and explain a proposed scope of the intervention including a price plan.

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