What is parotidectomy?

Parotidectomy is the removal of the parotid gland. This gland is found below the ear. It makes saliva. The saliva enters the mouth through a tube (duct) near the back teeth.

The gland is taken out to remove a blockage in the parotid duct. This can be caused by a stone, scarring, or a tumor. Most tumors that grow in the parotid gland are benign, meaning they are not cancer.

You will be asleep during the surgery. The doctor will take out the gland through a cut (incision) in your neck and in front of your ear. The incision usually heals without leaving an obvious scar.

You will likely have a tube called a drain placed behind your ear. This lets fluid out of the incision. Your doctor will probably take this out a few days after your surgery.

Your doctor will tell you if you need to come back to have stitches taken out.

You may be able to return to work or your normal routine after a few weeks. How long it will take depends on several things, such as how much tissue was taken out, how quickly you recover, and the kind of work you do.

Activity

• Rest when you feel tired. Getting enough sleep will help you recover. When you lie down, raise your head with two or three pillows.
• Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
• Avoid strenuous physical activity and lifting heavy objects for 3 weeks after surgery or until your doctor says it is okay.
• Do not over-extend your neck backwards for 2 weeks after surgery.
• Ask your doctor when you can drive again.
• You may take a shower, unless you still have a drain near your incision. Pat the incision dry. If you have a drain, follow your doctor's instructions to care for it.

Diet

• If it is painful to swallow, start out with cold drinks, Popsicles, and ice cream. Next, try soft foods like pudding, yogurt, canned or cooked fruit, scrambled eggs, and mashed potatoes. Avoid eating hard or scratchy foods like chips or raw vegetables. Avoid orange or tomato juice and other acidic foods that can sting the throat.
• If you cough right after drinking, try drinking thicker liquids, such as a smoothie.
• You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fiber supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.

Medicines

• Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructions about taking any new medicines.
• If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
• Be safe with medicines. Take pain medicines exactly as directed.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
• If you think your pain medicine is making you sick to your stomach:
  • Take your medicine after meals (unless your doctor has told you not to).
  • Ask your doctor for a different pain medicine.
• Your doctor may prescribe calcium to prevent problems after surgery from low calcium. Not having enough calcium can cause symptoms such as tingling around your mouth or in your hands and feet.
• Your doctor may have prescribed antibiotics. Take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Incision care

• If your doctor told you how to care for your incision, follow your doctor's instructions. If you did not get instructions, follow this general advice:
  • After the first 24 to 48 hours, wash around the incision with clean water 2 times a day. Don't use hydrogen peroxide or alcohol, which can slow healing.
• You may have a drain near your incision. Your doctor will tell you how to take care of it.

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Preparing for surgery

• Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
• Understand exactly what surgery is planned, along with the risks, benefits, and other options.
• If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
• Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
• Make sure your doctor and the hospital have a copy of your advance directive. If you don’t have one, you may want to prepare one. It lets others know your health care wishes. It’s a good thing to have before any type of surgery or procedure.

Parotidectomy (say "puh-rawt-ih-DEK-tuh-mee") is the removal of the parotid glands, located below the ears. They make saliva, which enters the mouth through a tube (duct) near the back teeth. Most tumors that grow in the parotid glands are benign, which means they aren't cancer.

You may leave the hospital with stitches in the cut (incision) the doctor made. Your doctor will tell you if you need to come back to have these removed. You may still have a tube called a drain in your neck. Your doctor will take this out a few days after your surgery.

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. In some cases, problems with facial movement are permanent.

• Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be canceled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
• Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
• Do not shave the surgical site yourself.
• Take off all jewelry and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery center

• Bring a picture ID.
• The area for surgery is often marked to make sure there are no errors.
• You will be kept comfortable and safe by your anesthesia provider. You will be asleep during the surgery.
• The surgery will take about 3 to 4 hours.