Pharmacy Services Charges including Drugs &Medical Consumables
1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Parotidectomy?
A parotidectomy is a surgery done to remove the parotid gland. The parotid gland is the largest of the salivary glands. It is located in front of the ears. The parotid gland is responsible for making and secreting saliva. Saliva is important for digestion of food, killing bacteria in the mouth, and preventing tooth decay. A parotidectomy may be done to treat some cases of salivary cancer. It may also be done to treat non-cancerous conditions like chronic infection or obstruction (blockage) of the salivary glands.
There are two types of parotidectomy:
Superficial parotidectomy: The superficial (outer part) of the parotid gland is removed. The surgeon makes a cut (incision) in front of the ear and down the neck. This does not often affect how the face moves, because it attempts to avoid the facial nerve.
Total parotidectomy: The entire parotid gland is removed. The surgeon makes a cut in front of the ear and down the neck. The facial nerve, as well as other tissues, may need to be removed depending on where the tumor is. This could affect how your face is able to move.
In some cases, lymph nodes in the neck may need to be removed. This is called a lymphadenectomy. This may require removal of connective tissue, muscles, nerves and blood vessels. To do this, a long incision (cut) is made in the neck.
Reaction to anesthesia (Anesthesia is the medication you are given to help you sleep through the surgery, to not remember it, and to manage pain. Reactions can include wheezing, rash, swelling and low blood pressure).
Facial nerve damage. This can lead to facial muscle loss, facial droop, issues with tongue movement, problems with speech or swallowing, arm weakness and/or weakness in the lower lip.
Frey syndrome (A condition caused by facial nerve damage. It causes facial flushing and sweating when eating a meal, or even thinking, dreaming or talking about eating.)
Loss of feeling in the ear.
Salivary fistula (An abnormal opening in the skin that saliva may leak through).
A change in your physical appearance.
The recovery and hospital stay from a parotidectomy will depend on the extent and type of procedure you have had. You will be told how to care for your surgical incisions or drains and will be given any other instructions prior to leaving the hospital. The medications you will be taking, such as those for pain, blood clot, infection, and constipation prevention and/or other conditions. Your doctor will talk to you about any changes in your activity level, which will depend on the surgery you had. Often, it is recommended that you:
Take prescribed medications as directed.
Eat a bland diet, avoiding sour, tart or spicy foods.
Treat constipation as needed to reduce straining when having a bowel movement.
Sleep with your head elevated above your heart.
Discuss to your doctor about when you should resume your pre-operative medications, specifically medications that can affect blood clotting, like blood thinners, aspirin and non-steroidal anti-inflammatory medications (i.e. ibuprofen, naproxen)
Avoid drinking alcohol.
You should not smoke because this will lessen the blood flow to the surgical wound. If the wound does not have enough blood flow, it will not heal.
No lifting anything over 10 pounds.
No bending to lift objects or exercise until told to do so.
Avoid air travel for 2 weeks after surgery.
Perform incisional care and showering as directed. Do not submerge the incision in water.
Call your doctor, if you have below mentioned symptoms:
Fever of 101°F/38.3°C or higher.
Redness, swelling and/or drainage at the incision.
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.
Some patients notice that the skin in and around the ear sweats excessively after the parotid gland has been removed (gustatory sweating, Frey's syndrome). The sweating is particularly noticeable around mealtime when the skin can also turn red and feel warm.
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).
Viral infections such as mumps, flu, and others can cause swelling of the salivary glands. Swelling happens in parotid glands on both sides of the face, giving the appearance of "chipmunk cheeks." Salivary gland swelling is commonly associated with mumps, happening in about 30% to 40% of mumps infections.
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