Parotidectomy





Definition

Parotidectomy is the removal of the parotid gland, a salivary gland near the ear.


Purpose

The parotid gland is the largest of the salivary glands. There are two parotid glands, one on each side of the face, just below and to the front of the ear. A duct through which saliva is secreted runs from each gland to the inside of the cheek.

The main purpose of parotidectomy is to remove abnormal growths (neoplasms) that occur in the parotid gland. Parotid gland neoplasms may be benign (approximately 80%) or malignant. Tumors may spread from other areas of the body, entering the parotid gland by way of the lymphatic system.


Demographics

Benign parotid gland growths usually appear after the age of 40. Malignant growths most often affect women over the age of 60, while benign tumors affect both sexes equally. Cancer of the salivary glands accounts for only 1% of all cancers, and 7% of all head and neck cancers.


Description

During surgery, two different areas of the parotid gland are identified: the superficial lobe and the deep lobe. Superficial parotidectomy removes just the superficial lobe, while total parotidectomy removes both lobes.

The patient is first placed under general anesthesia to ensure that no pain is experienced and that all muscles remain relaxed. An incision is made directly to the front or back of the ear and down the jaw line. The skin is folded back to expose the parotid gland. The various facial nerves are identified and protected during the surgery so as to avoid permanent facial paralysis or numbness. A superficial or total parotidectomy is then performed, depending on the type and location of the tumor. If the tumor has spread to involve the facial nerve, the operation is expanded to include parts of the bone behind the ear (mastoid) to remove as much tumor as possible. Before the incision is closed, a drain is inserted into the area to collect any leaking saliva, if a superficial parotidectomy was performed. The procedure typically takes from two to five hours to complete, depending on the extent of surgery and the skill of the surgeon.

Diagnosis/Preparation

A complete physical examination and medical history is performed, as are diagnostic tests to help the surgeon better plan for the surgery. Some tests that may be performed include computed tomography (CT) scan, magnetic resonance imaging (MRI), and fine-needle aspiration biopsy (using a thin needle to withdraw fluid and cells from the growth).


Aftercare

After surgery, the patient will remain in the hospital for one to three days. The incision site will be watched closely for signs of infection and heavy bleeding (hemorrhage). The incision site should be kept clean and dry until it is completely healed. If the patient has difficulty smiling, winking, or drinking fluids, the physician should be contacted immediately. These are signs of facial nerve damage.


Risks

There are a number of complications that are associated with parotidectomy. Facial nerve paralysis after minor surgery should be minimal. After major surgery, a graft is attempted to restore nerve function to facial muscles. Salivary fistulas can occur when saliva collects in the incision site or drains through the incision. Recurrence of cancer is the single most important consideration for patients who have undergone parotidectomy. Long-term survival rates are largely dependent on the tumor type and the stage of tumor development at the time of the operation.

Other risks include hematoma (collection of blood under the skin) and infection. The most common long-term complication of parotidectomy is redness and sweating in the cheek, known as Frey's syndrome. Rarely, paralysis may extend throughout all the branches of the facial nervous system.

Normal results

Although some facial numbness or weakness is normal immediately following parotidectomy, these symptoms usually subside within a few months, with most patients regaining full function within one year. Return of a benign tumor is very rare.


Morbidity and mortality rates

There is a 25–50% risk of temporary facial weakness following parotidectomy, and a 1–2% risk of permanent weakness. Frey's syndrome may be experienced by up to 90% of patients to some extent and causes perspiration on that side of the face with eating. There is very little or no risk of mortality associated with the surgery. The survival rate of malignant parotid gland tumors depends on their size, location, extension, and if metastasis has occurred. The 10-year survival rate ranges from 32% to 83%.


Alternatives

A benign parotid neoplasm may be managed expectantly (i.e., adhering to a period of watchful waiting) so that the growth is of a larger size before it is removed (the risk of facial nerve damage increases with each subsequent parotidectomy). There is generally no alternative to surgical treatment of parotid gland neoplasms, although radiation therapy may be recommended after the procedure in the case of malignant tumors.


Resources

PERIODICALS

Califano, Joseph, and David W. Eisele. "Benign Salivary Gland Neoplasms." Otolaryngology Clinics of North America 32, no. 5 (October 1, 1999): 861–73.

Carlson, Grant W. "The Salivary Glands: Embryology, Anatomy, and Surgical Applications." Surgical Clinics of North America 80, no. 1 (February 1, 2000): 261–73.

Sinha, Uttam, and Matthew Ng. "Surgery of the Salivary Glands." Otolaryngology Clinics of North America 32, no. 5 (October 1, 1999): 887–906.

ORGANIZATIONS

American Academy of Otolaryngology. One Prince St., Alexandria, VA 22314-3357. (703) 836-4444. http://www.entnet.org .

OTHER

Gordon, Ashley D. "Parotid Tumors, Benign." eMedicine, December 27, 2001 [cited April 7, 2003] http://www.emedicine.com/plastic/topic371.htm .

Johns, Michael M. "Salivary Gland Neoplasms." eMedicine, May 17, 2002 [cited April 7, 2003] http://www.emedicine.com/ent/topic679.htm .

Shelato, Dwight. The Patient's Forum on Tumors of the Parotid Gland, [cited April 7, 2003] http://patientsforum.com .


Mary K. Fyke Stephanie Dionne Sherk

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?



Parotidectomy is performed in a hospital operating room , usually by an otolaryngologist, a medical doctor who specializes in the treatment of diseases that affect the ear, nose, throat, and other structures of the head and neck.

QUESTIONS TO ASK THE DOCTOR



  • Why is a parotidectomy being recommended?
  • How many parotidectomies do you perform each year?
  • What is your rate of complications?
  • What diagnostic tests will be performed prior to surgery?
  • Will a superficial or total parotidectomy be performed?

User Contributions:

mabel thomas
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Apr 26, 2006 @ 2:02 am
hello Boima, please receive imformation from me foryou wark
mabel thomas
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Apr 26, 2006 @ 3:03 am
This information is very good and educative for students to understand.
I enjoyed reading it, and i hope you do as well
Boima
kukai
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Feb 23, 2009 @ 6:18 pm
Hi! I enjoyed this information so much. It is helpful for me as a student. This is highly recommended for me. :) Thank you so much!
angie24
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Aug 1, 2009 @ 9:09 am
well this was very helpful becuz i go to a county hospital so they dont explain alot so all i knew was that i had a parotic mass and it was called pleomorphic adoma so it was very helpful to know what im going in too my surgery is in sep 3,2009 so thank you
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Jul 10, 2010 @ 8:08 am
Needing to communicate with anyone who has had this type of surgery and can tell a newbie what's it all about. You may email me at timlab19556@comcast.net. Thanks.
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Aug 18, 2010 @ 3:03 am
I had a parotidectomy approx 2 years ago. My facial nerve was cut and repaired. I have been getting some pain recently on the same sife of the face and trying to find out what to expect with nerve healing. How long does it take for the nerves to regenerate and what can be expected? The surgeon said that he repaired the area by mouth and cheek, but not the area by my left eye. Searching for info. online. Thanks, d
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Dec 1, 2010 @ 9:21 pm
how long will the swelling last? i had this surgery in lubbock Texas, and its been since november 24 when i had the surgery and i have noticed that my face looks like some one hit me in the face, and i have alot of swelling from it which has cause me to have my ear hurting in the inside of the ear, and my face has become like a small baseball. what can i do to cause the swelling to go down so i can go to the gym without pain on my face.
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Dec 5, 2010 @ 6:06 am
hello! during the operation, what will be the patients assumed position? that was so informative.. thank you so much..
Rosemary
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Dec 19, 2010 @ 3:15 pm
Can there possibly be any nerve damage from this parotidectomy surgery that would affect the esophagus and cause dysphagia?
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Jan 11, 2011 @ 2:14 pm
Had a parotidectomy 12-20-10. Nerve was cut due to 3cm gland w/tumor inside. Ear,lip and side of face numb. Radiation recommended. No thanks. I'm healthy and active @ 83 years old. I don't need any more trauma. I thought radiation was touted as being so directive and pin point. Why
then do they take a shotgun appoach in such avulnerable area. They have no target so they're
going to shoot at everything. Not on my head!
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Jan 15, 2011 @ 11:23 pm
Hello I recently had this surgery performed on 1-6-11 and I am not having any problems with my face other than what was exspected I have some numbness around ear lobe and little bit on side of face nothing terrible. But what I have that is annoying and causing me pain is my neck when I lay or sleep I have the worst pain in my neck ever. It feels like a kink or I have slept wrong, in which my sleeping position has not changed. Please help me with this just need assurance that it is not from this surgery? Thanks
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Feb 10, 2011 @ 4:16 pm
I had this surgery 3 weeks ago in NY. Went home same day.
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Feb 18, 2011 @ 2:14 pm
I had a 5 hour right parotidectomy to remove a Warthin's Tumor with no facial nerve damage whatever. Excellent surgeon!!! Some numbness of the cheek and numbness of the ear. I have gone 2 weeks and the seroma continues at 20cc to 30cc every 2 or 3 days. This is not mentioned in article and is a concern. Will this ever stop? What if it does not?
Samantha
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Feb 18, 2011 @ 6:18 pm
This information was very helpful. Doctors don't usually explain everything well, this article cleared up some questions.
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Mar 4, 2011 @ 3:15 pm
i had a perotiddectomy in 2008 . i now find i have a problem with my neck that feels as if its swollen and the skin is tight on the side of my face and it feel like theres constant pressure.
and it makes me feel ill is this normal so long after this operation.
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Mar 13, 2011 @ 8:08 am
Dear Sir-
Is facial nerve injury an avoidable sequale of total parotidectomy or it could be spared?
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Jul 17, 2011 @ 7:19 pm
What happens whtle taking out the JP TUBE. I had durgery 4 days ago and tube taken out tomorrow
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Jul 24, 2011 @ 11:23 pm
Hi - I had surgery 6 days ago. I still having bruising and swelling but my right eye is not working correctly (will not blink, does not shut completely) and although I have drops and ointment for my eye, it still is red and sore. My face has some sensation but the muscles (which obviously means the nerves) aren't working. I've read it can take up to 3-6 months to get most of the function back but when can I expect some function to return? I cannot smile, raise my eyebrow, frown on that side of my face either. Any comments / advice would be much appreciated. Am I being too impatient by expecting to see a slight improvement each day? Kerry
Kiarri
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Aug 17, 2011 @ 7:19 pm
Hello! I wanted to thank you for this webpage! Just had a superficial parotidectomy 2 days ago, and this really prepped me for the operation! I didn't recieve much information regarding the procedure from the ENT specialists I went to, so I'm glad to have stumbled upon this page. I have a follow up appointment next week, and while I will ask my doctor this same question, I wanted to post here first.

Is there any direct reason why benign tumors may grow in this area? I'm 19-years-old, and from what I've read and learned from the doctors involved in this case, it is very abnormal for someone at my age to have gotten one. Are there ways to prevent it in the future?
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Sep 18, 2011 @ 10:10 am
I have undergone a paradectomy and three times i have had to return to the hospital Twice to have it drained..I have a hematoma and was told they would keep scanning but they havnt since the day they found it ..It is very painful having these aspirations done daily Am i being treated right ?
Loretta
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Oct 14, 2011 @ 12:12 pm
I'm having this surgery on 10/26/11.I would like to know 1.How long does the swelling last. What should I expect other than pain and numbness.
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Oct 20, 2011 @ 1:01 am
I am 78 years old and had a left parotidectomy 08/22/11. At this point, most of the sensation, sagging, left eyelid not closing, outer ear ache, has just about gone. My left eye brow is still lower than my right when I try to lift both, my smile is almost even but I still show a few more teeth on the right when I smile. However, I noticed a slight blurriness in my left eye and I will have to check with the Dr. asap. Other than that, I seem to be doing oI hope this helps somebody. My surgery was done at a surgicenter and I left about an hour after it was done.
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Nov 14, 2011 @ 7:19 pm
I had a superficial parotidectomy 9/14/10. After 12+ months, the pain in my upper shoulder have gone away. The right side of my neck is still somewaht stiff. Taking hot showers temporarily loosens up the muscles. The incision is halfway to my adam's apple but has lessoned over the past year. I still do not like to wear necktimes because it hurts. The doctor says that my nerve endings are reconnecting and should continue for another year or so. The swelling has finally gone down. Overall, I am excited about having the surgery and getting the cancer out. Radiation was tough but necessary for 90 days... especially when I lost my appetite. Wow! everything tasted metallic.. and I lived off of 3 cans of Ensure everyday. Try to keep a positive attitude, support from family and friends, and faith in God to get through it.
Conrad
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Dec 1, 2011 @ 6:18 pm
I am scheduled for this surgery in two weeks. I was very nervous at first, but these comments have helped a bit.
I will post a comment after the surgery.
Sue
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Dec 27, 2011 @ 7:19 pm
Had total superficial and deep lobe parotid removal and parapharyngeal space tumor removed in 2008.
Surgery was 7-1/2 hours long. The head of the cancer center at a local university hospital performed surgery with no immediate side effects.

Within the last year developed Frey's Syndrome. Sweating at temple, cheek and ear whenever I eat anything. It's a real problem as my face and hair at temple is wet. Must constantly be wiping when I eat. Trying botox injections this week to see if it will suspend this sweating at least during the winter!
Ask your surgeon about this complication. It is pretty common.
good luck.
Garry
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Dec 30, 2011 @ 11:11 am
Yesterday I had a Parotidisectomy on the left side. Today my left ear lobe is numb and I cannot open my mouth wide. Will tis go away?
kristi b
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Feb 4, 2012 @ 5:17 pm
I have had symptoms of facial weakness and eye lid not closing completely related to 5 and 7th cranial nerve. Many MRI's, spinal taps, steroids etc. None of the the doctors I visited could diagnose. Finally at Mayo CLinic I have just been diagnosed with a parotid tumor...I know nothing more yet. My first symptom was 23 months ago. I am frightened about the unknown. Good to read some of the words here.
Shawn
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Feb 6, 2012 @ 11:11 am
I had a parotidectomy and mastoidectomy with neck dissection in 2006, I also underwent 6 wks of radiation therapy for acinic cell carcinoma. I am now having symptoms of dizziness, unsteadiness, headaches, numbness and tingling in the facial area... any suggestions on what's causing this...this ENT specialist don't think it's related, I will be seeing a neurologist shortly.
Cai
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Feb 11, 2012 @ 11:23 pm
my mom is about to undergo parotidectomy in a few months. The information presented here is easy to understand, now, I feel less nervous about her operation because what will happen before and after the operation was well explained in this article. Thank you. Now, we know what to expect, and what to ask, what are the symptoms that we should watch out for. Thanks.
Brad
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Feb 18, 2012 @ 12:00 am
I had this done two days ago. Everything works fine, but I'm definitely disfigured now. Doc says my fat should fill in the dents in 6 months. I sure hope so. I look like I've been beaten with an ugly stick.
alice
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Apr 16, 2012 @ 9:21 pm
What should i do i am having parotidectomy 4/19/12
cc
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May 24, 2012 @ 3:15 pm
To anyone,

Is there anyway to see answers to questions presented on this page (computer beginner)...may need parotidectomy shortly. Is there any additional ways to understanding this procedure beside internet sites, dr. consultation, etc., that anyone has found helpful before making a decision to have this procedure done.

thanks
cc
Judith
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Jul 22, 2012 @ 1:01 am
Had superficial parotidectomy 4 days ago. Very swollen under jaw line. No ear involvement. Only other symptom is that the lower left side of my lip is somewhat stiff or restricted making a wide smile tilt downward on the opposite side. My facial nerve was not touched as my face moves perfectly. Hope this goes away with time but will ask next week at post op appointment. My pretesting was both positive and false for cancer so don't know yet by ENT doc says pretty sure was benign. Don't believe I will have anything but radiation if the results are positive. This was outpatient surgery and has kind of laid me flat!
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Aug 22, 2012 @ 9:21 pm
I had my Parotidectomy 8 days ago. There is still some swelling and redness in front of my left ear and at the incision sight. In two days my stitches come out. From everything I've read about this type of surgery, the healing process is slow. It is very painful to chew. Other than the things I've just mentioned, everything else is just as it was before surgery. I GIVE MY HEAVENLY FATHER ALL THE GLORY FOR HOW WELL I'VE COME THROUGH THIS. Anyone who would like to trade progress reports, I welcome, because I feel like I can learn alot, and I would also like to help others. One other thing I want to mention, is that it was benign.
kat
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Aug 31, 2012 @ 10:10 am
I had partial parotidectomy on 16th of auguts 2012 I'm still slightly swallen ,eating cozing slight pain ,got stiff neck and numbness of ear , also I have a dimple on the operated area I. hope everything will back to normal soon.Discomfor when sleeping:(
Judith
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Sep 3, 2012 @ 11:23 pm
Found out my benign tumor was epithelial carcinoma. Cancer came out clean; the capsule did not rupture. Now they want to go in and make a better margin. From the middle level of my ear to under my chin. My surgeon claimed radiation wouldn't work on this kind of cancer; he had read "up" on it. Also said I would have a divot in my neck. So did I read up on it and the prescribed treatment is surgery and then radiation. Getting a radiation oncologist's opinion on Friday. With a vaguely distorted smile and having to work for a living, I cannot imagine what my face would look like even if they were very careful about touching the nerve. Surgeon said might take a year to look right; really, I don't have a year as I support myself with no available help. What a deal!
Arshad mehmood
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Sep 15, 2012 @ 7:07 am
Hi I had a right side parotide tumour out at 11-09-12.I ve just swelling but no pain in the middle of my jaw,after two days they will takeout my staples.so I want to ask that can I get a shower because last 4 days I did not get a showerand how to do a shower , can I use soap or shampoo on the surgery side or need to cover that place.
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Sep 16, 2012 @ 7:19 pm
Having the surgery in two weeks. Found this page very insightful. Will send feedback after surgery.
Jenny
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Sep 21, 2012 @ 10:10 am
I had a parotidectomy (UK, Mount Vernon Hospital) when I was 16 (which I now realise is very unusual). I had surgery and developed severe Frey's syndrome, which was dealt with by a tissue graft from my scalp, about 4 years after the initial surgery. Recovery from this was worse than the initial op - having a pressure bandage on for the best part of a week was like having my head in a vice. However, it worked - although even now (aged 47!), I get the same sweating inside my ear!
Where I had the tissue graft, the surface of the skin on my cheek is now rather lumpy (and more hirsute that the other side), but I won't do anything about this - just live with it.
If Botox had been around at the time, this might bave been an option, but back in the dark ages, it wasn't. Hope this story might help those of you studying or expecting to have this surgery.

BTW - I had a recurrent benign growth in the original site when I was about 38 and had further surgery to remove this. I haven't had any further problems - so far!
Staci
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Sep 23, 2012 @ 6:18 pm
Having operation in five days...didn't ask questions about swelling or bruising...any help knowing more about those would help...also found this website helpful.
Gillian
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Oct 8, 2012 @ 4:16 pm
I had this surgery on the 10 th of September I've had a little saliva leaking from under the ear 2 weeks after the surgery, but that was only for 2 days, other than that I'm very surprise how well I have healed and scar is hardly noticeable.
Gillian
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Oct 8, 2012 @ 4:16 pm
Forgot to mention an uncomfofortable nights sleep due to numbness off the ear lobe and part of my cheek/ jaw the feeling should return back in my cheek, but was told I might lose the feeling permanently in my ear lobe.
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Oct 8, 2012 @ 5:17 pm
I had a one inch benign deep lobe parotid tumor removed in March 2010 at the age of 31.

The tumor literally appeared over the course of five days as a lump at the end of my jaw beside my ear.

I was terrified before hand as the consultant gave me no option and told me I had to have surgery, he enver discussed what it was with me and it took a lot of researchon the internet - including watching an operation on Youtube to make me comfortable with it.

I has the operation at Sunderland Hospital (UK) by an excellent plastic surgeon and it took four and a half hours - quite a lot of this was spent sewing me back up. He cut the length of my ear and then tucked up behind it another inch and got it out. I had to spend a night in hospital (there was no way I was spending two!)afterwards I was very groggy and when the medication wore off boy did I know about it!!

It now looks amazing.

Nearly three years on the only signs I have of the op and tumor are a small divit in front of my ear where the tumor was, a slight line along the length of my ear and then a more obvious scar behind my ear. The sticky out middle bit of my ear is also very hard and doesnt like to be pushed flat.

I still have oversensitation on that side of my face and cannot wear a full face crash helmet. Lying on that side is also painful after a while. Cold is also not a friend to my face and I have to avoid getting too cold and cover my face with a scarf.

If anyone wants to see photos of me post op (literally just after and over the course of a few days) please free to email me at jillamberjanemerritt@yahoo.co.uk
Gloria
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Oct 12, 2012 @ 11:11 am
I just had a partial perodidectomy a week ago. I still feel a hard lump and am wondering if it the tumor was fully removed or is it just swollen. I know that it takes a fairly long time for the healing, but should there be a lump still there? I go to the doctor for post-op this afternoon. I hope he can ease my concerns. I just went to a regular ENT and now wondering if I should have gone to a doctor who specializes in doing only doing perodictomies.
Lalita Jagtoo
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Oct 13, 2012 @ 12:12 pm
I am 37 and i had a partial parotidectomy done on the 26th September. The tumor was a slow growing one that i had over about 10 years. Finally decided to get the surgery done as i realized it was going to get rid on its own. it looked like the size of a golf ball under my ear. I got the surgery done in Trinidad by some really friendly and caring doctors, it was really a great experience for a first time surgery! and 2 days after i was able to go home, however I am beginning to feel a tingling sensation on the outer layer of the scar and slight pain, which I know is expected. The nerve connected to my ear was damaged though so I'm experiencing numbness on my right ear, however, everything else is fine so I'm thankful for that
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Oct 17, 2012 @ 12:00 am
I have a question, I've had two parotidectomys 1st one in 1992 right side, 2nd one
In 1999 left side. Now I have another lump on the
Left, is that possible I will need another one ? I
Don't remember the types I had, noticed the lump
A few years ago, but now it's starting to give more discomfort.
The sweating has been a lot to deal with but other
Than that I did well after each surgery.I was 40
The 1st time, I'm now 60.
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Oct 17, 2012 @ 8:08 am
I have a question, I've had two parotidectomys 1st one in 1992 right side, 2nd one
In 1999 left side. Now I have another lump on the
Left, is that possible I will need another one ? I
Don't remember the types I had, noticed the lump
A few years ago, but now it's starting to give more discomfort.
The sweating has been a lot to deal with but other
Than that I did well after each surgery.I was 40
The 1st time, I'm now 60.this site has been helpful, reading
What others have experience as well...thanks
Dave WI
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Dec 16, 2012 @ 2:02 am
Had superficial parotidectomy 6 days ago on left side. Had the tumor for about 25 years before it got large enough to be easily noticeable and it started to change shape (pseudo podia). The tumor was biopsied 8 years earlier as benign pleomorphic adenoma.

Surgery went great with no nerve damage and surprisingly no post operative pain (I'm told pain is common). Drain tube was removed after about 36 hours.

Still have some swelling and numbness in cheek, jaw and ear. Fortunately this has been getting better every day.
Krista
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Dec 28, 2012 @ 12:12 pm
Dave WI - I am in WI and have recently been told I need a parotidectomy. It sounds like your surgery went well. Where did you have it done and who did it for you?
Gay Gentry
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Feb 17, 2013 @ 10:22 pm
I had parotid gland removal surgery about 2 years ago. About a month ago I started experiencing pain in my left ear, jaw and behind my eye. This is the same side the surgery was performed. Anybody had a problem like this? It gets worse every day and I plan to make an appt with the Dr. Tomorrow.
AnneR
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Mar 15, 2013 @ 5:17 pm
Hi, I had an MRI in Nov 2011 and showed an enlarged salivary gland. Without any indication of something going on, I waited till the doctor recommended another MRI and was done on Nov 2012--- one year later. Radiologist and ENT surgeon sent a report of the ff:
2 x1.7 x .08 cm mass again noted posterior/anterior aspect of right parotid gland without change in size or signal characteristic., mildly enhances, no new adenopathy
Is identified. No significant change. Stable right parotid mass which may represent a lymph node.

I am recently feeling slight discomfort and pain and headache. Occasional pain and throbbing pain is felt in the upper right ear.

Do I need to have surgery soon? I've been reading this site for the last week and I need your recommendation on this. My daughter is getting martied in October and I am worried that I cannot help/assist her in the preparation, let alone the day of the event. PLS HELP ME! Thanks a lot!
KV
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Mar 22, 2013 @ 8:08 am
I had a biopsy and CT scan and it revealed a 2cm on right side, and very small(not sure of size but radiologist and ENT said very hard to see) on left. Both are non cancerous Warthins tumors. I’m a yoga teacher, and also an alternative health enthusiast and I’m not psyched about the facial paralysis and everything else I’m seeing here as post surgical conditions. Has anyone here explored a “non cut” approach?

Is there one? Any info greatly appreciated. many thanks
deb
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Apr 1, 2013 @ 10:22 pm
I had my surgery on March 4 and experiencing sharp pains inside my ears, dotors said everything was fine, but it is now almost 30 days and still experience it. Any one else..
sree
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Jun 5, 2013 @ 4:16 pm
Dr said I have masses both sides ,could some one say how painful the post-op is on a scale of 1(starting) - 10 (unbearable)? I understand the recovery time is 3 weeks till 6 months.
Thanks in advance...
Monica
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Jun 6, 2013 @ 6:18 pm
Had a total perotidectomy three weeks ago. I cry everyday from the pain. Is this normal? Went back to surgeon and he brought his therapy dog in and did not address my pain. Feels like a screwdriver in my ear and my neck hurts so bad.
GM
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Jun 14, 2013 @ 5:17 pm
I have a Warthin's tumor on the perotid gland, and have spent a year now attempting to avoid surgery. Am feeling like I may need it now. I'm curious if anyone HAS had luck dealing non-surgically? Also, where to look for competent, experienced (with this procedure) surgeons?
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Jun 24, 2013 @ 6:06 am
I am having a parotidectomy in a few weeks. I was just wondering if anyone had headaches that did not return after their surgery. I have terrible headaches that I am really hoping will go way after this tumor is removed. I am sure that the stress of not knowing if it is malignant or not is not helping the headache issue. Thanks in advance.
KELLI
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Jun 26, 2013 @ 4:16 pm
HI I AM HAVING MY SURGERY TOMORROW, JUNE 27TH, 2013, FROM READING ALL OF THESE EXPERIENCES I AM A LITTLE SCARED NOW, HOWEVER I WANT TO GET THIS OVER WITH, I DO NOT WANT TO HAVE CANCER, I WAS DIAGNOSED WITH THIS TUMOR ABOUT 3 YRS AGO AND I WAITED, AND IT GOT BIGGER, MY SUGGESTION TO OTHERS I KNOW IT CAN BE SCARY, BUT I WOULD DO WHAT IS NECESSARY TO ENSURE NO CANCER, PLEASE CONTINUE TO PRAY FOR ME. ALL THE INFORMATION LIKE TEMPORARY PARALYSIS, I WAS INFORMED WOULD HAPPEN, BUT I JUST WANT TO GET IT OVER WITH. I WILL KEEP EVERYONE IN PRAYER. ONCE I HAVE THE SURGERY, I WILL WRITE BACK ON HOW EVERYTHING WENT AND HOW I AM DOING AND FEELING.
John
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Aug 7, 2013 @ 2:02 am
I am 8o yrs old and have been diagnosed with a tumor requiring a total parotidectomy,that is below my right ear. Because of my age and the possibility of side effects after the operation I am very reluctant to have the operation. If not operated on what is the prognosis for the tumor to develop into a cancer, and aprox what sort of time can be expected for it to fully develop and cause death. Being 80 yrs old I would like to live without all the possible complications of an operation.
judy
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Sep 12, 2013 @ 12:12 pm
I HAD A LEFT SIDE WARTHINS TUMOR ON THE PAROTID GLAND REMOVED BY 3 WEEKS AGO BY MY ENT. I HAVE A LARGE HARD LUMP BEHIND THE EAR AND DOWN IN THE NECK WHERE I FIRST FOUND THE LUMP I AM ALSO HAVING ALOT OF EAR PAIN , ALMOST LIKE A BAD EAR ACHE .ALSO MY JAW BONE ACHES AS WELL. WAS WONDERING IF ANYONE ELSE HAS HAD THIS AFTER SURGERY?
Jamieson
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Oct 6, 2013 @ 7:19 pm
Hi Judy, I had a pleomorphic adenoma removed two weeks ago, and found this site because I too have an inner earache and pain in my jaw/molars on the same side. Still don't have my results back yet, so I'm concerned that this might mean a possible malignancy.
Peggy
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Oct 20, 2013 @ 1:13 pm
A comment for Shelly Dobbins who asked about headaches stopping after surgery. YES, I suffered from terrible headaches at the base of my skull prior to having my surgery and they were completely gone following. That was in 1979. I regained full movement of facial muscles by doing exercises, but do have Frey's syndrome...sweating on left cheek...which I consider a minor irritation. Hope your surgery went well, Shelly.
Robin
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Nov 28, 2013 @ 9:09 am
I had a tumor removed from my parotid gland on 11/18/13. It was benign. Woohoo! I am having problems with my balance and just a over-all foggy feeling in my head. It is getting better everyday, but I haven't found much on the internet about this being a post-op problem. Has anyone else had this problem?
tim gillis
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Dec 22, 2013 @ 6:18 pm
It has been 10 days since I had a warthins tumor removed. The swelling is still there. After I left the hospital they told me to put ice on the area. It did not help. Should I use heat? 10 days seems like a long time for the swelling to still be there.
I had one taken out 7 months ago in other side and swelling left after about 6 days.
tim gillis
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Dec 22, 2013 @ 7:19 pm
It has been 10 days since I had a warthins tumor removed. The swelling is still there. After I left the hospital they told me to put ice on the area. It did not help. Should I use heat? 10 days seems like a long time for the swelling to still be there.
I had one taken out 7 months ago in other side and swelling left after about 6 days.
shiplu
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Dec 31, 2013 @ 11:11 am
hi,I'm 31 aged male.I have right parotid tumor located just front of my ear.first I noticed it when I was in high school,it was very small lump like pea.wasn't painful or irritating.so I let it be alone.it's already more than 12 years passed and now I become serious about it.still no pain at all but it became a little larger like small marbel.I went to a neurologist and after examine he said my nurves are completely ok.he ordered FNAC as he suspect the lump as tumor.next day I got the report and its pleomorphic adenoma.my doctor refer me to a ENT specialist.the ENT doctor advice me a superficial parotidictomy. now,my questions are,how important a surgery is for benign tumors as its not doing any problem?what's the expected complication after surgery?what about recurrence as it has reduced cure rate?what if untreated?
felix pfaeffle
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Jan 3, 2014 @ 5:17 pm
I am 85 years old living in Las Cruce, NM. Discovered 2 pea-sized nodes behind my left ear in May 2013. They did not bother me, so I paid no attention. In Early August I had my primary physician look at them. He sent me to a surgeon to have a biopsy done. WRONG MOVE! HE SHOULD HAVE SENT ME TO A ENT SPECIALIST. The "surgeon", instead of a fine needle biopsy, scheduled a surgigal biopsy under local anasthesia. On the operating table, the instant he inserted the anasthetic needle, I went through the roof with pain. He terminated the procedure and scheduled a new operation for a week later, this time under general anastesia. When I woke up I was in excruciating pain, which persisted round the clock. The pain went on up to the minute I had my surgery.
To make a long story short, I finally wised up and went to a ENT doctor who immediately arranged for parotid surgery in Albuquerque. In the meantime I had a PET scan which revealed the extent of the tumor on the salivary gland which was 29mm by 27mm in size as well as in another . On Nov. 25, 2013 I had my total paroditectomy which took 5 hours to remove all the neoplasm which was indicative of being malignant. In the process I lost the lower third of my left ear and the feeling in my left cheek and parts of my left lower lip. I also have a somewhat drooping left eyelid which makes it a lttle more difficult to read.
But I am entirely free of pain!
There is still a rather large crust of black epidermis in front of my left rear which should drop off in the next three weeks. I make another report later after I get a copy of the surgery report.
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Jan 15, 2014 @ 12:12 pm
I had superficial Parotidectomy of benign Warthin's tumor on left side. Went home same day. Not a lot of pain or swelling but numb left ear and part of jaw. Had the surgery on 11/14/2013.
Now I wake up in the morning with tingling and slight numbness in BOTH sides of my face. It goes away as soon as I get up.
Has anyone else had both sides of face numb and tingly after the surgery?
kathy b
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Feb 12, 2014 @ 12:12 pm
I am 50, female. My first gland removed at age in my 30's I guess. I had both removed the first one in Dec 95 and the second removed in the year 2012 in Sept. The one in 95 healed quite well, however this one in 2012, I'm still having issues with and it's Feb/2014. My dr assures me it's ok but it just doesn't feel right. I'm concerned of the thick "spit", if you will...I have very dry mouth.
Hossen
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Feb 15, 2014 @ 9:09 am
I think your neoplasm was pleomorphic adenoma which has a reputation of recurrence and it happened to you.no need to worry,believe your doctor.good luck.
Judy L.
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Feb 25, 2014 @ 3:15 pm
I had a right Warthins tumor on the parotid gland removed 10 months ago. I have trouble with numbness of the ear and side of my face, it feels like a prostetic ear. I also get alot of pain in the ear and now my throat is sore on that side and feels like I have two small lumbs. Also if I touch my face it shoots electric like feelings down my face and jaw line to my ear. And if i touch my ear like when I am washing it it shoots to my face and down my jawline and neck.Feels like I am being electricuted and is painful. I would think I would be well healed by now. Does anyone else have anything like this?
Joan
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Mar 10, 2014 @ 1:13 pm
I'm having a parotidectomy at the end of this month. How long in the hospital?
Glenda
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Mar 17, 2014 @ 9:21 pm
Joan, hospital is usually 1 night, sometimes 2 nights.

Also, to Judy L., I had a Warthins tumor removed from the parotid gland 11/14/2013 and I still have the same symptoms that you are describing: sort of like pins or electrical like feelings on my jaw and down my neck when I touch the area where my scar is located. My real problem is that I wake up in the mornings with numbness over my face slightly. (both sides of my face) It started happening when I still had the Warthins tumor in the gland. I am hoping it will clear up within a year, but I have read it can take slightly longer than a year sometimes. Also it is rare to have both sides of face get numb, so guess I am a rare case. I am sure yours will clear up over the next few months.
Bruce
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Jul 1, 2014 @ 7:19 pm
About a year ago I found a lump under left ear. It didn't hurt so I basically ignored it. I mentioned it to the Dr. during a visit and was referred to Ent specialist. She did a needle biopsy that came back as Warthins tumor, benign. After searching the internet and seeing how big it could get I decided to have the superficial parotidectomy on left side. Had surgery 5 days ago and it took about 6 hours. Afterwards I had bad nausea and balancing problem. Couldn't walk by myself without falling over. Both symptoms lasted into the night. Next day I still had a problem with balance but is going away mostly. So far the only complications I'm experiencing are moderate pain around left ear area and numbness of bottom half of left ear. Also having a lot of pain in jaw area an inside of my mouth when I eat. Hoping this will go away soon cause it makes it hard to get enough nutrition down before the pain becomes unbearable. Didn't want this converting to cancer so I had the surgery but still not convinced it was the right thing to do.
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Jul 4, 2014 @ 11:23 pm
This site has been very helpful. I recently just had my second parotidectomy on the left side of my neck. Thankfully I had no facial paralysis this time but I'm experiencing a lot of swelling to where my vision is being affected. I don't remember this from my first parotidectomy. Also have a lot of pressure in my left ear, feels like died caked blood. Idk crewing a little concerned, had anybody else experienced this?
Nevie
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Jul 9, 2014 @ 5:17 pm
I am having a biopsy done on my right parotid gland this Friday 7/11/14 and will be having surgery to remove it probably in a months time. I've been doing a lot of research and know approx surgery duration 2 to 5 hrs, hospital stay 1 to 3 days and months for the numbness to go away. What I don't know is how long I will be out of work, when I can drive and resume my normal life. I know it depends on the individual but a round about approximation.
Bruce
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Jul 11, 2014 @ 11:11 am
Update from 10 days ago. Been off work for 2 weeks now. Still feeling quite a bit of pain in left ear. Feels like a bad infection inside ear. Scar is smaller than I thought it would be. Get shooting pain in surgical area every time i bend over. Since I'm a carpenter decided it would be best to wait a few more days before trying to go back to work. Still experiencing pain in my jaw when I eat. Not as bad as it was so it's getting better. Certain foods feel like they go thru the mouth lining and into the back side of the surgical area. Asked dr about it and was told it's not out of what she would expect. Thinks it's the spices creating saliva and it gets the healing area. Told to avoid spicey food for a few days. Go for daily walks to avoid boredom and get my strength back. Oh and bottom half of ear is still numb. Told it may or may not come back. Only time will tell in a few months.
Debra
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Jul 17, 2014 @ 5:17 pm
Hello I just had the parotid gland surgery 2 days ago and I am 46,I went home the same day, took about 3-4 hours. I still have some swelling, mine was behind my left ear but the swelling is now in my left jaw line. I don't really have pain of course I'm on some good meds, however I am anxious for the swelling to go down. Every person is different, obviously this is a common thing just from reading all of the threads, I say the best thing to do once you have it done is to rest good and just to take really good care of yourself and have someone police you to do that.Your health is the greatest asset you have. The scar will get better if you clean it at least 3 times a day with neosporin, cocoa butter & baby shampoo. Be blessed, live well beloveds.
Nametso Chief
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Jul 24, 2014 @ 6:06 am
I am soo scared i am having an appointment in 2 weeks to come.What should i expect?
ny
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Jul 30, 2014 @ 2:02 am
My husband (43 years old )had the parotid gland surgery on 23 Jun 14.
4 days after surgery, he was suffered from saliva leak till now.
Current treatment are having bandage of pressure dressing for 24/7 and having medicine to reduce the saliva flow.
Saliva still leak through from wound even after 5 weeks surgery.
This is very annoyed and we feel worry now.
Hope can get some advice
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Jul 30, 2014 @ 12:12 pm
Hello to all I just recently had my 2nd Parotidectomy on July 1st. My first one was last year July 16th worth some facial paralysis. Thankful this time I have none just some slight pain when I chew. If anyone has any questions or concerns about the surgery please feel free to send me an email. Wishing everyone a speedy recovery!!
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Aug 7, 2014 @ 8:08 am
Hi there I am having a superficial parotidectomy on September 6th, I am very anxious about it but it helps to read all your comments. Many thanks
Sheona
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Aug 9, 2014 @ 6:18 pm
Hi there, I had a superficial parotidectomy on 28/07/14. I had to stay in hospital two nights for my drain to clear but apart from that I found the whole operation alot less frightening than I expected. My scar incision went down my ear and then behind the ear and down neck but has been done in a way that it hardly shows. It is healing very nicely. I have bruising to the jaw and behind the ear and seem to have a hard lump which I think is just swelling, I will await to ask the consultant on my follow up as to what that is. Apart from that I do not have alot of pain but I do have a lopsided mouth which they say it is hoped will go within 6 months. I just feel thankful that the lump has been removed and I feel the operation went well. My droop and swelling at the moment I just feel is expected from the operation that this is. I would say to anyone who is due to have this op not to worry as it is not anywhere as bad as I had anticipated and I feel blessed at how well it has all gone and how quick I am healing. Good Luck to everyone who has had this op or is due to have this op.
Heather
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Aug 10, 2014 @ 1:13 pm
Hi all. My "lump" under the left jawline just appeared one day about 18 months ago. My GP sent me for tests and then a fine needle biopsy was done about a year ago. By the next night the gland was swelling and I was in agony. In emerg antibiotics were prescribed. After two courses of those it subsided back to a plain lump again! Six months later another infection and more antibiotics. So I decided to go for surgery. I have now had a 3cm Warthin Tumor removed five weeks ago. Draining stopped by the next day and there is no facial nerve damage. My scar has healed well. Apart from numbness of ear lobe which is apparently normal, my biggest complaint is inner ear pain and a sensation of deafness. Even though there is no hearing loss the ear feels as if it is "plugged up". Both my GP and the ENT surgeon have had a look in my ear but say it looks normal and clear. As far as eating goes, I try to avoid chewing and sour taste foods as that seems to trigger more ear pain and discomfort under my jaw. I'm hopeful that most or all of this will improve with time, and pray that I don't get another one in future. Good luck to everyone.
Nancy
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Aug 17, 2014 @ 7:07 am
Front lobe of my parotid gland removed Aug 1, 2014. I expect the numbness will subside over time with some permanent residual...expected. What causes me concern is that my left ear and lobe are twice the size as my other ear. Is this permanent?? I have no feeling in the entire left outer ear, which I can live with, but the deformity looks awful.
Amparo Beltran
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Aug 23, 2014 @ 8:20 pm
Well my husband had this surgery 3 days ago, he's very strong and active guy even at his age, 67 , everything was great since the first night of the surgery, not malignant so we only stayed one night in the hospital, he had a keep the drainage for 4 days and something it worried us that numbness ear, but I read that's normal. So who ever going to have this surgery, don't feel panic or worry. I pray for everything going well for my husband and he's great, he has doctor appointment to remove the drainage. He since got out from hospital next day of the surgery he only used pain pills one time. Good luck to people need this surgery and God bless you. My advise ask about doctor history and do it. 😉
Debbie
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Aug 28, 2014 @ 2:14 pm
I'm having a parotidectomy in 3 weeks time. I am probably reading too much on this.
Can anyone tell me how they felt after surgery. How long is recovery.
I am currently having neck spasm but I wonder if this is all stress related as I have no pain in the site area of the tumour.
Which is a pleomorphic adeoma. I have had a FNA and have a MRI booked prior to surgery. It's all such a shock I'm 50 years of age.
Thanks.
chris
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Aug 30, 2014 @ 5:17 pm
had left parotidectomy 18th July 2014. everything went fine, was allowed up to go to toilet with 2 hours of being back on ward.went in 7.00am Monday out 7.00pm Tuesday except for partial numbness by ear i am fine. what i want to know is the swelling and bruising normal and how long will it last. Started taking stitches out on Friday and will return on Monday to have rest removed.i must be one of the luckier people as i felt well after op and since although i get more tired than usual but as im retired that doesn't matter. had bleeding on Wednesday morning 4.00am this was sorted by the district nurse who cleaned and applied butterfly stitch.
had pr-op at new queen Elizabeth hospital, Birmingham and operation at city hospital, Birmingham.all the staff were helpful and kind and nothing was too much trouble for them.

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