Parotid Surgery
Parotid Surgery
Parotid Surgery involves surgical procedures on the parotid gland — the largest of the three pairs of salivary glands, located in front of and below the ear. Parotidectomy (removal of the parotid gland) is performed for benign and malignant parotid tumours, chronic parotid infections, and salivary gland stones. Dr. Vishal Vikas Nair specialises in parotid surgery with a focus on facial nerve preservation and optimal oncological outcomes.
Types of Parotid Surgery
Superficial Parotidectomy
Removal of the superficial lobe of the parotid gland (the portion above the facial nerve). Performed for most benign parotid tumours such as pleomorphic adenoma and Warthin's tumour.
Total Parotidectomy
Removal of both superficial and deep lobes of the parotid gland. Required for deep lobe tumours or malignant parotid tumours.
Radical Parotidectomy
Removal of the entire parotid gland along with the facial nerve, performed for malignant tumours with nerve involvement. Facial nerve reconstruction may be performed simultaneously.
Parotid Duct Surgery
Removal of salivary stones (sialolithiasis) from the parotid duct, or endoscopic sialendoscopy for minimally invasive stone removal.
Indications for Parotid Surgery
- Pleomorphic adenoma (benign mixed tumour)
- Warthin's tumour (cystadenolymphoma)
- Mucoepidermoid carcinoma
- Adenoid cystic carcinoma
- Acinic cell carcinoma
- Parotid lymph node metastasis
- Chronic recurrent parotitis
- Parotid duct stones (sialolithiasis)
- Parotid abscess
Facial Nerve Preservation
The facial nerve runs through the parotid gland and controls all facial movements. Preservation of the facial nerve is the primary surgical goal in parotid surgery. Dr. Vishal Vikas Nair uses intraoperative facial nerve monitoring and meticulous dissection techniques to identify and protect all branches of the facial nerve, minimising the risk of post-operative facial weakness.
Benefits of Expert Parotid Surgery
- Complete removal of parotid tumours with clear margins
- Preservation of facial nerve function
- Cosmetically acceptable incision (pre-auricular approach)
- Prevention of tumour recurrence
- Accurate histological diagnosis and staging
Symptoms Indicating Parotid Surgery
- Painless swelling in front of or below the ear
- Rapidly growing parotid mass
- Facial weakness or paralysis
- Pain in the parotid region
- Trismus (difficulty opening the mouth)
- Recurrent parotid swelling with meals (salivary stone)
- Skin fixation or ulceration over the parotid
Why Choose Dr. Vishal Vikas Nair?
- Specialist in head and neck oncology and salivary gland surgery
- Intraoperative facial nerve monitoring for maximum safety
- Extensive experience with benign and malignant parotid tumours
- Multidisciplinary collaboration with oncology and radiation therapy
- Comprehensive pre-operative imaging (MRI/CT/FNAC) and planning
