Berke Özücer, MD
Baskent University, Istanbul - Turkey Monday-Friday: 0900-1800 Saturday: 0900-1400 +90-216-554-1500

Salivary Gland Tumor, Salivary Gland Cancer: Salivary Gland Surgery

What is the parotid gland? Parotid salivary gland tumors

The parotid gland is the largest of the salivary glands. It is located in front of both ears, just above the chin corner. It divides the parotid salivary gland into two, facial nerve deep and superficial. Parotidectomy, salivary gland tumors in the parotid with salivary gland surgery It is called taking. 

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What is a parotidectomy? What is parotidectomy surgery, salivary gland surgery? What is parotid gland surgery?

Due to salivary gland tumor / salivary gland cancer, a part of the parotid salivary gland was operated with the tumor.parotidectomy'is called. Other name Parotid gland surgery is.

How is parotid gland surgery performed? Doctors performing parotidectomy surgery

Parotidectomy surgery is performed by Otolaryngology and Head and Neck Surgery specialists. The surgery is hidden in front of the ear and behind the ear and is similar to the incision used in 'face lift surgery'. Approximately 3 to 6 months after the operation, it loses its clarity and heals well. After the incision, the skin is lifted and the facial nerve is carefully separated in the salivary gland. Afterwards, the tumor / cancerous tissue is removed with an appropriate surgical technique and bleeding is controlled. The opened skin is carefully sewn under the skin and the skin. Depending on the width of the operation area, a drain that will remain for 24 hours can be placed.

The removed tumor is sent to the pathology department for examination, intact.

What is the difference between salivary gland cancer and salivary gland tumor?

In general, we divide tumors into two. As benign and malignant tumors. In general usage, the word 'tumor' is used more intensively to describe the more benign ones, while it is a habit to use the word 'cancer' for malignant ones. for example pleomorphic adenoma, Whartin, Oncocytoma such as salivary gland tumors have a relatively better prognosis. Acinic cell carcinoma, mucoeidermoid carcinoma and adenoid cystic carcinoma such types are more malignant types.

Salivary gland tumors: What is a pleomorphic adenoma?

The vast majority of salivary gland tumors develop into the anterior salivary glands (parotid). Most of these tumors are benign. Pleomorphic adenoma It is the most common benign type of salivary gland tumors. Its treatment is surgery. It is relatively the type that responds best to surgery. It has a round, smooth surface and its spread to the surrounding tissue is limited. These tumors are recommended to be removed when they are noticed, it is possible that this benign tumor type will turn into malignant when patients postpone the surgery for many years due to the 'risk of facial paralysis'. At the same time, it should be kept in mind that allowing time for the growth of the tumor means increasing the surgical risks.

Salivary gland tumors: What is a Whartin tumor?

 It is a benign tumor seen in the salivary gland. It is one of the salivary gland tumors that smokers are more frequently caught. It should not be forgotten to evaluate the parotid gland of the opposite side before salivary gland surgery due to the possibility of bilateral.

Salivary gland cancer: Mucoepidermoid carcinoma

It is the most common malignant salivary gland cancer. It is divided into low-grade and high-grade. Low-grade painless, slow-growing masses that are not too firm. High-grade mucoepidermoid carcinoma is painful, fast-growing and firm masses. In high-grade salivary gland tumors, extended surgery, neck lymph node cleaning (neck dissection) and postoperative radiotherapy are applied. The facial nerve must also be removed for the cleaning of salivary gland cancer. Facial nerve repairs can be done during surgery.

Salivary gland cancer: Acinic cell carcinoma

Salivary gland cancer: Adenoid cystic carcinoma

What are the symptoms of a salivary gland tumor? How is the decision for salivary gland surgery made?

Symptoms include a diaper under the ear, swelling under the ear, new facial paralysis, and palpable swelling in front of the ear. Medical examination is required. Salivary gland ultrasound and fine needle aspiration biopsy give an idea. Again, MRI is used in diagnosis and before salivary gland surgery. The definitive diagnosis is determined as a result of the pathology after salivary gland surgery.

What are the doctors performing salivary gland surgery, doctors performing parotidectomy surgery, hospitals performing parotidectomy surgery, hospitals performing salivary gland surgery?

Doctors who are doctors of Otorhinolaryngology and Head and Neck Surgery are doctors who perform salivary gland surgery.

Salivary gland surgery price, Parotid gland surgery price, Parotidectomy price

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Salivary gland surgery and risk of facial paralysis

parotid-gland-tumor

The facial nerve passes through the middle of the parotid salivary gland, and within this gland, it first divides into 5 main branches and then into dozens of small branches. Although there are basically 6 types of branching, the branching of the facial nerve is personal and unpredictable. This anatomy and this proximity may cause temporary facial paralysis or permanent facial paralysis after nerve fatigue during surgical maneuvers during salivary gland surgery. This risk exists for patients undergoing salivary gland surgery worldwide.

In rare casesIn addition to these neighborhoods, some salivary gland tumors spread to include the facial nerve, and sometimes it may be necessary to sacrifice the branches of the facial nerve or all of them in order to clean the salivary gland tumor / salivary gland cancer properly. These situations permanent facial paralysis With appropriate techniques during or after surgery, as it will bring with nerve transplants facial nerve repair options are available.

 

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