Parotid Surgery: Everything You Need to Know

When it comes to managing conditions of the salivary glands, especially the parotid gland, surgery often becomes the definitive treatment. Parotid surgery is a delicate procedure that demands precision and expertise, given the proximity of the facial nerve. If you’re looking for the Best Parotid Surgery in Bangalore, understanding the process, risks, recovery, and benefits is crucial for peace of mind and better decision-making.

In this blog, we’ll dive deep into what parotid surgery involves, when it is necessary, and why consulting a highly experienced specialist like Dr. Satish Nair can make all the difference.

What is the Parotid Gland?

The parotid gland is the largest of the salivary glands and is located in front of and just below each ear. Its primary function is to produce saliva, which helps in digestion and oral hygiene. However, like any gland, it can be affected by cysts, infections, or tumors—both benign and malignant.

When these issues arise, surgical removal of part or all of the parotid gland, known as parotidectomy, is often required.

Common Conditions Requiring Parotid Surgery

  1. Benign Tumors
    Most parotid gland tumors are non-cancerous, with pleomorphic adenoma being the most common. These tumors can grow slowly and become noticeable as a painless lump.
  2. Malignant Tumors
    Though less common, malignant tumors like mucoepidermoid carcinoma or acinic cell carcinoma demand prompt surgical intervention followed by possible radiotherapy.
  3. Chronic Infections or Abscesses
    Repeated infections or abscesses in the parotid gland can cause swelling, pain, and fever, leading to the need for surgical drainage or gland removal.
  4. Obstructive Sialadenitis
    When the saliva ducts are blocked by stones or strictures, it causes swelling and pain, especially while eating. If non-invasive methods fail, surgery is considered.

What is Parotid Surgery?

Parotid surgery, also called parotidectomy, involves removing part or all of the parotid gland depending on the extent of disease:

  • Superficial Parotidectomy – Removal of the outer (superficial) part of the gland.
  • Total Parotidectomy – Complete removal of the gland, often required in malignant cases.
  • Extracapsular Dissection – A less invasive option used for small, benign tumors not near the facial nerve.

Each type of surgery carries different levels of complexity and recovery time.

Facial Nerve and Its Importance

The facial nerve, which controls expressions like smiling, frowning, and blinking, passes through the parotid gland. Preserving this nerve is a top priority during surgery. This is where the skill of a specialist like Dr. Satish Nair, a leading Parotid Surgeon in Bangalore, becomes essential.

With vast experience and modern microsurgical techniques, Dr. Nair ensures the best outcomes while minimizing complications.

How is the Surgery Performed?

Here’s what you can expect before, during, and after the procedure:

Pre-Surgical Evaluation
  • Imaging Tests – Ultrasound, CT scans, or MRI to evaluate the size, nature, and location of the tumor.
  • FNAC (Fine Needle Aspiration Cytology) – To assess if the growth is benign or malignant.
  • Blood Tests & Medical Clearance – To ensure you’re fit for surgery.
Surgery
  • Usually done under general anesthesia.
  • A small incision is made near the ear extending into the neck crease for cosmetic reasons.
  • The tumor or affected part of the gland is carefully dissected while preserving the facial nerve.
  • A drainage tube may be placed to prevent fluid buildup.
  • Surgery typically lasts 2 to 4 hours.
Post-Surgery
  • You may be discharged within 1–2 days.
  • Pain, swelling, or slight weakness in facial muscles may occur initially.
  • Recovery takes about 2 to 3 weeks, depending on the extent of surgery.

Risks and Complications

While parotidectomy is generally safe, like all surgeries, it carries some risks:

  • Facial Nerve Injury (temporary or permanent)
  • Frey’s Syndrome (sweating while eating)
  • Salivary Fistula (saliva leakage)
  • Hematoma or Infection
  • Scarring

Choosing an expert like Dr. Satish Nair, known for his precision and post-operative care, significantly reduces these risks.

Recovery and Aftercare Tips
  • Facial exercises as guided by your surgeon can help recover nerve function.
  • Avoid strenuous activities and heavy lifting for 2 weeks.
  • Sleep with your head elevated to reduce swelling.
  • Watch for signs of infection like fever, redness, or unusual drainage.
  • Regular follow-ups are crucial, especially in cases involving cancer.
Why Choose Dr. Satish Nair for Parotid Surgery in Bangalore?
  • Extensive Experience: Dr. Nair brings years of focused experience in parotid and head-neck surgeries.
  • Advanced Techniques: Utilizes nerve-monitoring technology and minimally invasive procedures where applicable.
  • Patient-Centric Approach: Clear communication, personalized treatment plans, and excellent follow-up care.
  • Trusted by Many: Known for delivering some of the Best Parotid Surgery in Bangalore with successful outcomes.

Book an Appointment

Don’t wait if you’re experiencing persistent swelling, pain, or lumps near your ear or jaw. Early diagnosis and expert surgical care can prevent complications.

Contact Dr. Satish Nair Today:
📍 98, HAL Old Airport Rd, Kodihalli, Bengaluru, Karnataka 560017
📧 Email: svastii.sn@gmail.com
📞 Phone: (+91) 8130667567

Frequently Asked Questions (FAQs)

Q1. Is parotid surgery painful?
Most patients experience mild to moderate pain post-surgery which is well managed with medications.

Q2. Will there be a visible scar?
Surgeons often place the incision in a natural crease to reduce visibility. Scar creams can help further fade the scar.

Q3. Can the tumor come back after surgery?
Yes, especially in cases of pleomorphic adenoma if not completely removed. Regular monitoring is essential.

Q4. How soon can I return to work?
Most people resume work within 2–3 weeks unless their job involves heavy physical activity.

Q5. Can facial weakness be permanent?
In most cases, any weakness is temporary. Permanent nerve damage is rare when operated by a skilled Parotid Surgeon in Bangalore.

Conclusion

Parotid surgery, while complex, offers high success rates in resolving benign and malignant parotid conditions. With advancements in surgical techniques and the expertise of specialists like Dr. Satish Nair, patients in Bangalore can expect safe procedures and optimal outcomes. If you or a loved one is facing a parotid gland issue, don’t delay.

 

Published by: ENT hospital in Bangalore , Dr. Satish Nair, Bangalore

Date : 21/07/2025

 

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Don’t let ENT problems hold you back. At Svastii Clinic, we combine expertise, technology, and compassionate care to provide the best solutions for your ear health.

📍 Location: Svastii Clinic, 98, HAL Old Airport Rd, Kodihalli, Bengaluru, Karnataka 560017

📞 Contact: (+91) 8130667567

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Disclaimer: This blog is for informational purposes only and should not be considered medical advice. If you are experiencing symptoms of sinusitis or any other medical condition, please consult a healthcare provider for appropriate diagnosis and treatment.

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Dr. Satish Nair

Professor, Senior Consultant, Academic Head (ENT) ENT and Head & Neck Surgery Apollo Hospitals, Bannerghatta Road Bangalore

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