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Types of Incision in Parotid Surgery Performed at Svastii

Conventional Parotidectomy

Post Aural Rhytidectomy
(Dashes denote hidden incision)

Minimally Invasive Parotidectomy

Dr. Nair's Mini Incision Parotid Surgery

Mini Incision Parotid Surgeries at Svastii

(Prof) Dr. Satish Nair has mastered in the field of Head and Neck surgery andis keen on devising new approaches and techniques that are minimally invasive and can improve the quality of life of patients in addition to curing the disease. Parotidectomy is one of the common Head and Neck surgeries. Very few surgeons in the world perform minimally invasive parotidectomy but their incisions are either longer or not hidden. At SVASTII, we perform mini-incision parotidectomy via 2.5-3cm incision placed behind the ear lobe which leaves a hidden scar behind the ear. (Prof) Dr. Satish Nair is the only surgeon in the world who performs mini-incision parotidectomy. He has performed over 100 mini-incision parotidectomy over the past five years with excellent results. Patients from all over the country as well as international patients visit Svastii for mini-incision parotid surgery. Most of our patients are young actors / models or belong to the profession that mandates a hidden scar. Svastii has become a Center for Minimally Invasive Head and Neck Surgeries.

When does a patient need Mini Incision Parotid Surgery?

Parotid Surgery in Bangalore

Mini-incision parotidectomy can be performed for all the parotid neoplasms that warrant surgery.

  • Pleomorphic adenoma, within’s a tumor, and other benign tumors of the parotid
  • Muco-epidermoid cancer, adenoid cystic cancer, and other types of parotid cancers
  • Cysts of the parotid gland
  • Lymphoma and other causes leading to intra-parotid lymph node enlargement/lesion

Looking for parotid Surgery in Bangalore? Book your appointment today.

What are the benefits of Mini Incision Parotid Surgery over traditional incision?

  • No visible scar and better cosmesis
  • Early mobilization
  • Lesser hospital stay
  • Minimal post-operative pain
  • Early return to daily activities hence improving the quality of life of the patients.
  • Equitable success rate but with improved cosmetic and quality of life outcomes as compared to conventional technique

Success Stories At Svastii

(Prof) Dr. Satish Nair has successfully performed over 100 mini-incision parotidectomy in 5 years with excellent surgical and patient related outcomes. (Prof) Dr. Satish Nair has devised a new minimally invasive parotidectomy approach where the 2.5-3cm incision is placed in the retro-auricular groove behind the ear lobe that leaves a hidden scar. (Prof) Dr. Satish Nair has also devised a C-M-S technique to identify the facial nerve location during parotidectomy and the same has been published in the esteemed journal of IJOHNS. Most of our patients are young models and are in profession that requires scarless physique. (Prof) Dr. Satish Nair conducts hands-on workshops and mentors young aspirants who wish to become successful Head and Neck surgeons. We also have various ongoing and published studies regarding the feasibility and quality of life outcomes of Mini Incision Parotidectomy. Shah, A.S., Nair, S., Pavithra, V. , Aishwarya, J.G., Brijith, K. V. R., Thakur, D. Anatomical and Surgical Study to Evaluate the Accuracy of "C-M-S" Technique in Facial Nerve Identification During Parotid Surgery. Indian J Otolaryngology Head Neck Surgery 73, 188–192 (2021). https://doi.org/10.1007/s12070-020-02329-3 Nair, S., Aishwarya, J.G., Aditya Jain, Pavithra, V. , Sneha Mohan Mini-Incision Parotidectomy - Our Technique Indian J Otolaryngology Head Neck Surgery 73, 188–192 (2021). https://link.springer.com/article/10.1007/s12070-021-02882-5

Testimonials

Publications

Frequently Asked Questions

  • After waking up from the surgery you might feel a little drowsy until the anesthesia wears off.
  • There will be sutures present in the post-aural area. Some amount of soreness can be expected for few hours.
  • There will be a drain tube placed near the incision site. This tube is to drain the collection of any fluid or blood in the surgical area.
  • There will not be any dressing. Your head and neck would be free from any bandage or dressing.
  • You will be asked to sleep straight or towards the opposite side with surgical side facing up for few days.
  • You will be able to get up and walk around in about 4-5 hours after surgery and can eat normal food after 4 hours of surgery.
  • You will be discharged on next day with the drain in place.
  • The Drain tube will be removed on the second post-operative day.
  • Antibiotics and analgesics (pain killers) will be given in the form of injectable till you get discharged.
  • You will be discharged on oral antibiotics, analgesics for 5 days. You will have to apply an antibiotic ointment where sutures are present for about 7-10 days.
  • You will experience some soreness and slight pain in the operated site for 2-3 days. It is expected after surgery.
  • Few blood drops are expected for about 3-4 days.
  • Clear the suture site with antiseptic solution and apply antibiotic ointment for 1 week.
  • Keep the suture site dry.
  • You can take bath from next day. After bathing, dry the area and apply ointment.
  • You can perform all your routine activities after 2 days from surgery.
  • No smoking / drinking.
  • Call us at any time if you have any other concerns.
  • You will be asked to visit us on the second day after surgery to remove the drain tube and the next visit after 2 weeks from the date of surgery for follow up during which we will remove the sutures.
  • Usually only two visits after surgery is required. Call us immediately in case of any other concerns.
  • The routine incision for parotidectomy starts from in front of ear lobe, extends behind the ear lobule and extends down to neck for about 8-10cm.
  • This incision gives unsightly scar on the face and neck after surgery.
  • Mini-incision parotidectomy confers an incision of 3-4cm behind the ear lobe in the post-aural crease which is very small and hidden as compared to the routine incision.
  • The extent of removal of lesion is the same but through a key hole (similar to laparoscopic surgery compared to open abdominal surgery).
  • The advantages of Dr Nair’s incision are less post-operative pain, small hidden scar, no post-operative dressing, minimal tissue dissection, limited blood loss, faster recovery, early return to daily routine.
  • The nerve that supplies the muscles of face (facial nerve) traverse through the parotid gland dividing the gland into superficial and deep lobe.
  • The literature states 2-5% of chance for developing permanent facial palsy.
  • Usually when the tumor is adherent to the nerve, handling of the nerve can lead to temporary facial weakness which will improve within 6 weeks.
  • If the lesion is malignant (cancer) and involving the nerve or in certain type of cancers which spreads through the nerve (adenoid cystic carcinoma) the facial nerve has to be sacrificed.
  • But in these cases facial nerve reconstruction is performed during the surgery itself.
  • With Dr Satish Nair’s experience and surgical expertise, there is 0% chance of nerve injury. At SVASTII, none of our patients had any permanent facial weakness after surgery.
  • First thing is not to panic if you experience temporary facial palsy.
  • It is temporary and will be completely cured within 6 weeks after surgery if in case it happens.
  • We will teach you facial nerve exercises and some medications which will helps in faster recovery.
  • At SVASTII, we never had patients with permanent facial palsy.
  • There are four main types of parotid cancer vizmuco-epidermoid, adenoid cystic, adenocarcinoma and carcinoma ex-pleomorphic adenoma.
  • The primary therapy for parotid cancer is the surgery. Total parotidectomy (removal of both superficial and deep lobes) with neck dissection with or without preservation of facial nerve (nerve sacrificed in case of gross nerve involvement and in adenoid cystic cancer).
  • The adjuvant treatment (radiotherapy) is advocated only in advanced stages (Stage III/IV).
  • Seroma is the collection of clear fluid in the operative site.
  • In case of superficial parotidectomy where only the superficial lobe of parotid gland along with the lesion is removed, the remaining deep lobe is left behind.
  • This can rarely lead to collection of fluid at the incision site.
  • There are 2-5% chance of developing seroma after superficial parotidectomy.
  • It is temporary and resolves completely within 10-14 days.
  • Intermittent aspiration of the fluid (2-3times) and pressure dressing might be required.
  • Oral anti-inflammatory medications will be prescribed for about 3-5 days.
  • Frey’s syndrome is also called as gustatory sweating.
  • It is a rare sequelae of parotidectomy (1-2%chance).
  • During the healing process after parotidectomy, cross-connections between the nerve for parotid gland and the skin can occur. This leads to sweating around the parotid region during eating.
  • Dr Nair does a flap reconstruction with a muscle placed over the gland during the surgical procedure itself which will prevent this condition.
  • Due to Dr Nair's expertise we have never had any patient with Frey’s syndrome.

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Svastiipedia

Svastiipedia: Dr. Satish Nair, Apollo Hospitals Bangalore On Mini Incision Parotid Surgery

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