Superficial Parotidectomy

Table of Contents

Superficial Parotidectomy Introduction

A superficial parotidectomy is a surgical procedure to remove the superficial (outer) part of the parotid gland, which is a major salivary gland located in front of and just below the ear.

This procedure is most commonly performed to remove a lump or tumour within the gland. Most parotid lumps are benign (non-cancerous), but surgery is recommended to confirm the diagnosis and prevent future complications.

The operation is performed by Dr Phillips under general anaesthetic and usually requires a 1–2 night hospital stay.

Reasons for surgery

Dr Phillips may recommend a superficial parotidectomy for:

  • Benign tumours, such as pleomorphic adenoma or Warthin’s tumour
  • Suspicious or malignant tumours
  • Recurrent or painful cysts
  • Chronic infection or inflammation of the gland (less common)

Even if the lump is benign, surgery may be necessary because:

  • Some tumours can continue to grow or become more difficult to remove
  • A small percentage may turn cancerous over time
  • Larger lumps may become uncomfortable or affect facial appearance

Benefits of the procedure

  • Removal of abnormal tissue and prevention of future growth
  • Accurate diagnosis through testing of the removed tissue
  • Improved comfort and appearance
  • Reduced risk of the lump becoming problematic or malignant

Risks & complications

Superficial parotidectomy is generally a safe procedure, but all surgeries carry some risks. Dr Phillips will discuss these with you in detail before your operation:

  • Temporary or permanent weakness of facial movement – due to the close relationship of the facial nerve, which is carefully preserved during surgery
  • Numbness around the ear or cheek – common and usually improves over time
  • Salivary collection (seroma) or fluid leak
  • Infection or bleeding
  • Recurrence (very rare)
  • Frey’s Syndrome – sweating or flushing in the cheek when eating (may occur months later)
  • Scarring – typically well-hidden in a natural skin crease near the ear and fades over time

Dr Phillips will take every precaution to reduce your risk of complications and ensure a smooth recovery.

Alternative treatments

In certain cases, especially when the lump is small and non-growing, it may be reasonable to:

  • Monitor with regular imaging (ultrasound or MRI)
  • Perform a needle biopsy (FNA) to help guide management
  • Use antibiotics or drainage if infection is present

However, surgery is the only way to definitively remove the lump and obtain a complete diagnosis.

Pre-operative instructions

Fasting

You will need to stop eating and drinking for a period before your surgery (usually 6 hours for food and 2 hours for clear fluids). The hospital or anaesthetist will provide exact instructions.

Medications

Please inform Dr Phillips of any medications you are taking, especially blood thinners and supplements, as they may need to be adjusted before the procedure.

Illness

If you are feeling unwell (e.g. fever, cough, or cold) before surgery, contact the clinic. The procedure may need to be postponed.

Procedure details

  • The operation is performed under general anaesthetic and usually takes 2–3 hours.
  • A curved incision is made near the ear and neck, hidden in a skin crease (similar to a facelift).
  • The facial nerve is carefully located and preserved.
  • The superficial part of the gland, along with the lump, is removed.
  • Bleeding is controlled with electrocautery
  • A small drain is usually placed to collect fluid and removed on discharge
  • Most patients stay in hospital for 1–2 nights.

Post-operative care & recovery

Pain

  • Pain is usually mild to moderate.
  • Regular paracetamol and/or ibuprofen is usually sufficient.

Swelling

  • Some swelling or bruising around the cheek and neck is common and should settle in 1–2 weeks.
  • Sleep with your head slightly elevated to reduce swelling.

Scar

  • The scar is placed in a natural crease and typically fades well.
  • Stitches may be dissolvable or removed 5–7 days after surgery.

Activity

  • Light activity is fine after a few days, but avoid strenuous activity or heavy lifting for 2 weeks.
  • Most patients return to work within 1–2 weeks, depending on the nature of their job.

Numbness

  • Temporary numbness around the ear or cheek is common and may take several weeks or months to resolve.

What to watch for

Contact Dr Phillips’ clinic or seek medical attention if you experience:

  • Increasing pain, swelling, redness or discharge from the wound
  • Fever above 38.5°C
  • New or worsening facial weakness
  • Large swelling or fluid build-up
  • Persistent or increasing discomfort

Follow-up instructions

A review appointment with Dr Phillips will usually be arranged 1–2 weeks after surgery to check the wound and discuss the pathology results. Further follow-up may be arranged depending on the final diagnosis.

Frequently asked questions (FAQ)

  • Will I have facial weakness?

    Temporary weakness can occur due to the facial nerve being gently moved during surgery. Permanent weakness is uncommon, especially when performed by Dr Phillips.

  • Will there be a visible scar?

    The incision is designed to be hidden in natural skin creases and generally fades very well over time.

  • What is Frey’s Syndrome?

    This is a harmless condition where the cheek sweats during eating. It occurs in some patients months after surgery and can be treated if it becomes bothersome.

  • Will the lump come back?

    Most benign tumours are fully removed and do not recur. Dr Phillips will ensure the best possible surgical outcome to minimise this risk.

Book a consultation

If you’d like to discuss this procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.