Salivary Gland Tumor Removal (Parotidectomy)

Parotidectomy is the surgical removal of the parotid gland — the largest salivary gland located in front of and below the ear — when it contains a tumor (benign or malignant). Dr. Antony Raj James has specialized training in head and neck oncology and extensive experience in salivary gland surgery, including parotidectomy.

What is Parotidectomy?

The parotid gland sits on either side of the face, below and in front of the ear. The facial nerve (which controls facial movement) runs through the parotid gland, making surgery in this region technically demanding. Parotidectomy types include:

• Superficial Parotidectomy – Removal of the superficial lobe of the parotid gland (the portion above the facial nerve). Performed for benign tumors confined to the superficial lobe.
• Total Parotidectomy – Removal of both the superficial and deep lobes of the parotid gland, preserving the facial nerve where oncologically appropriate. Performed for malignant tumors or large benign tumors.
• Extended Parotidectomy – Includes removal of adjacent tissues or, in selected cases, sacrifice of involved facial nerve branches when required for cancer clearance.

When is Parotidectomy Recommended?

Surgery is recommended for parotid gland tumors that are symptomatic, growing, suspected to be malignant, or confirmed as malignant on biopsy or cytology. The extent of surgery is guided by the size, location, and nature of the tumor.

Facial Nerve Preservation

Preservation of the facial nerve is a critical priority in parotid surgery. Dr. James performs meticulous facial nerve dissection to identify and protect all branches of the nerve during parotidectomy, minimizing the risk of post-operative facial weakness.

Neck Dissection for Malignant Parotid Tumors

Malignant parotid tumors may spread to regional lymph nodes. Neck dissection is performed when nodal involvement is indicated by clinical or radiological assessment. Dr. James has extensive experience with selective and comprehensive neck dissections at all nodal levels.

Multidisciplinary Cancer Care

Malignant parotid tumors are managed through multidisciplinary tumour-board discussions. Post-operative radiation therapy may be recommended for high-grade or locally advanced parotid malignancies. Dr. James participates in tumour-board discussions to coordinate surgical and adjuvant treatment planning.

Why Choose Dr. Antony Raj James?

• Specialized Head & Neck Oncology Training – MCh in Head & Neck Oncology from Tata Memorial Hospital/ACTREC, Mumbai.
• Salivary Gland Surgery Expertise – Experience in superficial, total, and extended parotidectomy.
• Facial Nerve Preservation – Meticulous facial nerve dissection technique.
• Multidisciplinary Approach – Complex cases evaluated through coordinated tumour-board discussions.