Parotid and Salivary Gland Surgery in Agra

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Neck and Facial Surgery

Parotid & Salivary Gland Surgeries: Expertise in Complex Head & Neck Anatomy

The salivary glands—primarily the **parotid** (near the ear) and the **submandibular** (under the jaw)—are crucial for saliva production. Conditions affecting these glands often require precise surgical intervention. Surgery in this area, especially the parotid gland, is exceptionally delicate due to its close relationship with the **Facial Nerve**, which controls all muscles of facial expression.

Dr. Divya S. Gupta possesses the necessary specialized training in Head and Neck Surgery to perform these complex procedures, prioritizing **complete tumor removal** while meticulously **preserving the facial nerve function**. This expertise minimizes the risk of facial weakness and maximizes cosmetic outcomes.

Book a Consultation for Salivary Gland Issues

Indications for Salivary Gland Surgery

Surgical intervention is required for both benign and malignant issues:

Tumors and Cysts

**Parotid Tumors:** Most are benign (e.g., Pleomorphic Adenoma, Warthin's Tumor), but require surgical removal (Parotidectomy).
**Malignant Tumors:** Salivary gland cancers (rare but serious) requiring extensive removal and often neck dissection.

Infections and Blockages

**Sialolithiasis (Salivary Stones):** Stones blocking the duct, often requiring submandibular gland excision or duct exploration.
**Chronic Sialadenitis:** Recurrent or chronic infection of the gland not responsive to antibiotics.

Advanced Surgical Techniques

Parotidectomy (Superficial/Total)

This is the removal of part or all of the parotid gland. The surgery is defined by the location of the **Facial Nerve** (CN VII), which runs directly through the gland. A **Superficial Parotidectomy** removes the tissue superficial (outside) of the nerve, while a **Total Parotidectomy** removes the deep and superficial lobes.

Facial Nerve Monitoring

To prevent facial paralysis, Dr. Gupta uses **Intraoperative Nerve Monitoring (IONM)**. Electrodes are placed in the facial muscles (eye, mouth) and connected to a machine that provides continuous feedback when the nerve is stimulated, ensuring the surgeon can meticulously dissect and preserve its function.

Submandibular Gland Excision

The submandibular gland is removed to treat chronic infections, stones, or tumors in this gland. Since the Facial Nerve is not embedded in this gland, the procedure is often less complex, but care is taken to protect the marginal mandibular branch of the nerve, which controls the lower lip.

Commitment to Function and Appearance

Complete Disease Control

Thorough removal of tumors or infected tissue for a definitive cure.

Maximized Nerve Preservation

Highest priority is given to protecting the facial nerve to ensure normal movement and expression.

Minimized Scarring

Incisions are carefully planned (e.g., modified facelift incision for parotidectomy) to hide the scar effectively.

Recovery after Salivary Gland Surgery

**Hospital Stay:** Typically 1 to 2 days, depending on the complexity of the procedure.
**Drainage Tube:** A temporary drain is often placed to collect fluid and is usually removed before discharge.
**Facial Weakness:** While temporary weakness can occur, with IONM, permanent paralysis is rare. Physiotherapy may be used if needed.
**Frey's Syndrome:** A potential long-term complication (sweating on the cheek while eating) is discussed and managed if it occurs.

For safe and effective treatment of salivary gland conditions, specialized Head & Neck surgical expertise is paramount.

Consult for Parotid or Salivary Gland Issues

Parotid & Salivary Gland Surgeries