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What is Parotid Cancer Surgery?

A nasal bone fracture is a break in the nose's bony structure, commonly caused by falls, sports injuries, accidents, or physical assault. Since the nose is the most prominent facial feature, it is prone to fractures. Symptoms include pain, swelling, nosebleeds, breathing difficulties, and nasal deformity. Early diagnosis and proper treatment help prevent complications like chronic nasal obstruction and cosmetic irregularities.

Parotid cancer surgery is a procedure to remove tumors from the parotid gland, the largest salivary gland located in front of the ears. The surgery aims to remove cancerous growths while preserving facial nerve function. Depending on the tumor’s severity, a partial or total parotidectomy may be performed.

Types of Parotid Cancer

✅ Mucoepidermoid Carcinoma – The most common malignant parotid tumor, with varying aggressiveness.
✅ Adenoid Cystic Carcinoma – A slow-growing but invasive cancer that spreads along nerves.
✅ Acinic Cell Carcinoma – A less aggressive tumor with a good prognosis.
✅ Squamous Cell Carcinoma – An aggressive cancer often linked to sun exposure or smoking.
✅ Benign Parotid Tumors (Pleomorphic Adenoma, Warthin’s Tumor) – Non-cancerous growths that may require surgery if they enlarge.

Symptoms of Parotid Cancer

🔵 Swelling or Lump in the Cheek or Jaw – A firm or painless growth near the ear.
🔵 Facial Weakness or Numbness – Tumor pressing on facial nerves can cause drooping or loss of movement.
🔵 Difficulty Swallowing – Larger tumors may obstruct the throat or affect salivary flow.
🔵 Persistent Pain – A dull ache or sharp pain in the jaw, ear, or face.
🔵 Ear Fullness or Hearing Changes – Pressure from the tumor affecting ear function.

Causes of Parotid Cancer

✅ Genetic Mutations – DNA changes that trigger abnormal cell growth.
✅ Radiation Exposure – Prior head or neck radiation therapy increases risk.
✅ Viral Infections – Certain viruses like EBV (Epstein-Barr virus) may be linked to salivary gland cancers.
✅ Smoking and Alcohol Use – Long-term tobacco or alcohol consumption can contribute to malignancy.
✅ Prolonged Sun Exposure – Increases the risk of squamous cell carcinoma in the salivary glands.
✅ Workplace Chemical Exposure – Occupational hazards such as pesticides, asbestos, and industrial solvents may contribute.

Stages of Parotid Cancer

🔵 Stage 1 – Small tumor (<2 cm) confined to the parotid gland.
🔵 Stage 2 – Tumor grows between 2-4 cm but does not spread.
🔵 Stage 3 – Cancer spreads to nearby tissues or lymph nodes.
🔵 Stage 4 – Advanced stage where cancer spreads to distant organs like lungs or bones.

Diagnosis of Parotid Cancer

✅ Physical Examination – Checking for lumps, facial weakness, or swelling.
✅ Ultrasound or MRI Scan – Imaging to assess tumor size and location.
✅ Fine Needle Aspiration Biopsy (FNAB) – A sample is taken to confirm malignancy.
✅ CT Scan or PET Scan – Used for staging and detecting cancer spread.

Treatment for Parotid Cancer

Surgery (Parotidectomy)


🔵 Partial Parotidectomy – Removes only the affected part of the gland.
🔵 Total Parotidectomy – Removes the entire gland if the cancer is widespread.
🔵 Facial Nerve Preservation or Reconstruction – If the tumor affects the facial nerve, nerve grafting or muscle transfers may be done.

Radiation Therapy


🔵 Used after surgery for high-grade or advanced tumors.
🔵 Intensity-Modulated Radiation Therapy (IMRT) helps target cancer cells while protecting healthy tissues.

Chemotherapy


🔵 Used for advanced-stage or metastatic cancer.
🔵 Drugs like cisplatin, doxorubicin, or carboplatin help shrink tumors.

Targeted Therapy


🔵 Precision medicine that attacks specific cancer cells without affecting normal cells.
🔵 Effective for certain genetic mutations found in parotid cancers

Facial Rehabilitation & Post-Surgical Care


🔵 Physical therapy helps regain movement if the facial nerve is affected.
🔵 Speech therapy may be needed if swallowing or speech is impacted.
🔵 Reconstructive surgery can restore cosmetic appearance and function if needed.

Conclusion

Parotid cancer surgery is a critical procedure to remove salivary gland tumors while preserving function and aesthetics. Early detection and treatment ensure better outcomes and improved quality of life. If you notice a persistent lump, swelling, or facial weakness, consult a specialist immediately.

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