Table of Contents
What are the risks of parotidectomy?
Potential complications of parotidectomy include facial nerve injury, Frey syndrome, salivary leakage, ear numbness, facial asymmetry, flap necrosis, and tumor recurrence.
What are the possible complications of the surgical removal of a parotid salivary gland?
The complications of parotid surgery are facial nerve damaging, bleeding, hematoma, seroma, sialocele, saliva fistula, infection, keloid formation, and Frey syndrome [10].
What happens after parotid gland surgery?
You may not be able to fully close your eye on your affected side. You’ll get ointment and eye drops to protect your eye. If you had parotid gland surgery, you may have some numbness of the earlobe on your affected side. This may be permanent.
Is parotid gland surgery risky?
Several complications have been reported in parotid surgery. We re-classified the complications of parotidectomy in intra-operative and post-operative (early and late). The commonest complications after parotidectomy are temporary or permanent facial palsy and Frey’s syndrome.
What is a parotid Sialocele?
Parotid duct sialocele is a salivary cavity arising at the expense of parotid duct. Facial trauma is the most common cause of this rare condition. If left untreated, a sialocele may develop into a significantly large facial swelling. Fistula formation may occur, often draining extraorally.
What causes sialocele?
A sialocele is a localized, subcutaneous cavity containing saliva. It is caused by trauma (e.g. violence, accident or surgery) or infection. They most commonly develop about 8–14 days after injury.
How do you treat sialocele?
The only definitive treatment for a sialocele is the surgical removal of the affected salivary glands. Aspiration (removal of fluid with a needle) to drain the sialocele can resolve the problem temporarily. However, the sialocele frequently recurs and repeated drainage leads to an increased risk of infection.
How is Frey syndrome diagnosed?
A diagnosis of Frey syndrome is made based upon identification of characteristic symptoms, a detailed patient history, a thorough clinical evaluation and a specialized test called the minor iodine-starch test. During this test, an iodine solution is applied to the affected areas of the face.
What is a parotid sialocele?
What is a sialocele?
A sialocele is a subcutaneous cavity containing saliva, most often caused by facial trauma or iatrogenic complications. In subcondylar fractures, most surgeons are conscious of facial nerve injury; however, they usually pay little attention to the parotid duct injury.
Which nerve is involved in Frey syndrome?
In Frey syndrome, researchers believe that the parasympathetic and sympathetic nerves near the parotid glands are cut, especially tiny branches originating from the auriculotemporal nerve. The auriculotemporal nerve supplies nerves (innervates) to certain structures in the face including the parotid glands.