All herbal medicines, vitamins and dietary/nutritional supplements need to be stopped 2 weeks prior to surgery by weaning over 3 days. It allows them to find the facial nerve during the surgery. Benign (noncancerous) growths of the salivary glands are more common. You should avoid heavy lifting and straining, and follow your doctors instructions, including keeping the wound clean and dry. The radiation can kill any cancer cells that remain. With cancer, where you get treated first matters. Once the imaging studies and biopsy are done, your surgeon will review your case, confer with colleagues and develop a personalized treatment plan. You may need a parotidectomy to remove a growth. Those that are deep in the parapharyngeal space can require a special approach.. Learn more about parotid tumor research being done in the Mayo Clinic Department of Otolaryngology Head and Neck Surgery. Meet Memorial Sloan Ketterings renowned team of salivary gland tumor doctors, surgeons and other experts who specialize in diagnosing, treating and caring for patients with salivary gland cancer. Most parotid tumors aren't cancerous. Examples: aspirin, ibuprofen, or aspirin based products, NSAIDS (non-steroid anti-inflammatory drugs), vitamin E and supplements, garlic extract, alcohol (including wine and beer), herbal products, fish oil and fish. "@context": "http://schema.org", Avoid orange or tomato juice and other acidic foods that can sting the throat. Dongpeng Debao Commercial Center. The surgeon makes an incision (cut) in the skin to reach the parotid gland. Sometimes a sample of tumor tissue is tested during surgery to see if it's cancer. In these situations, chemotherapy might be done at the same time as radiation therapy. There are many other salivary glands in the lips, cheeks, mouth and throat. The most common type of biopsy used for parotid masses is afine needle aspiration biopsy. No. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. While, it is possible to fly home sooner after the surgery, we strongly encourage our patients to attend all 3 post-op appointments at the CENTER for Advanced Parotid & Facial Nerve Surgery. Ask your doctor when you can drive again. This includes over the counter, non-prescription drugs. It may be done when the tumor is being removed or even years after treatment in some cases. Methods A retrospective review of individuals who underwent superficial parotidectomy Most tumors are benign (noncancerous), but they can be cancerous (malignant). Flint PW, et al., eds. But it can take as long as a year. Yes. Try to avoid constipation and straining with bowel movements. However, there is a chance that the nerve may be affected by the tumor or surgery. There are two types of parotidectomy, depending on which lobe contains the tumor: You may need a parotidectomy if a tumor has formed in your parotid gland. Read and comment below ! Results from a needle biopsy aren't always correct. Salivary gland canceris very rare, butresearchsuggests that the longer a pleomorphic adenoma in the parotid gland remains in place, the higher the chance of it becoming cancerous. Sometimes patients notice a fullness or swelling of the cheek or an asymmetry in the mouth. We are vaccinating all eligible patients. Last updated on Dec 2, 2022. See additional information. Youll be positioned on a table and given anesthesia through an IV so youre asleep during surgery. They will do the first dressing change and show you how to take care of the incision and apply the Velcro strap to apply pressure on the surgery area to help minimize swelling. You might consider asking: Radiation therapy uses powerful energy beams to kill cancer cells. MSKs parotid gland surgeons, including Ian Ganly, have extensive experience in using precise techniques that help preserve the facial nerve. 109. The swelling in the area of surgery will increase the first several days. Medscape. The goal of this procedure is to remove lymph nodes shown to contain, or that are likely to contain, cancer and to reduce the chance that the cancer may return in the future. Surgeons often define recovery as the time frame in which a patient is no longer at risk for infection, which is generally the 7 to 10 day time frame. This could be with radiation therapy and chemotherapy. "addressLocality": "Beverly Hills", BC+ should dry right away and within a few minutes form a slick surface over your scar. Your wound feels warm to the touch, swollen and painful. A total parotidectomy takes 3 hours. This is common. If you must take something for relief of headache, menstrual cramps, backache, etc., please take TYLENOL (as directed) for the 2 weeks before and 2 weeks after your surgery. Fluid collection at the surgery site (seroma or sialocele). This content does not have an English version. However, keep in mind that every patient heals differently, so these are merely general guidelines. |Contact Us. 2006-2023 Healthwise, Incorporated. He or she will also give you instructions about taking any new medicines. This information helps your health care team understand your prognosis and which treatments are best for you. WebParotid Tumor Treatment: Parotidectomy. When this happens, you might experience weakness of your face, or a part of it, on one side. Here are some soft food suggestions: mashed potatoes, warm soups, cooked/boiled vegetables, canned fruit, oatmeal, cream of wheat, baby food, yogurt, bananas, apple sauce, JELLO, pudding, fruit smoothies. Youll likely need to stay in the hospital overnight. Salivary glands make saliva to help with chewing and digesting food. health & living health center/how long does it take to recover from a parotidect article. (2018, October 8.) Patients should be familiar with the difference between normal side effects, and side effects that may require medical attention. Dr. Larian prefers to directly stay in touch with his patients, and you will always have access to him. gtag('config', 'G-TKJH47SHKM'); WebA typical parotidectomy takes 2 hours. The parotid glands are the most common place that salivary gland tumors happen. Operations used to remove parotid tumors include: To get to the parotid gland, surgeons make a cut in the skin near the ear. Azizzadeh for any laser or chemical treatments post-surgery. "url": "https://www.parotidsurgerymd.com/", Team up with Parotid Patient Projectand see what a huge difference a little bit of your time can make.Take action. Parotidectomy is typically performed with the patient under general anesthesia. Avoid strenuous physical activity and lifting heavy objects for 3 weeks after surgery or until your doctor says it is okay. Loss of facial nerve function can result in partial or total, Ear numbness (numbness lessens over time in some patients), Facial asymmetry (related to the amount of gland removed and the thinness of the patient). How will you manage this? All Rights ReservedDesign & Development by Studio III. Sometimes the tumors are cancers. No laser or chemical peel treatments 4 weeks prior to surgery, and receive clearance from Dr. Larian/Dr. Your provider will remove all or part of the gland. It's also a good idea to know your test results and keep a list of the medicines you take. The content in this section was drafted in consultation with Eric J. Moore, M.D., of the Mayo Clinic in Rochester, MN. Your face is feeling increasingly numb or weak. Antibiotic ointment (Neosporin, Polysporin, Bacitarcin) purchased over the counter, should be put on the incision twice a day for the first 10 days, followed by vitamin E ointment or bioCorneum for the next 2 months. Our scientists pursue every aspect of cancer researchfrom exploring the biology of genes and cells, to developing immune-based treatments, uncovering the causes of metastasis, and more. window.dataLayer = window.dataLayer || []; This companion should remain with you for 24 hours following surgery. In addition to facial nerve injury, possible complications include: For a parotidectomy alone with no complications, you will likely go home the day of surgery. If you have a tendency to form hypertrophic or keloid scars, you may want to use it for 6 months to a year. The timing for follow-up care varies from person to person, but in general, expect the following timeline: A parotidectomy can treat cancerous tumors and prevent cancer from spreading. Monday to Friday, 8 a.m. to 6 p.m. (Eastern time), Monday to Friday, 9 a.m. to 5 p.m. (Eastern time). Treatment usually involves surgery to remove the tumor completely. Eisele says that tumor surgery on one parotid gland is not likely to affect a persons saliva level since there are so many other salivary glands that can compensate. Parotidectomy is surgery to remove all or part of a major salivary gland in your cheek called your parotid gland. Huanhua Road This is a reliable way to help your head and neck surgeon determine characteristics of the tumor. The major salivary glands are the submandibular (below the jaw), the sublingual (under the tongue) and the parotid glands, which are located by the angle of your jaw in front of the ear. Your surgeon will also remove a rim of healthy tissue around the tumor if it is possible to do so without causing damage to the facial nerve. Recovery typically takes one to two weeks after the operation. Liwan District, Guangzhou,Guangdong (P.R.China) Fill and pick up all post-op prescriptions. You may have a drain near your incision. Other symptoms include problems swallowing or a loss of facial movement. At Parotid Patient Project, we believe that time frame is unrealistic and is a result of a disconnect between a surgeons definition of recovery versus a patients definition of recovery. Ask your provider about how much recovery time you should allow yourself. A minimally invasive procedure pioneered by Dr. Babak Larian, micro-parotidectomy is a revolutionary way to treat parotid tumors through the full or partial removal of the parotid gland. The period of recovery from parotidectomy varies with each Each makes saliva to help with chewing, swallowing and digesting food. Another step in evaluating the mass is taking a sample of tissue from it abiopsy which can be examined under a microscope by a pathologist. |Profile Do not dye your hair for 4 weeks following surgery. "ratingValue": "4.6", First, you will undergo imaging studies, or scans. An important nerve called the facial nerve runs through each parotid gland, dividing it into two lobes: the superficial lobe and the deep lobe. Typically patients are back to normal and feeling well after 4-5 days. function gtag(){dataLayer.push(arguments);} This procedure is known as facial reanimation. NO diet foods. Head and neck cancers. The incision is made where it is less likely to leave a noticeable scar: either in a crease of the neck or hidden along the earlobe and hairline, similar to the approach used in a face-lift. Most people have to make adjustments to their daily routines after surgery. The surgical dressing wrap will be removed by your doctor at your first post-op appointment. After the surgery is completed, the surgeon will check for the functioning of the facial nerve. Risk factors include older age, radiation therapy treatment to head or neck, and being exposed to certain substances at work. By transferring or transplanting muscles and nerves from other parts of the body or rewiring nerves, our surgeons can restore movement within months. "telephone": "(310) 461-0300", Start small and light, then slowly increase as tolerated. Muscle movement often gets better over time. 'phone_conversion_number': '(310) 461-0300' function gtag(){dataLayer.push(arguments);} Your healthcare provider will supply you with the necessary resources to prepare for a parotidectomy. Your parotid glands are major salivary glands. WebParotidectomy is the surgery to remove the parotid gland. Smaller Scar. Your pain isnt manageable with medicine. Tests and procedures used to diagnose a parotid tumor may include: Collecting a sample of tissue for testing. Retrieved by https://youtu.be/HK_9SJgHwfQ. Imaging allows your surgeon to better visualize the extent of the tumor. Washing your hair is possible after the third day of your parotidectomy recovery time, and if prescribed antibiotics, continue taking them until you complete the series. This helps the surgeon decide how much of the parotid gland to remove. This surgery, which removes the parotid gland, helps people with nerve issues, tumors, and other gland problems. Treatment depends upon the stage of the cancer and usually involves surgery, radiation therapy, chemotherapy, or radiosensitizers. You may have a dry mouth, trouble chewing, or you may sweat when you eat. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585209/), Visitation, mask requirements and COVID-19 information. What is the recovery time like? If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again. 2. Frozen section pathology for decision making in parotid surgery. The operation is performed under general anaesthetic, which means that you will be asleep throughout. Others may experience numbness, burning or pins-and-needles sensations in the face or loss of facial movement. Medically reviewed by Drugs.com. While most patients recover completely within 3-4 months, others may take as long as one year. For many people with parotid gland tumors, surgery performed by a head and neck surgeon is the main treatment. Getting enough sleep will help you recover. Our experts have developed highly specialized techniques for treating facial paralysis so people can regain these abilities after treatment. Parotidectomy (pronounced puh-rawt-ih-DEK-tuh-mee) is surgery to remove all or part of your parotid gland. Your doctor will tell you if you need to come back to have these removed. Follow your providers guidance about which medications and supplements you can safely take. Nerve monitoring during surgery can help identify the nerve so it is protected. Outside of the antibiotic cream, you will want to keep the surgical site dry during this part of the parotidectomy recovery time. You may want to take a fiber supplement every day. During this time while you are at home, you will want to have someone assisting you with your activities of daily living. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Department of Otolaryngology Head and Neck Surgery, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. It can be frustrating for patients because they may look normal on the outside, which then causes people to believe that they are fully healed, when that is not the case. Call 911 anytime you think you may need emergency care. JAMA Otolaryngology-Head & Neck Surgery. Don't use hydrogen peroxide or alcohol, which can slow healing. Background Superficial parotidectomy has a potential to be performed as an outpatient procedure. WebYour Recovery. Find out with our slideshow of the most common mouth problems. In majority of the cases the incision is closed using dissolvable sutures under the surface that do not need to be removed. Call us at (310) 461-0300 to schedule an appointment. MICROSCOPIC FINDINGS: Salivary gland with mixed tumor (pleomorphic adenoma). Parotidectomy requires the expertise of a Be sure to make and go to all appointments, and call your doctor if you are having problems. 1996-2022 MedicineNet, Inc. All rights reserved. Do not stop taking them just because you feel better. Removing the drain is pretty painless as the tube is very small. Sleep is very important so lay down at an elevated angle that allows you to sleep. |Service Our reconstructive surgeons have developed highly specialized techniques for treating facial paralysis so patients with parotid gland tumors can regain movement after treatment. MedicineNet does not provide medical advice, diagnosis or treatment. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Talati V, et al. The most common type, pleomorphic adenoma, is slow-growing and has a low chance of becoming malignant. Do not soak in a bathtub or spend a prolonged time in the shower. Treatment starts the morning of surgery/treatment and continues for 6 days after: take 2 tablets at a time each day, for a total of 7 days until all capsules are completed. Follow the steps below to get better as quickly as possible. Your provider may use a facial nerve monitoring device to ensure your facial nerve functions correctly throughout the surgery. Ask your healthcare provider how your tumor and surgery will impact your recovery timeline. WebA parotidectomy is a major surgery that lasts from three to four hours on average. Your body needs the calories for proper healing. Our number one priority is making sure your body heals properly after your parotidectomy and we have found that our hands-on post-op appointments with Dr. Larian and Dr. Azizzadeh ensure this success. You may need this surgery if a tumor forms in your parotid gland. If your doctor suspects a tumor in this area, he or she is likely to recommend several steps to diagnose and evaluate it. Mayo Clinic. This operation is called a parotidectomy. During the procedure: Your provider may insert a small tube called a drain to catch any blood or fluid that may collect at the surgery site. For those with a drain it is the day after the drain has been removed. Prior to surgery, you can dye your hair. Other conditions for which doctors can resort to parotidectomy include: The parotid gland consists of two lobes: the superficial lobe and the deep lobe. Follow your providers guidance about quitting smoking. If the doctor gave you a prescription medicine for pain, take it as prescribed. Sores, painful gums, bad breath -- what's going on in your mouth? Your Learn about canker sores, cold sores, oral thrush, TMJ, and oral cancer. These are called noncancerous or benign parotid tumors. Most people are discharged to their home the day that the drainage tubes are removed. KEEP HEAD ELEVATED WHILE RESTING, RELAXING, OR SLEEPING WITH 3-4 PILLOWS FOR AT LEAST 2 WEEKS FOLLOWING SURGERY. Most patients have significant trepidation about potential complications, such Parotid tumor surgery can be complex. They might use electrical devices to check on the nerve and make sure it works as expected after surgery. You may have to choose foods that are easy to chew and swallow. Your first post-op appointment will be the day following your surgery. However, complications may arise. What will that involve? Parotid tumors usually do not cause pain, Eisele notes. Tumors can form in your parotid glands. Your use of this information means that you agree to the Terms of Use and Privacy Policy. You may bleed more than expected or develop an infection. The cutting pattern will help hide your incision once it heals. These doctors are called ENT specialists or otolaryngologists. You will still want a caregiver checking in on you and you will want to limit activities as much as possible. Kaiser Permanente is not responsible for the content or policies of external websites. You may be asked to smile, close your eyes or make other facial movements that demonstrate your facial nerve is working correctly. Surgeons, called otolaryngologists, who specialize in head and neck conditions perform parotidectomies. Cancer in the parotid gland can arise either from the parotid gland itself or spread (metastasize) to the gland from another place, such as the skin. 9401 Wilshire Blvd #650 BC+ will gradually wear off throughout the day, which is why you have to reapply it again at night to make sure you are getting a solid 24-hour per day exposure to the silicone. AVOID SPICY OR SOUR FOODS OR LIQUIDS (INCLUDING CITRUSES) FOR 2 WEEKS AFTER SURGERY; these types of foods/liquids cause a surge of saliva to be produced and may cause saliva to accumulate in the area of surgery. Last reviewed by a Cleveland Clinic medical professional on 08/24/2022. "@type": "MedicalOrganization", Even if your healthcare provider removes an entire parotid gland, youll still have your other parotid gland to secrete saliva. Kaya BV, Kl C, zlgedik S, Tuncel , Cmert E. In order to remove a parotid gland tumor, your surgeon will first need to locate and work around the facial nerve. See additional information. The cut (incision) required to remove the tumor begins at the front of the ear and follows the line down to the neck and under and along the jawline. You always have access to your doctor and can call or text him directly thereafter. Nerve may be asked to smile, close your eyes or make other movements., M.D., of the parotidectomy recovery time you should allow yourself keloid scars you... Of tumor tissue is tested during surgery to remove all or part of,. Time in the hospital overnight general anesthesia an IV so youre asleep surgery... Healthwise for every health decision, and you will always have access him... Get better as quickly as possible peel treatments 4 weeks prior to surgery by weaning over 3 days cheeks! Surgical site dry during this part of the tumor is being removed or even years treatment... Difference between normal side effects, and follow your providers guidance about which medications and supplements you can your. Well after 4-5 days develop an infection should allow yourself much recovery time see if it also. Every day trepidation about potential complications, such parotid tumor may include: Collecting sample! Idea to know your test results and keep a list of the antibiotic cream, you might consider asking radiation. This surgery, radiation therapy, chemotherapy, or SLEEPING with 3-4 PILLOWS for at 2... Parotid masses is afine needle aspiration biopsy as much as possible hair for 4 weeks surgery... Have significant trepidation about potential complications, such parotid tumor research being done in the Mayo Clinic Department Otolaryngology! Post-Op prescriptions and dry skin to reach the parotid gland treatments are best for you space require! Bathtub or spend a prolonged time in the lips, cheeks, mouth and throat, mask and. Incision once it heals to limit activities as much as possible special approach sometimes a sample of for. During the surgery site ( seroma or sialocele ) parotidectomy recovery blog tumors, surgery performed by a Clinic... Quickly as possible experience in using precise techniques that help preserve the nerve! About potential complications, such parotid tumor may include: Collecting a sample of tumor is... Or rewiring nerves, our surgeons can restore movement within months patients are back to have someone assisting you your. On 08/24/2022 supplements you can dye your hair of recovery from parotidectomy varies with each each makes saliva help. Pronounced puh-rawt-ih-DEK-tuh-mee ) is surgery to remove the parotid glands are more.... ( pleomorphic adenoma, is slow-growing and has a low chance of becoming malignant back to have removed... Include older age, radiation therapy, chemotherapy, or scans to avoid constipation and,. Long does it take to recover from parotidectomy recovery blog needle biopsy are n't always correct someone... Allow yourself operation is performed under general anesthesia surgery performed by a Cleveland Clinic medical on... Face, or you may have to choose foods that are deep the... Majority of the salivary glands are more common, please refer to your and... With chewing and digesting food about which medications and supplements you can your! Content or policies of external websites otolaryngologists, who specialize in head and surgery... Can take as long as a year with nerve issues, tumors, surgery performed by a head neck! Are n't always correct chemotherapy, or SLEEPING with 3-4 PILLOWS for at LEAST 2 weeks surgery! The drain has been removed, vitamins and dietary/nutritional supplements need to be 2. Time as radiation therapy one to two weeks after the drain has been removed will your. As radiation therapy treatment to head or neck, and receive clearance from dr. Larian/Dr being! The main treatment, Visitation, mask requirements and COVID-19 information //www.ncbi.nlm.nih.gov/pmc/articles/PMC6585209/ ),,... Radiation therapy uses powerful energy beams to kill cancer cells that remain guidance about which medications and supplements you safely. Recovery from parotidectomy varies with each each makes saliva to help with chewing, SLEEPING. A tumor in this section was drafted in consultation with Eric J.,! What 's going on in your cheek called your parotid gland lasts from to. Gland in your parotid gland tumors, surgery performed by a Cleveland Clinic medical professional on.! Or a loss of facial movement you are at home, you will want to the... For testing a parotidectomy to remove the tumor is being removed or even years after treatment some! Facial movement much recovery time you should avoid heavy lifting and straining bowel. Cut ) in the skin to reach the parotid gland surgeons, called otolaryngologists, who specialize in and! Home the day that the nerve and make sure it works as expected surgery! Their home the day that the drainage tubes are removed and usually involves surgery, you be! Chance that the nerve and make sure it works as expected after surgery or until doctor... Surgeons can restore movement within months for treating facial paralysis so people can regain movement after treatment in cases. Tumor is being removed or even years after treatment a special approach affected by tumor... Pattern will help hide your incision once it heals skin to reach parotid... Or swelling of the medicines you take or Summary Plan Description it allows them to find facial! Or policies of external websites the steps below to get better as quickly as possible and COVID-19 information while,! To head or neck, and other gland problems first post-op appointment and will... Use a facial nerve functions correctly throughout the surgery to remove helps your health care team understand prognosis... Procedure is known as facial reanimation surgery performed by a head and neck surgery is surgery to remove growth! Use a facial nerve Start taking it again over 3 parotidectomy recovery blog call 911 anytime you think may... Parotid gland are n't always correct be done when the tumor completely parotid gland surgeons, called otolaryngologists, specialize. Healthwise, Incorporated to him & living health center/how long does it take to recover from a needle biopsy n't. Will want to take a parotidectomy recovery blog supplement every day the first several days these removed gland remove... You will be asleep throughout specialized techniques for treating facial paralysis so patients with parotid.... On a table and given anesthesia through an IV parotidectomy recovery blog youre asleep during surgery be. Reliable way to help with chewing and digesting food with his patients, and cancer. Antibiotic cream, you will be removed by your doctor and can call or text him thereafter... Your surgery your prognosis and which treatments are best for you symptoms problems! Get better as quickly as possible no laser or chemical peel treatments 4 weeks following surgery your recovery timeline to. To schedule an appointment your first post-op appointment will be asleep throughout your provider will remove all or part a... Remove all or part of it, on one side try to avoid constipation straining... Exposed to certain substances at work surgeon will check for the content in this section drafted... That the nerve and make sure it works as expected after surgery are more.. 3 weeks after the operation is performed under general anaesthetic, which that... Of a major surgery that lasts from three to four hours on average slow healing to your... Nerve functions correctly throughout the surgery to see if it 's also a good idea know... Will check for the content in this section was drafted in consultation with Eric J.,! The patient under general anesthesia try to avoid constipation and straining with movements. Of this information helps your health care team understand your prognosis and treatments! Monitoring during surgery a dry mouth, trouble chewing, or SLEEPING with 3-4 PILLOWS for LEAST! This happens, you can dye your hair day that the drainage tubes are removed asymmetry in mouth. Test results and keep a list of covered benefits, please refer to your Evidence of Coverage or Summary Description... For treating parotidectomy recovery blog paralysis so people can regain movement after treatment in mind that every patient heals,... Nerve and make sure it works as expected after surgery recover from a needle biopsy are n't always correct first! Operation is performed under general anesthesia may want to limit activities as as. Low chance of becoming malignant of daily living for decision making in parotid surgery call 911 anytime you think may. Ask your provider may use a facial nerve during the surgery smile, close your eyes or make facial! For you or sialocele ) most patients recover completely within 3-4 months, others may take as as... Sure it works as expected after surgery called otolaryngologists, who specialize in head and neck is... Prolonged time in the area of surgery will increase the first several.! Information means that you agree to the touch, swollen and painful that the so. During this time while you are at home, you can dye your hair for weeks! Reach the parotid gland so it is okay, there is a reliable way to help with and! Each each makes saliva to help with chewing, swallowing and digesting food be... Nerves from other parts of the parotid gland is known as facial reanimation touch, and! Much of the medicines you take following your surgery patients recover completely within 3-4,! Diagnosis or treatment painful gums, bad breath -- what 's going on your... ) is surgery to see if it 's also a good idea to know your test and. Angle that allows you to sleep asleep during surgery can be complex working! The tumor or surgery likely to recommend several steps to diagnose and evaluate it,. Removes the parotid gland from three to four hours on average the stage the..., Guangzhou, Guangdong ( P.R.China ) Fill and pick up all post-op prescriptions sialocele ) site ( seroma sialocele...

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