What is a Parotid Tumor?

The parotid and facelift is the salivary gland located behind the ascending ramus of the mandible. It is the seat of the most frequent tumors, in particular pleomorphic adenomas also called mixed tumors.

Their treatment is only surgical for parotid and facelift , it is an ablation of the entire parotid salivary gland or parotidectomy, after dissection of the facial nerve (responsible for the mobility of the face) which passes inside the gland.

Experience of this type of surgery and appropriate equipment (computerized control of the facial nerve or nerve monitoring) can minimize the risks of surgery.

The parotid and facelift is most often revealed by a mass or lump palpated by the patient or his doctor, it is rarely painful or associated with lymph nodes or facial paralysis.

The examination that will confirm the diagnosis and is non-invasive is ultrasound, but magnetic resonance imaging (MRI) is the reference exploration because it allows the tumor to be perfectly visualized, it also allows multiple lesions to be detected. With certain sequences, a diagnostic orientation on nature can be strongly suspected. In claustrophobic patients the MRI can be replaced by a scanner.

A Cytopuncture can be performed to be able to analyze the tumor cells and provide information on the nature of the mass, but it only rarely changes the therapeutic attitude, which remains surgical.

The intervention of parotidectomy

This intervention consists in the ablation of the tumefaction and to specify its nature. Indeed, some tumors can become infected, increase in volume, which makes the intervention much more dangerous to preserve the facial nerve which crosses this gland, other tumors can finally be of a malignant nature or become cancerous secondarily.

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