Parotid Gland Removal: The parotid glands are the largest salivary glands, located in front of each ear and extending downward from the cheekbone to just below the angle of the jaw. The facial nerve, the motor nerve for facial expression, courses through the mid-portion of the gland.
Parotidectomy is performed in the hospital OR under general anesthesia, with continuous monitoring of the facial nerve. Most tumors of the gland are located superficial to the nerve, in which case the portion of the gland superficial to the nerve. The incision, which runs downward from immediately in front of the ear and into the upper neck, heals in a cosmetically favorable manner. Patients are discharged once the suction drain is ready for removal, usually the next day.