Parotidectomy is the surgical removal of part or all of the parotid gland to treat tumorous, inflammatory, or infective conditions. A superficial parotidectomy excises only the lateral lobe, preserving the deep lobe; a total parotidectomy removes both lobes; and an extended parotidectomy includes adjacent lymph nodes, soft tissue, or skin when oncologically indicated. Dr. Hitesh R. Singhavi employs meticulous dissection to isolate and protect the facial nerve, ensuring comprehensive disease clearance with minimal functional compromise.
Dr. Singhavi begins with high-resolution ultrasound and contrast-enhanced MRI to map tumor size, location, and proximity to the facial nerve. Fine‐needle aspiration cytology confirms the diagnosis. Intraoperative facial-nerve monitoring guides dissection under loupe magnification. A lazy-S or modified Blair incision in natural creases provides excellent access and cosmesis. For superficial lesions, only the superficial lobe is removed; deeper or malignant tumors require total or extended resection. When the skin or adjacent soft tissue is involved, immediate reconstruction—using local flaps or free-tissue transfer—is planned. Postoperative care includes corticosteroids to reduce nerve inflammation, early facial physiotherapy, and regular wound checks.
Under Dr. Singhavi’s precision, patients achieve reliable oncologic control with maximal preservation of facial nerve function. Selective resections minimize the risk of facial palsy, while extended approaches ensure comprehensive tumor removal. Advanced incision techniques yield virtually imperceptible scars. Early rehabilitation promotes rapid return of facial tone, enabling most patients to resume normal activities within days. Malignant cases benefit from single-stage resection and reconstruction, reducing overall treatment time and enhancing long-term quality of life.
