Parotidectomy
Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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Provide a brief summary of this surgical procedure and its indications here.

Overview

Indications: Tumor of parotid gland

Surgical procedure: Superficial: removal of parotid gland lateral to facial nerve. Total: removal of parotid gland lateral and medial to facial nerve, often combined with neck dissection. Radical: removal of parotid gland with facial nerve

Preoperative management

Patient evaluation

System Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies: As indicated by H&P

Operating room setup: Facial nerve stimulator

Patient preparation and premedication: Routine

Regional and neuraxial techniques: N/A

Intraoperative management

Monitoring and access: Standard monitoring, 18G PIV x 1

Induction and airway management: Standard induction avoiding long acting paralytic (succinylcholine or remifentanil), ETT taped to opposite side.

Positioning: Supine, head turned to opposite side, bed may be turned 90 or 180 degrees

Maintenance and surgical considerations: Volatile anesthetic or TIVA, avoid long acting paralytic to allow for facial nerve, monitoring, consider remifentanil to maintain a still patient, facial nerve monitoring by surgeon

Emergence:

Postoperative management

DispositionPACU

Pain management

Potential complicationsBleeding, infection, dysesthesia of greater auricular nerve, facial nerve weakness, Frey's syndrome

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time 1.5-2
EBL 25-200
Postoperative disposition
Pain management
Potential complications

References:

Top contributors: Olivia Sutton, Ed Nguyen, Chris Rishel and Barrett Larson

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