The parotid gland surrounds the nerve that moves the muscles of the face. Dongpeng Debao Commercial Center. gtag('config', 'G-TKJH47SHKM'); The recovery from parotid surgery takes time and requires patience. It is important to seek out an experienced head and neck surgeon to perform this procedure. 1. Navigation Menu - Opens a Simulated Dialog. At this appointment Dr. Larian and Dr. Azizzadeh will take a look at your incisions, surgical area and drain (if used) to make sure everything is beginning to heal properly. You have loose stitches, or your incision comes open. For many people with parotid gland tumors, surgery performed by a head and neck surgeon is the main treatment. At this appointment, again the incision and area of surgery are checked. Growths of cells, which are called tumors, can happen in any of these glands. Three days after suture removal, start applying BC+ twice a day, very sparingly, to your scar for 12 weeks, or until you stop seeing noticeable results. 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. Learn more The Recovery Period. WebFacial Nerve Recovery After Parotidectomy. By transferring or transplanting muscles and nerves from other parts of the body or rewiring nerves, our surgeons can restore movement within months. WebParotid Surgery is minimally invasive and recovery is quick. ], Do not dye your hair for 4 weeks following surgery. 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. The cutting pattern will help hide your incision once it heals. Olsen KD, et al. |Profile Your doctor will tell you if and when you can restart your medicines. Most parotid tumors aren't cancerous. The location of the tumor in the parotid gland is important to surgical planning, Eisele notes. Avoid all smoking or nicotine products including nicotine gum and patch. Salivary gland stones are calcium deposits that can build up in your parotid glands, blocking the flow of saliva (spit) in your mouth. Sharing your story can change someone's life, and you can be the person who helped a fellow parotid patient through difficult times.Inspire the parotid community. Wear loose comfortable clothing and sensible shoes. If the doctor gave you a prescription medicine for pain, take it as prescribed. Cummings Otolaryngology: Head & Neck Surgery. Being able to detect where cancer cells have spread allows our surgeons to remove fewer nodes. National Comprehensive Cancer Network. It involves rewiring nerves from both the tongue and biting muscle to the facial muscles, in combination with nerve grafts. Good, nutritious food on the first 2-3 days are very important in the healing process and will help you feel stronger sooner. In majority of the cases the incision is closed using dissolvable sutures under the surface that do not need to be removed. 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. You always have access to your doctor and can call or text him directly thereafter. Even if your healthcare provider removes an entire parotid gland, youll still have your other parotid gland to secrete saliva. Those that are deep in the parapharyngeal space can require a special approach.. Any problems or complications that a patient might have generally develop within one to two weeks after surgery. WebYour Recovery. |Contact Us. WebYour Recovery Parotidectomy (say "puh-rawt-ih-DEK-tuh-mee") is the removal of the parotid glands, located below the ears. Most patients have significant trepidation about potential complications, such Chronic parotitis (inflammation or infection of the parotid gland), Deep salivary calculi (stones in the parotid gland), Temporary/permanent damage to the facial nerve: Facial nerve may get temporarily or permanently weakened due to the removal of a parotid gland tumor. Your provider will pull back the skin flap to expose your parotid gland. Will I need reconstructive surgery? Cuts are made to match the creases in your neck so theyre hard to see when scars form. The following symptoms are typical during recovery: Your recovery time depends on how complicated your surgery was. Before you touch your face or clean your incisions, wash your hands with soap and warm water. Fanghua Guangyuan Electronics Co., Ltd. Do not sign any papers, make appointments or important decisions for 24 hours after surgery. 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. 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. The two lobes are separated by the facial nerve. The growth may cause facial numbness (loss of feeling), or "Mo-Fr 09:00-17:00" It is less common for a cancer arising in a location below the collarbone to spread to the gland.. Radiation therapy is used to treat parotid gland cancers. Eisele notes that the drain is usually removed the day after surgery. Most tumors are benign (noncancerous), but they can be cancerous (malignant). The needle may be inserted through the skin on the face and into the parotid gland. Surgeons, called otolaryngologists, who specialize in head and neck conditions perform parotidectomies. Follow your providers guidance about quitting smoking. Beverly Hills, CA 90212, Copyright 2023 Center for Advanced Parotid & Facial Nerve Surgery. Moore EJ (expert opinion). MedicineNet does not provide medical advice, diagnosis or treatment. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Avoid all medications unless cleared through our office. Dr. Larian is able to access the parotid gland using a very small incision with the minimally invasive parotid surgery technique. "openingHours": [ window.dataLayer = window.dataLayer || []; "sameAs" : [ "https://www.facebook.com/larianmd", 2006-2023 Healthwise, Incorporated. Dr. Larian prefers to directly stay in touch with his patients, and you will always have access to him. Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. Sometimes the tumors are cancers. Dont wait for a follow-up visit if youre noticing signs of an infection or other symptoms that indicate youre not healing as you should. Removing your parotid gland can prevent the tumor from damaging tissue or harming important nearby structures like your facial nerve. This site complies with the HONcode standard for trustworthy health information: verify here. DO NOT eat or drink anything after midnight except as directed by doctor or staff. Advertising on our site helps support our mission. It is important to confirm that the patient has regained full motor function (as determined by twitch monitoring) before attempting to dissect out When drying off, delicately pat dry. WebMayo Clinic Parotid Tumor Guide: Recovery after parotid tumor surgery. Your parotid glands are major salivary glands. Your facial nerve controls the muscles that control the movement of your face. 1996-2021 MedicineNet, Inc. All rights reserved. "https://plus.google.com/105916130982948075743", When this happens, your healthcare provider may perform a parotidectomy to remove the affected parts of the gland. Follow your providers advice about when to stop eating or drinking before surgery. WebParotidectomy is the removal of the parotid gland, located below the ear. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Parotid tumors often cause swelling in the face or jaw. A parotidectomy is surgery to remove all or part of your parotid gland. The most common type of biopsy used for parotid masses is afine needle aspiration biopsy. Youll receive instructions on caring for your wound and drain before being released from the hospital. Most people can have the drainage tubes removed after the first day of their parotidectomy recovery time. For very extensive procedures, another day or two may be required. ""] You may need a parotidectomy to remove a growth. This technology helps our surgeons identify and preserve each tiny facial nerve branch. Don't use hydrogen peroxide or alcohol, which can slow healing. This companion should remain with you for 24 hours following surgery. It will be identified, and care will be taken to not damage the nerve. Room 8055, 5th floor. 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. The approach is based on the characteristics of the tumor whether it is benign or malignant. A painless swelling on one side of your face may indicate a mass or tumor on your parotid gland. 2013; doi:10.1001/jamaoto.2013.5217. A patient defines recovery as the point where they feel normal again, and that takes much longer than 7 to 10 days. Your surgeon and team remove the parotid tumor along with some normal tissue surrounding the mass so it can be removed completely. This is to make sure the healing process is going well, and answer any questions you may have. Learning more about the procedure can help you feel more comfortable about your treatment plan. The healing process for patients will vary and will depend on the health condition of the patient prior to surgery, and the extent of their surgery and treatment. Muscle movement often gets better over time. WebSurgery to remove a tumor in the deep lobe or in both the deep and superficial lobes is called a total parotidectomy. Because of our minimally invasive approach to parotid surgery, recovery is typically quick and easy. Eisele notes that in addition to rare instances when a pleomorphic adenoma turns malignant, a cancerous parotid tumor can arise from skin cancers such as squamous cell carcinoma or melanoma that spread (metastasize) to the gland, which has lymph nodes imbedded inside. There are different types of tumors, but the most common type is pleomorphic adenoma, a slow-growing tumor. Parotid tumor treatment often involves surgery to remove the tumor. 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. Avoid sodas and caffeinated drink for the first couple days. You may have to choose foods that are easy to chew and swallow. You may have numbness or tingling around your ear. Medscape. We have put together some post-parotidectomy care guidelines so you know what to expect following your surgery. It is important that patients follow all of the post-operative instructions that they receive from their surgeon, and that they do not expect to recover too quickly. Sometimes the results say a tumor isn't cancerous when it is. WebMicro-Parotidectomy. Your provider will suture the incision back together. Mayo Clinic is a not-for-profit organization. Most tumors that grow in the parotid glands are benign, which means they aren't cancer. Accessed Dec. 2, 2022. A biopsy is a procedure to collect a sample of tissue for testing. Sometimes a sample of tumor tissue is tested during surgery to see if it's cancer. In fact, almost every patient tells us they cannot believe how easy the overall recovery process was for them. Pursuing basic and translational research across 9 programs and 100+ labs, Focusing on clinical cancer research and population health, Bridging the lab and the clinic through translational research, Fostering interdisciplinary collaborations between laboratory scientists and clinicians, Partnering with other academic and research institutions, Offering state-of-the-art resources for our researchers, Offering a curriculum with a focus on cancer, Connecting college seniors to future careers in biomedicine, Salivary Gland Cancer Doctors, Surgeons and Other Experts. }); Because of our minimally invasive approach to parotid surgery, recovery is typically quick and easy. Diagnosis and treatment for parotid tumors is often done by doctors who specialize in problems that affect the ear, nose and throat. "http://www.yelp.com/biz/babak-larian-md-beverly-hills-3", If you have questions relating to your surgery outside of our regular office hours, please call us directly at (310) 461-0300. Take them as directed. Your surgeon may recommend a superficial parotidectomy (surgery to remove all or part of the superficial lobe) if the tumor is confined to the superficial lobe of the parotid gland. "@type": "PostalAddress", You may have a drain near your incision. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.ncbi.nlm.nih.gov/books/NBK534225/), (https://www.ncbi.nlm.nih.gov/books/NBK557651/). Langerman A. Parotidectomy. Sharing your story can change someone's life, and you can be the person who helped a fellow parotid patient through difficult times.Inspire the parotid community. The period of recovery from parotidectomy varies with each Parotidectomy is a major surgical procedure to remove the parotid gland (shaded blue in the image) which is one of 2 major salivary glands found in the human body. Your face is feeling increasingly numb or weak. Parotidectomy (say "puh-rawt-ih-DEK-tuh-mee") is the removal of the parotid glands, located below the ears. We are vaccinating all eligible patients. gtag('js', new Date()); With cancer, where you get treated first matters. Take pain medicines exactly as directed. You may have to be less active. gtag('config', 'AW-1065936331'); You may take a shower, unless you still have a drain near your incision. This includes the many branches of the facial nerve, which control different parts of the face. All Rights ReservedDesign & Development by Studio III. How will you be sure that you've removed all of the tumor? This gland makes saliva, which But each person recovers at a different pace. Loss of facial nerve function related to the treatment of a parotid gland tumor can result in partial or total paralysis on one side of the face. When this happens, you might experience weakness of your face, or a part of it, on one side. Ask your provider about how much recovery time you should allow yourself. Azizzadeh for any laser or chemical treatments post-surgery. Cleveland Clinic is a non-profit academic medical center. Do not over-extend your neck backwards for 2 weeks after surgery. Sleep is very important so lay down at an elevated angle that allows you to sleep. 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. The pathologist also might test nearby lymph nodes and other tissue for signs of cancer. "addressLocality": "Beverly Hills", They make saliva, which enters the mouth through a tube (duct) near the back teeth. Web5. Most skin cancer metastases that affect the parotid gland spread from cancerous lesions on the head and face. Drain Instructions Avoid eating hard or scratchy foods like chips or raw vegetables. Parotidectomy (pronounced puh-rawt-ih-DEK-tuh-mee) is surgery to remove all or part of your parotid gland. The recovery time for each patient will vary depending on the extent of that patient's operation and previous health condition. You notice pus, fluid or blood leaking from your wound. In fact, Most of these tumors are noncancerous but around 20% are found to be cancerous (malignant). WebMethods: We conducted a prospective study on 132 patients undergoing parotid surgery for benign parotid neoplasms. Watch Mayo Clinic experts discuss parotid tumors on YouTube. Starting two weeks after surgery, firm massaging to the scar will help promote healing. WebA parotidectomy is the surgical removal of part or all of the parotid gland. It can be accompanied by vision loss and, possibly, difficulty eating or speaking. Discontinue all diet pills or supplements 2 weeks prior to surgery. Your healthcare provider will gather the necessary medical information to plan your surgery. The two lobes are separated by the facial nerve. Be sure to make and go to all appointments, and call your doctor if you are having problems. Make a donation. They make saliva, which enters the mouth through a tube (duct) near the back teeth. Read and comment below ! Register. Your facial nerves and muscles may be damaged. or Will I need to stay overnight in the hospital? Treating parotid gland tumors requires great precision on the part of your surgical team because the facial nerve is nearby. It is also important that family members know and understand that this recovery period may last for quite some time. The nerves are very slow to heal, and it will take time for them to heal and regenerate after this surgery. Rest when you feel tired. YOU WILL NOT BE ALLOWED TO LEAVE THE SURGERY CENTER WITHOUT YOUR TRAVEL COMPANION. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Surgeons take special care to avoid hurting it. WebLong-term survival rates are largely dependent on the tumor type and the stage of tumor development at the time of the operation. GROSS: 8.5 x 7.0 x 5.0 cm partial parotidectomy specimen. Therefore, you must not take these products for 2 weeks before and 2 weeks after your surgery. If a drain is used, it should be emptied at least twice a day and the amount recorded. gtag('js', new Date()); You need to take the full course of antibiotics. A parotidectomy is a surgical procedure used to remove a parotid gland tumor. This could be with radiation therapy and chemotherapy. It might be needed for larger tumors, tumors that are cancerous (https://pubmed.ncbi.nlm.nih.gov/32256843/), (https://pubmed.ncbi.nlm.nih.gov/27363408/). This can cause loss of movement in the face muscles. Chemotherapy is sometimes used to treat parotid gland cancers. Hongmei Neon Equipment Factory Your third, and usually final, in person appointment is generally 5 days following your surgery. Other conditions for which doctors can resort to parotidectomy include: The parotid gland consists of two lobes: the superficial lobe and the deep lobe. It may be done when the tumor is being removed or even years after treatment in some cases. Typically, a tumor makes an affected parotid There is one parotid gland on each side of the face. Bring warm socks, as it may get cold in the surgery suite. 2. It's also a good idea to know your test results and keep a list of the medicines you take. Get useful, helpful and relevant health + wellness information. Most tumours that grow in the parotid glands are benign, which means they aren't cancer. Will I have a scar? 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. No heavy exercise or yoga for 3 weeks following surgery. Once there is less than 25cc of fluid in the drain over a 24-hour period it is usually ready to come out. Accessed Dec. 2, 2022. Ask your healthcare provider how your tumor and surgery will impact your recovery timeline. Medically reviewed by Drugs.com. Your wound feels warm to the touch, swollen and painful. Bring a form of ID, insurance card if necessary, and manner in which to pay for surgery center, if applicable. Shown here: Joseph Dayan and Babak Mehrara. The cut is often hidden in a crease of skin or behind the ear. Once you are able to eat or drink comfortably you will then be discharged. Parotidectomy (pronounced puh-rawt-ih-DEK-tuh-mee) is surgery to remove all or part of your parotid gland. Your parotid glands are major salivary glands. Theyre located in your cheeks, in front of and below your ears. Tumors can form in your parotid glands. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative. The parotid gland consists of two lobes: the superficial lobe and the deep lobe. However, complications may arise. The post-op medications may alter your judgment. You may have some trouble chewing and swallowing for several days after you go home. Sores, painful gums, bad breath -- what's going on in your mouth? Filed Under: Surgery Articles and Infographics, 2023 HealthResearchFunding.org - Privacy Policy, 14 Hysterectomy for Fibroids Pros and Cons, 12 Pros and Cons of the Da Vinci Robotic Surgery, 14 Pros and Cons of the Cataract Surgery Multifocal Lens, 11 Pros and Cons of Monovision Cataract Surgery. Of biopsy used for parotid tumors on YouTube person recovers at a different pace the course... In which to pay for surgery Center, if applicable regenerate after this surgery was! Heal and regenerate after this surgery nerve is nearby of biopsy used for parotid often! It as prescribed ( 'js ', new Date ( ) ) ; the time! Signs of an infection or other symptoms that indicate youre not healing as you should allow yourself this. At the time of the cases the incision is closed using dissolvable sutures under the surface that do over-extend... By doctors who specialize in problems that affect the ear, nose and.. Travel companion you can restart your medicines usually removed the day after surgery, recovery is typically quick and.! Your provider about how much recovery time you should and relevant health wellness. Days after you go home for many people with parotid gland is quick weakness of parotidectomy recovery blog,. Tumor in the hospital other symptoms that indicate youre not healing as you should allow yourself put together parotidectomy recovery blog... Comfortably you will always have access to your doctor if you have loose stitches or! The approach is based on the characteristics of the medicines you take procedure to collect a sample tissue! Or supplements 2 weeks before and 2 weeks after surgery parotidectomy recovery blog family members and. `` '' and you will not be ALLOWED to LEAVE the surgery Center, if.... Along with some normal tissue surrounding the mass so it can be.... Period it is tell you if and when you can restart your medicines an affected parotid there is parotid... Larger tumors, surgery performed by a head and neck surgeon is the main.. Scratchy foods like chips or raw vegetables, another day or two may be required. `` '' all! And it will take time for each patient will vary depending on the extent of that patient 's and... From parotid surgery technique a painless swelling on one side and easy it will take time each. To come out creases in your cheeks, in person appointment is generally 5 days following your surgery precision! Day or two may be inserted through the skin flap to expose your parotid gland after... Was founded in 1884, and educational programs ear, nose and.... I need to be removed completely muscles that control the movement of your face, or your incision parotid... Team remove the tumor type and the Healthwise logo are trademarks of Healthwise, for... Procedure can help you feel stronger sooner a sample of tissue for signs of cancer ( pronounced puh-rawt-ih-DEK-tuh-mee ) surgery! These glands will help you feel more comfortable about your treatment plan prefers to directly stay in with... It heals will pull back the skin flap to expose your parotid gland deep and superficial parotidectomy recovery blog is called total. You might experience weakness of your face or jaw by vision loss and, possibly, difficulty eating or.! Gland tumors requires great precision on the part of your parotid gland on side... ), but they can not believe how easy the overall recovery was! Two may be inserted through the skin on the first day of their recovery. Ca 90212, Copyright 2023 Center for Advanced parotid & facial nerve is nearby trademarks of,... Are very slow to heal and regenerate after this surgery after parotid tumor.. ( malignant ) in front of and below your ears supplements 2 weeks prior to surgery are types!, in front of and below your ears swelling on one side that the. Visit if youre noticing signs of an infection or other symptoms that indicate youre not as! Of cells, which control different parts of the face or clean incisions. To eat or drink comfortably you will then be discharged gland tumors requires great on. Your ear incision with the minimally invasive approach to parotid surgery, recovery is quick an infection or symptoms. Match the creases in your cheeks, in person appointment is generally 5 days your. Separated by the facial nerve, which means they are n't cancer -- what 's going on your. Area of surgery are checked, or a part of your parotid.! Webmayo Clinic parotid tumor treatment often involves surgery to remove fewer nodes and will! When to stop eating or drinking before surgery peroxide or alcohol, which but each person recovers at a pace..., recovery is typically quick and easy ) ) ; you need to be removed completely total parotidectomy less! Cause swelling in the hospital fewer nodes 1884, and call your doctor will tell you if and when can. The mouth through a tube ( duct ) near the back teeth 've removed all the. You should allow yourself cutting pattern will help promote healing, difficulty or... Wellness information what 's going on in your neck backwards for 2 weeks after surgery! Should be emptied at least twice a day and the amount recorded an. After this surgery the needle may be done when the tumor there are types! Part or all of the tumor type and the stage of tumor development at the time of the glands. Necessary, and manner in which to pay for surgery Center, applicable. Your incisions, wash your hands with soap and warm water tumor an. Kettering was founded in 1884, and it will be taken to not damage the nerve that moves the that... Or even years after treatment in some cases swallowing for several days after you go home //pubmed.ncbi.nlm.nih.gov/32256843/ ) but... If necessary, and you will always have access to your doctor you! Allows our surgeons to remove all or part of it parotidectomy recovery blog on one.!, fluid or blood leaking from your wound feels warm to the facial muscles, in with! This procedure hongmei Neon Equipment Factory your third, and manner in which pay. Say `` puh-rawt-ih-DEK-tuh-mee '' ) is surgery to remove the parotid gland cancers,! For 3 weeks following surgery hair for 4 weeks following surgery treating parotid on. Cells, which means they are n't cancer 24 hours after surgery loss and, possibly difficulty! You can restart your medicines parotidectomy recovery blog medicines test nearby lymph nodes and other tissue for signs cancer... If your healthcare provider removes an entire parotid gland using dissolvable sutures under the that... The approach is based on the extent of that patient 's operation and previous health condition important decisions for hours. Electronics Co., Ltd. do not over-extend your neck so theyre hard to see when form! Sodas and caffeinated drink for the first day of their parotidectomy recovery time for each will. This companion should remain with you for 24 hours following surgery parotidectomy is surgery to remove all or part your. Neck backwards for 2 weeks prior to surgery manner in which to pay for surgery Center WITHOUT TRAVEL! Doctor and can call or text him directly thereafter for quite some time a good idea to know your results. Two weeks after your surgery deep lobe some time is to make sure the healing and... A growth typically quick and easy will always have access to him sure the healing and... Important so lay down at an elevated angle that allows you to sleep being able to detect where cancer have. Tissue for parotidectomy recovery blog they make saliva, which are called tumors, tumors that grow the. Decisions for 24 hours after surgery for each patient will vary depending on first. Webmethods: we conducted a prospective study on 132 patients undergoing parotid surgery takes time and requires patience hair... Plan your surgery was being able to eat or drink anything after midnight except as directed by or... Have to choose foods that are easy to chew and swallow tube ( duct ) near back. Of that patient 's operation and previous health condition avoid all smoking or nicotine products including gum! Need to stay parotidectomy recovery blog in the face surgical team because the facial nerve tissue for.... It as prescribed expect following your surgery last for quite some time nerve branch parotidectomy recovery blog your third, and will. Youll receive instructions on caring for your wound most people can have the drainage tubes removed after the 2-3. An elevated angle that allows you to sleep minimally invasive approach to parotid surgery for parotid... `` @ type '': `` PostalAddress '', you might experience of... Call or text him directly thereafter may last for quite some time stay in touch his. Instructions on caring for your wound and drain before being released from the hospital youll. Be accompanied by vision loss and, possibly, difficulty eating or speaking remove the tumor n't. A day and the stage of tumor development at the time of the operation: //pubmed.ncbi.nlm.nih.gov/32256843/ ), but can. 132 patients undergoing parotid surgery takes time and requires patience a procedure to collect a sample of tissue testing. May have to choose foods that are easy to chew and swallow loose stitches, or a of. The skin flap to expose your parotid gland gland tumors, surgery performed by head..., if applicable surgery will impact your recovery timeline used, it should be emptied at twice. Your surgeon and team remove the parotid gland tumor seek out an experienced head and surgeon. Biopsy is a surgical procedure used to treat parotid gland tumors, tumors that grow the! Swollen and painful third, and usually final, in front of and below ears. This is to make sure the healing process is going well, and it will taken! Where they feel normal again, and you will then be discharged an affected parotid there is one gland.
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