What is the parotid gland and parotidectomy?
A parotidectomy is the surgical removal of part or all of the parotid gland, which is the largest salivary gland, located just in front of and below the ear. It is most often performed to remove a parotid gland tumor. The procedure is often done by an ENT-Head and Neck Surgeon under general anesthesia, with great care taken to protect the facial nerve that runs through the gland.
The parotid glands are the two largest salivary glands, situated just in front of each ear and extending downwards toward the jaw. The facial nerve, which controls the muscles of facial expression, passes directly through the parotid gland, which is what makes this surgery delicate. A parotidectomy removes a tumor along with the surrounding part of the gland while preserving that nerve.
Medically reviewed by Jennifer Almelor-Alzaga, MD, board-certified Otolaryngologist (PSO-HNS), fellowship-trained in Head & Neck Oncologic Surgery. Last reviewed: October 3, 2026.
Signs you may need parotid surgery
See an ENT-Head and Neck Specialist immediately for:
- ✓A persistent or enlarging mass in front of or below the ear, or at the angle of the jaw
- ✓A mass in the cheek or upper neck near the ear
- ✓Facial weakness on the same side as a parotid mass (this needs prompt evaluation)
- ✓A salivary gland mass confirmed as a tumor on imaging or biopsy
- ✓Recurrent infection or blockage of the gland in selected cases
What to expect
At a Glance
- Anesthesia
- General
- Procedure time
- 4–6 hours
- Hospital stay
- 5–7 days
- Back to work
- 3–4 weeks
- Where
- Philippine General HospitalManila Doctors HospitalMakati Medical Center
Risks & What to Discuss with Your Surgeon
The most important consideration when performing parotid surgery is the preservation of the facial nerve. Temporary facial weakness can occur from handling the nerve during surgery especially in large tumors, but it usually recovers; permanent weakness is uncommon when the operation is done by an experienced ENT-Head and Neck Surgeon. However, there is a higher risk of facial weakness if the parotid tumor is cancerous, more so if it is an aggressive type. These are all discussed in detail before surgery.
Why choose Dr. Alzaga for parotid surgery
Dr. Jennifer Almelor-Alzaga has a double fellowship training in two international institutions. Her training in head and neck surgery includes the surgical management of salivary gland tumors and other head & neck tumors. For tumors that require it, she is also trained in microvascular reconstructive surgery, a rare combination in the Philippines that allows complex cases to be managed by one surgeon.
Jennifer Almelor-Alzaga, MD, FPSOHNS
Board-certified Otolaryngologist–Head & Neck Surgeon. Fellowship-trained in Head & Neck Oncologic Surgery (Taiwan) and Microvascular Reconstruction (Thailand).
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This page is for general information only and does not constitute medical advice, diagnosis, or a treatment plan. Individual cases vary — always consult a qualified medical professional for advice specific to your situation. Dr. Jennifer Almelor-Alzaga, MD is available for consultations at Makati Medical Center and Olistico Health Manila.