Expert surgical removal of Parotid tumors (Pleomorphic Adenoma, Warthin's tumor). Dr. Manish Tiwari utilizes elite microsurgical dissection techniques to safely remove the tumor while meticulously identifying and protecting the critical facial nerve to preserve your smile.
A firm, usually painless lump just in front of or immediately below the earlobe.
Difficulty smiling, closing an eye, or moving facial muscles on one side (a red flag for nerve involvement).
A mass that grows very slowly over months or years, typical of benign Pleomorphic Adenomas.
A loss of sensation around the ear or side of the face due to tumor pressure.
The parotid gland produces saliva, but it is unique because the Facial Nerve (which controls your ability to smile, blink, and frown) runs directly through the middle of it. Surgery requires absolute anatomical mastery to remove the tumor without damaging this vital nerve.
The most common procedure for benign tumors (like Pleomorphic Adenoma). Dr. Tiwari meticulously identifies the facial nerve and removes only the outer portion of the gland containing the tumor, leaving the deep lobe intact.
Required when a tumor is located in the "deep lobe" of the gland (underneath the facial nerve). Dr. Tiwari delicately lifts the microscopic nerve branches out of the way to safely extract the tumor from beneath them.
Dr. Tiwari utilizes state-of-the-art electronic Facial Nerve Monitors during surgery. This technology acts as a radar, alerting the surgical team the moment an instrument gets close to a microscopic nerve branch.
A highly calculated, microscopic approach is used to ensure the tumor is completely removed with zero compromise to your facial expressions.
We use a special "facelift" incision that hides gracefully in the natural crease in front of the ear and into the hairline, minimizing any visible scarring.
Before the tumor is touched, Dr. Tiwari locates the main trunk of the facial nerve as it exits the skull. This is the most critical and delicate step of the entire surgery.
With the nerve visually secured and electronically monitored, the tumor and a margin of normal gland tissue are gently peeled away and removed.
We must know exactly what the tumor is and where it sits in relation to the facial nerve before operating.
Recovery is usually straightforward, with most patients going home in 1-2 days.
