Parotidectomy Surgery Diagnosis and Tests

Preparation for advanced imaging and biopsy is generally simple. Following these steps helps ensure the clearest possible images and most accurate test results.

• Fasting: Fasting is generally not required for an MRI or CT scan of the parotid gland.
• Jewelry Removal: You will need to remove all metal objects, such as earrings, necklaces, and hairpins, before the MRI or CT scan. Metal can interfere with the image quality.
• Biopsy Disclosure: If you are taking any blood-thinning medication (like aspirin or Warfarin), you must tell the doctor. This may need to be temporarily stopped before the biopsy to prevent bleeding.

After completing your Fine Needle Aspiration (FNA) biopsy and imaging tests, here is what you can expect regarding results and the next steps for finalizing your surgical plan:

• FNA Results: The pathology report from the biopsy is crucial as it provides the definitive diagnosis of the lump’s nature (whether it is benign or malignant). This report typically takes 3 to 7 days to be completed and reviewed.
• Surgical Consultation: Once all your test results (FNA report and imaging scans) are ready, you will schedule a detailed meeting with the Head and Neck Surgeon (ENT specialist). 
• Planning the Surgery: If surgery is confirmed as the necessary next step, the surgical planning process begins. This involves several preparations, including:
  • Pre-operative Blood Work: Standard tests to ensure you are healthy for surgery.
  • Baseline Facial Nerve Assessment: A crucial evaluation to map the function of your facial nerve before the procedure.
  • Scheduling the Procedure: Booking a date and time for your operation.