- Children (< 18 years old). Adults > 80 years old i.e. too old for surgery/follow up Patients without capacity. Primary parotid surgery (not secondary procedures). Patients having radical parotidectomy with additional facial nerve sacrifice. Patients have immediate reconstruction (e.g. with free flap). Previous/current facial surgery/co-morbidity e.g. facial palsy Co-morbidity precluding surgery