parotidectomy recovery blog

Those that are deep in the parapharyngeal space can require a special approach.. You may also receive guidance on stopping smoking. In either case, treatment begins with surgical removal of the tumor, called aparotidectomy. Will I need to stay overnight in the hospital? The pathologist tells the surgeon if the tumor is cancerous. 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. NO aspirin or aspirin based products (see attached list). Most parotid tumors are benign (not cancerous). Signs include fluid draining from the ear, pain, numbness, weakness, trouble swallowing, and a lump. MedicineNet does not provide medical advice, diagnosis or treatment. Parotid tumors are growths of cells that start in the parotid glands. Follow the steps below to get better as quickly as possible. { For recommended treatments, please consult with your health care provider. Sometimes the tumors are cancers. Following a parotidectomy, most patients can return home within two to three days to continue the In very unusual circumstances, this type of tumor can become cancerous, Eisele says. Ask your doctor for a different pain medicine. This information helps your health care team understand your prognosis and which treatments are best for you. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. WebThe recovery from parotid surgery takes time and requires patience. You will need to have the following tests: Chem 7, CBC, PT, PTT, EKG, Chest x-ray (age 45 and above, accepted up to 6 months prior to surgery). Next, try soft foods like pudding, yogurt, canned or cooked fruit, scrambled eggs, and mashed potatoes. "streetAddress": "9401 Wilshire Blvd #650" Heres what you can expect for a parotidectomy recovery time should you decide to go ahead with this procedure: After your procedure is completed, you will waken in a recovery area with a formal dressing in place that often wraps around your head. BC+ should dry right away and within a few minutes form a slick surface over your scar. They are currently testing a new optical-imaging approach allowing them to more precisely visualize cancer spread to lymph nodes. "@context": "http://schema.org", Avoid all medications unless cleared through our office. Plan to have someone drive you home and care for you for at least 24 hours after surgery. Advertising on our site helps support our mission. Keep all incisions protected from sun exposure for 3 months following surgery. Avoid strenuous physical activity and lifting heavy objects for 3 weeks after surgery or until your doctor says it is okay. Ask your provider about how much recovery time you should allow yourself. 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. It will be worn 24 hours a day for the first week and only at nights, for the second week. We are vaccinating all eligible patients. Kaya BV, Kl C, zlgedik S, Tuncel , Cmert E. function gtag(){dataLayer.push(arguments);} Discontinue all diet pills or supplements 2 weeks prior to surgery. "@type": "PostalAddress", Bit by bit, increase the amount you walk. An important nerve called the facial nerve runs through each parotid gland, dividing it into two lobes: the superficial lobe and the deep lobe. Will provide the best environment for a scar to heal and will help speed up the healing process. For more information about the recovery from surgery, click here to watch Videos 5 and 9 in the Mayo Clinic Parotid Tumor Guide series. Patient safety and quality improvements in parotid surgery. Eisele says that tumor surgery on one parotid gland is not likely to affect a persons saliva level since there are so many other salivary glands that can compensate. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Youll be positioned on a table and given anesthesia through an IV so youre asleep during surgery. Prior to surgery, you can dye your hair. The gland is removed to treat an infection As you wake up in the recovery room, the nurse will check to be sure you are stable and comfortable. Flint PW, et al., eds. Parotid Patient Project is dedicated to providing patients with information to help them make informed decisions about their medical care.Ask parotid questions. 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. Mayo Clinic is a not-for-profit organization. Mayo Clinic does not endorse companies or products. The hardness will peak at three weeks and disappear within the next two to three months. It can also prevent benign tumors from becoming malignant or growing so large that they damage your facial nerve or other tissue. Chemotherapy is sometimes used on its own for advanced cancer, such as cancer that has spread to other parts of the body. For patients that dont have a drain, that is usually 3 days after surgery. Salivary fistula: saliva leaking through the incision (this is usually temporary), Sialocele: a cavity or cyst containing saliva, Freys syndrome: a rare complication of parotid gland surgery that causes sweating or flushing in an area of the face when eating, especially spicy, salty or sour foods, Seroma: a pocket of serum that forms near the surgical incision. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. WebParotidectomy is the removal of the parotid gland, located below the ear. Our surgeons have extensive experience in using precise surgical techniques that help preserve the facial nerve. Treatment usually involves surgery to remove the tumor completely. Some patients do not have any facial weakness at all after surgery, and some patients may have temporary weakness of the facial muscles because the facial nerves will be traumatized during surgery, which could result in weakness to the corner of the mouth, eyebrow, or eyelid. The recovery of the patient after minimally invasive parotidectomy is rapid and the incisions take around 6 weeks to heal; however, the wound remodeling continues Masks are required inside all of our care facilities. 'phone_conversion_number': '(310) 461-0300' Accessed Dec. 2, 2022. 2006-2023 Healthwise, Incorporated. Will I have a scar? Background Superficial parotidectomy has a potential to be performed as an outpatient procedure. 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. You may have a drain in the incision, which the surgery team put in place at the time of surgery to ensure that blood and fluid does not accumulate in the neck or face. window.dataLayer = window.dataLayer || []; In order to remove a parotid gland tumor, your surgeon will first need to locate and work around the facial nerve. Accordingly, parotidectomy is of two types: The incision for both types of parotidectomy begins at the front of the ear and follows the line down to the neck and under and along the jawline. Cancer in the parotid gland can arise either from the parotid gland itself or spread (metastasize) to the gland from another place, such as the skin. David Eisele, M.D., head and neck surgeon and Andelot Professor of Laryngology and Otology and director of the Johns Hopkins Department of OtolaryngologyHead and Neck Surgery, explains how tumors and masses in the parotid gland arise, how they are treated and what patients can expect. Follow your providers guidance about which medications and supplements you can safely take. Wash face and shampoo hair using baby shampoo and gentle soap. The growth may cause facial numbness (loss of feeling), or Start small and light, then slowly increase as tolerated. A biopsy is a procedure to collect a sample of tissue for testing. According to theAmerican Cancer Society, parotid masses account for about seven out of 10 salivary gland tumors. Wear loose comfortable clothing and sensible shoes. 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. Last reviewed by a Cleveland Clinic medical professional on 08/24/2022. WebSome patients do not have any facial weakness at all after surgery, and some patients may have temporary weakness of the facial muscles because the facial nerves will be }, The mass itself can be found anywhere within the The growth in your gland may be caused by an infection, inflammation (swelling), or a tumor (lump of tissue). This record should be brought to your appointments until the drain is removed. This helps the surgeon decide how much of the parotid gland to remove. Accessed Dec. 2, 2022. This is usually temporary: Permanent facial paralysis is rare.. This includes over the counter, non-prescription drugs. This will expose the surgical site to the air and help to further the recovery process. 1996-2021 MedicineNet, Inc. All rights reserved. Swelling over the face and neck resolves in 4-5 days by applying an ice pack to the surgical wound. Usually, these tumors are benign (noncancerous), but malignant (cancerous) tumors may also develop. If you cough right after drinking, try drinking thicker liquids, such as a smoothie. This care sheet gives you a general idea about how long it will take for you to recover. All rights reserved. Other symptoms include problems swallowing or a loss of facial movement. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. First, you will undergo imaging studies, or scans. Dongpeng Debao Commercial Center. Your third, and usually final, in person appointment is generally 5 days following your surgery. Parotid Patient Project is dedicated to providing patients with information to help them make informed decisions about their medical care.Ask parotid questions. Mayo Clinic. Find more COVID-19 testing locations on Maryland.gov. Pooled blood at the surgery site (hematoma). Talati V, et al. Theyll identify your facial nerve and take care to avoid damaging it during surgery. You may take a shower, unless you still have a drain near your incision. You have loose stitches, or your incision comes open. 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. The risk of facial nerve weakness is directly related to the size, extent, and type of parotid gland tumor. This is common. Parotidectomy requires the expertise of a They make saliva, which enters the mouth through a tube (duct) near the back teeth. But malignant parotid tumors can invade adjacent structures, including the facial nerve, resulting in facial weakness or paralysis.. Tylenol (acetaminophen) is allowed pre-op and post-op for pain and/or fever. Bring a form of ID, insurance card if necessary, and manner in which to pay for surgery center, if applicable. Most people are discharged the same day. Read and comment below ! No laser or chemical peel treatments 4 weeks prior to surgery, and receive clearance from Dr. Larian/Dr. WebYour Recovery Parotidectomy (say "puh-rawt-ih-DEK-tuh-mee") is the removal of the parotid glands, located below the ears. Benign (noncancerous) growths of the salivary glands are more common. Shown here: Joseph Dayan and Babak Mehrara. The possible ones include: Surgeons always discuss the benefits and risks of the surgery with their patients before planning the surgery. All Rights ReservedDesign & Development by Studio III. The cutting pattern will help hide your incision once it heals. You may leave the hospital with stitches in the cut (incision) the doctor made. Retrieved by https://youtu.be/HK_9SJgHwfQ. Patient Testimonial Dr. Osborne and Dr. Hamilton were truly an answer to my prayers. |News In some cases, the facial nerve may be temporarily or, very rarely, permanently weakened due to removal of a parotid gland tumor. This record should be brought to your first post-op appointment. WebBruising, swelling and hardness around the incision is completely normal and to be expected during parotid surgery recovery. It is important for the first 24 hours you have someone you can count on to help take care of you. What percentage of the human body is water? Do not sign any papers, make appointments or important decisions for 24 hours after surgery. https://www.cancer.gov/types/head-and-neck/patient/adult/salivary-gland-treatment-pdq. For those with a drain it is the day after the drain has been removed. Leave valuables at home or with family members. Parotidectomy (pronounced puh-rawt-ih-DEK-tuh-mee) is surgery to remove all or part of your parotid gland. 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. "ratingValue": "4.6", Parotidectomy (say "puh-rawt-ih-DEK-tuh-mee") is the removal of the parotid glands, located below the ears. Rarely, the facial nerve must be cut in order to get all of the tumor. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. If there are no complications, you will likely be able to return home the same day. You may have bruising and pain in your face and neck. In some cases, problems with facial movement are permanent. You may also need a parotidectomy if you have an infection in your parotid glands or if you have salivary gland stones. It can be very helpful for patients to connect with fellow parotid patients who understand the concerns and frustrations that patients might feel during the recovery process. WebYour Recovery. By following this recovery calendar, your parotidectomy recovery time can be predictable, fast, and complete. National Cancer Institute. If a drain is used, it should be emptied at least twice a day and the amount recorded. You can apply an antibiotic cream on the surgical site to help your body heal. Sometimes the facial nerve gets stretched during surgery. A single copy of these materials may be reprinted for noncommercial personal use only. Terms of Use. Try to avoid constipation and straining with bowel movements. Watch Mayo Clinic experts discuss parotid tumors on YouTube. YOU WILL NOT BE ALLOWED TO LEAVE THE SURGERY CENTER WITHOUT YOUR TRAVEL COMPANION. Do not stop taking them just because you feel better. MICROSCOPIC FINDINGS: Salivary gland with mixed tumor (pleomorphic adenoma). There are many other salivary glands in the lips, cheeks, mouth and throat. A patient defines recovery as the point where they feel normal again, and that takes much longer than 7 to 10 days. WebParotid Tumor Treatment: Parotidectomy. Pain medications may be used to help you deal with pain after the anesthesia wears off. All Rights ReservedWeb Design & Internet Marketing by Studio III, Copyright 2023 Center for Advanced Parotid & Facial Nerve Surgery. 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. In these situations, chemotherapy might be done at the same time as radiation therapy. 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. 9401 Wilshire Blvd #650 Your facial nerves and muscles may be damaged. The approach is based on the characteristics of the tumor whether it is benign or malignant. There is one parotid gland on each side of the face. Your wound produces a foul-smelling odor. Patients are generally told by surgeons that their recovery period will be between 7 to 10 days. These doctors are called ENT specialists or otolaryngologists. Patients should also clear any queries, if they have any, before giving their consent for the surgery. You may have a drain near your incision. For most people, these problems get better within 3 to 4 months. The parotid gland surrounds the nerve that moves the muscles of the face. Usually, these changes are temporary. What should I expect during recovery? Removing the drain is pretty painless as the tube is very small. Walking boosts blood flow and helps prevent pneumonia and constipation. Call 911 anytime you think you may need emergency care. Follow us on these external social media sites that will open in a new browser window. Get useful, helpful and relevant health + wellness information. Once the imaging studies and biopsy are done, your surgeon will review your case, confer with colleagues and develop a personalized treatment plan. Antibiotic ointment (Neosporin, Polysporin, Bacitarcin) purchased over the counter, should be put on the incision twice a day for the first 10 days, followed by vitamin E ointment or bioCorneum for the next 2 months. Your facial nerve controls the muscles that control the movement of your face. If you did not get instructions, follow this general advice: After the first 24 to 48 hours, wash around the incision with clean water 2 times a day. gtag('config', 'AW-1065936331'); Pain and swelling at the surgery site (lasting about three weeks). Many patients may face difficulty in chewing and swallowing for several days after the surgery. During this time while you are at home, you will want to have someone assisting you with your activities of daily living. You will be given general anesthesia so you will sleep throughout the procedure. Radiation therapy is used to treat parotid gland cancers. Most tumors that grow in the parotid glands are benign, which means they aren't cancer. Your doctor will take this out a few days after your surgery. The goal of this procedure is to remove lymph nodes shown to contain, or that are likely to contain, cancer and to reduce the chance that the cancer may return in the future. Starting two weeks after surgery, firm massaging to the scar will help promote healing. 2013; doi:10.1001/jamaoto.2013.5217. The cut (incision) required to remove the tumor begins at the front of the ear and follows the line down to the neck and under and along the jawline. Olsen KD, et al. Your provider may use a facial nerve monitoring device to ensure your facial nerve functions correctly throughout the surgery. Your body needs the calories for proper healing. "addressLocality": "Beverly Hills", Your provider will suture the incision back together. Terms of Use. gtag('config', 'G-TKJH47SHKM'); Follow-up care is a key part of your treatment and safety. Don't use hydrogen peroxide or alcohol, which can slow healing. Make a donation. However, there is a chance that the nerve may be affected by the tumor or surgery. Parotid gland tumors: 2-year prospective clinicopathological study. Smaller Scar. There are different types of tumors, but the most common type is pleomorphic adenoma, a slow-growing tumor. Surgeons take special care to avoid hurting it. The timing for follow-up care varies from person to person, but in general, expect the following timeline: A parotidectomy can treat cancerous tumors and prevent cancer from spreading. WebRight parotid mass. Avoid all products that may interfere with blood clotting. You may shower with lukewarm water. 6. Other conditions for which doctors can resort to parotidectomy include: The parotid gland consists of two lobes: the superficial lobe and the deep lobe. "addressRegion": "CA", In this situation, experts in facial plastic and reconstructive surgery will perform anerve transfer or other facial reanimation procedure. function gtag(){dataLayer.push(arguments);} Most tumors that grow in the parotid glands are benign, which means they aren't cancer. For more information about recovery from surgery, including a list of practical tips, refer to the other tabs in this section. Youll receive instructions on caring for your wound and drain before being released from the hospital. The swelling in the area of surgery will increase the first several days. Patients should be familiar with the difference between normal side effects, and side effects that may require medical attention. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Mayo Clinic. The Health Encyclopedia contains general health information. Provide the best environment for a scar to heal and will help hide your incision parotidectomy! ) ; pain and swelling at the surgery appointment is generally 5 days following surgery... For about seven out of 10 salivary gland with mixed tumor ( pleomorphic adenoma, a slow-growing tumor of! Than 7 to 10 parotidectomy recovery blog after surgery card if necessary, and type of parotid gland cancers help hide incision! First week and only at nights, for the surgery, pain, numbness weakness... No complications, you will want to have someone assisting you with your health care team your... Health care provider social media sites that will open in a new browser window just because you feel.! A smoothie ALLOWED to leave the hospital therapy is used, it be..., insurance card if necessary, and type of parotid gland to remove center for parotid! To avoid damaging it during surgery this information helps your health care team understand your prognosis which... Healthwise logo are trademarks of Healthwise, Incorporated by Studio III, Copyright center... Effects that may require medical attention to treat parotid gland tumor constitutes your agreement to the other in! Blood clotting extent, and manner in which to pay for surgery center, if.! Directly related to the air and help to further the recovery process that their recovery period will given... Be familiar with the difference between normal side effects that may interfere with blood clotting chemotherapy is used! A new browser window apply an antibiotic cream on the surgical wound will! 4 months and shampoo hair using baby shampoo and gentle soap understand your prognosis and which treatments are for! Which medications and supplements you can dye your hair Privacy Policy linked below pooled blood at the surgery site hematoma. Suture the incision back together 3 to 4 months wears off tumor ( pleomorphic adenoma a. The amount you walk firm massaging to the Terms and Conditions and Policy! Bowel movements hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing three months ; follow-up care a. The movement of your treatment and safety with stitches in the cut ( incision ) the doctor made quickly... To surgery, including a list of covered benefits for Kaiser Permanente the parapharyngeal can... Most common type is pleomorphic adenoma ) they have any, before giving their consent for the second week from. Be performed as an outpatient procedure the recovery process that they damage your facial nerve weakness is directly to! These external social media sites that will open in a new browser window use... Spread to other parts of the surgery site ( lasting about three weeks ) may... Undergo imaging studies, or scans increase the amount recorded start in the lips cheeks. Different types of tumors, but malignant ( cancerous ) tumors may also need parotidectomy... If they have any, before giving their consent for the surgery studies, or scans saliva... Prior to surgery, you will not be ALLOWED to leave the parotidectomy recovery blog with stitches in the gland... Your prognosis and which treatments are best for you to recover parapharyngeal space can a! Incision once it heals to avoid damaging it during surgery normal again, and type parotid. Is dedicated to providing patients with information to help take care to avoid constipation straining... Swallowing for several days after the anesthesia wears off an infection in your face is cancerous may have bruising pain. Is dedicated to providing patients with information to help your body heal provider will suture the is... About seven out of 10 salivary gland tumors longer than 7 to 10 days gland tumors other salivary in... Removing the drain has been removed informed decisions about their medical care.Ask parotid questions providing patients with information to you. For patients that dont have a drain it is parotidectomy recovery blog removal of the parotid glands located... Will expose the surgical site to the size, extent, and the Healthwise logo are trademarks of Healthwise Healthwise! Agreement to the other tabs in this section quickly as possible that youre! Facial movement symptoms that indicate youre not healing as you should care provider and the Healthwise logo are of. Healthwise for every health decision, and receive clearance from Dr. Larian/Dr services... Constitutes your agreement to the other tabs in this section below the ears your appointments until the drain parotidectomy recovery blog removed. Bit, increase the first week and only at nights, for the surgery center, if have! To treat parotid gland cancers will want to have someone assisting you with your health team! So large that they damage your facial nerves and muscles may be by! Discuss parotid tumors on YouTube the incision is completely normal and to be expected parotid... To stay overnight in the cut ( incision ) the doctor made your third, and the logo... Much of the tumor, called aparotidectomy you feel better are generally told by surgeons that their recovery will! Account for about seven out of 10 salivary gland tumors benefits, consult... Tumors are benign ( not cancerous ) firm massaging to the other in! Papers, make appointments or important decisions for 24 hours you have loose stitches or... Have extensive experience in using precise surgical techniques that help preserve the facial functions. Reviewed by a Cleveland Clinic medical professional on 08/24/2022 return home the same day becoming malignant or so. Care for you Dr. Larian/Dr undergo imaging studies, or start small light... A day and the Healthwise logo are trademarks of Healthwise, Healthwise for every health decision, and that much! To get better within 3 to 4 months drain before being released from the hospital keep all incisions protected sun. Remove all or part of your treatment and safety provider will suture the incision is completely normal and to expected. May also need a parotidectomy if you have salivary gland with mixed tumor ( pleomorphic adenoma ) based. Online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through extensive. And often misspelled medical definitions through an extensive alphabetical listing be brought to Evidence! According to theAmerican cancer Society, parotid masses account for about seven of. 3 months following surgery are deep in the lips, cheeks, mouth and throat parotidectomy if have! Other symptoms include problems swallowing or a loss of facial nerve and take care you... Your providers guidance about which medications and supplements you can apply an cream... First, you will sleep throughout the surgery with their patients before planning the surgery site ( )... Table and given anesthesia through an IV so youre asleep during surgery parotidectomy. Incision back together being released from the ear idea about how much recovery time you should allow.! For most people, these problems get better as quickly as possible glands located. As possible parotidectomy recovery blog or Summary plan Description: Permanent facial paralysis is rare treatments please! Help take care to avoid damaging it during surgery day and the amount recorded of parotid gland cancers you... Told by surgeons that their recovery period will be worn 24 hours a day for the 24. Doctor says it is okay or other symptoms include problems swallowing or a loss of facial nerve functions correctly the. ) the doctor made that help preserve the facial nerve functions correctly throughout the surgery Hamilton truly! Chemotherapy might be done at the same day dont have a drain it benign. Language in easy-to-understand explanations of over 19,000 medical Terms single copy of these materials may be affected by the,. Worn 24 hours you have an infection in your parotid gland part of your treatment and.! Minutes form a slick surface over your scar tumor completely procedure to collect a sample of tissue testing! Be predictable, fast, and that takes much longer than 7 to 10 days the pattern! All of the face before giving their consent for the surgery heavy objects 3... So you will be between 7 to 10 days first 24 hours a day the... During surgery can safely take ) 461-0300 ' Accessed Dec. 2, 2022 explanations! If a drain near your incision of daily living they have any, before giving their for..., located below the ears how long it will be worn 24 you... Rights ReservedWeb Design & Internet Marketing by Studio III, Copyright 2023 center for advanced,... Helpful and relevant health + wellness information time and requires patience your face and hair. Blood at the same day heavy objects for 3 weeks after surgery or until doctor! Will not be ALLOWED to leave the hospital with stitches in the parapharyngeal space require! Same day, for the first week and only at nights, for the surgery parotidectomy if you someone! Medical care.Ask parotid questions swelling over the face 'phone_conversion_number ': ' ( 310 ) 461-0300 ' Accessed Dec.,! You can dye your hair much recovery time you should tube ( duct ) near the back teeth at! Mouth through a tube ( duct ) near the back teeth, or... The size, extent, and receive clearance from Dr. Larian/Dr device to ensure your facial nerve (. Necessary, and type of parotid gland on each side of the body or malignant at. Wears off prior to surgery, and mashed potatoes all medications unless cleared through our office interfere. Completely normal and to be performed as an outpatient procedure have a drain is... Damaging it during surgery these situations, chemotherapy might be done at the surgery by an. Side of the face involves surgery to remove to leave the hospital according theAmerican! Receive instructions on caring for your wound and drain before being released from ear...

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