Post-Surgery Concerns: Neck Swelling After Ear Canal Procedure - Otolaryngology

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On the fourth day after the preauricular sinus surgery, a lump was found on the neck?


I underwent surgery for a unilateral preauricular sinus on November 29, and postoperatively, the doctor wrapped my ear with a bandage that extended around my head.
The bandage was removed on approximately the third day.
However, on the fourth day, I noticed a swelling on the same side of my neck.
When I returned to the outpatient clinic, the physician said that it should be fine since it didn't hurt when pressed, and it might be related to the bandage being too tight.
I inquired about how long it would take for the neck swelling to subside, and the doctor mentioned it should be gone by the time the stitches are removed.

However, today, December 3, I have noticed another small movable lump that has appeared below the original neck swelling.
I would like to know if this condition is related to the surgery and whether I need to inform my doctor about it sooner.
Currently, the area around my ear is still red and swollen.

Wǒ yào wèn wèntí, 30~39 year old female. Ask Date: 2016/12/04

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no improvement, it is recommended to return for an earlier check-up.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/12/04

More Info


After undergoing surgery for an ear canal condition, it is not uncommon to experience some post-operative symptoms, including swelling in the neck area. In your case, the neck swelling you noticed after the surgery could be attributed to several factors, including the surgical procedure itself, the application of a bandage, and the body's natural healing response.

Firstly, it is important to understand that surgical procedures can lead to localized swelling due to inflammation. This is a normal part of the healing process as the body works to repair the tissues that were affected during the surgery. The fact that the swelling is not painful when pressed is a positive sign, indicating that it may not be an infection or a serious complication. However, the presence of a new, movable lump in the neck is something that should be monitored closely.

The bandage applied post-surgery could also contribute to temporary swelling. If the bandage was tight, it might have restricted blood flow or lymphatic drainage in the area, leading to localized swelling. Once the bandage was removed, you might have noticed changes in the swelling pattern as the tissues began to adjust.
Regarding the timeline for resolution, it is common for swelling to take several days to weeks to fully subside, depending on the extent of the surgery and individual healing rates. Your surgeon's comment that the swelling should decrease by the time of suture removal is a typical expectation, but individual experiences can vary.

Given that you have observed a new lump in addition to the existing swelling, it is advisable to communicate this to your surgeon as soon as possible. While it may not be directly related to the surgery, any new developments warrant further evaluation to rule out complications such as seromas (fluid collections), hematomas (blood collections), or other issues that may arise post-operatively.

In summary, while some swelling and changes in the neck area can be expected after ear canal surgery, the emergence of a new lump should be assessed by your healthcare provider. It is always better to err on the side of caution and seek a professional opinion, especially if you notice any changes in your symptoms or if the swelling does not improve over time. Your surgeon will be able to provide the best guidance based on a physical examination and your surgical history.
In the meantime, continue to monitor your symptoms, keep the surgical site clean, and follow any post-operative care instructions provided by your healthcare team. If you experience any additional symptoms such as increased redness, warmth, fever, or pain, seek medical attention promptly. Your health and recovery are of utmost importance, and staying in close communication with your healthcare provider will help ensure a smooth recovery process.

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