Pleomorphic adenoma (benign mixed tumor)
Hello doctor, my mother had a 2 cm pleomorphic adenoma removed from her parotid gland at the beginning of February.
The numbness after surgery disappeared after two weeks, but the pain from the sutures has lasted nearly two weeks (at the scabbed area).
It feels better after applying a topical ointment.
Is this pain normal? Can she take pain medication? Thank you.
Luo, 30~39 year old female. Ask Date: 2017/03/04
Dr. Zheng Jueyi reply Otolaryngology
Hello: Pain can be alleviated with analgesics.
If the pain persists and does not improve, it is recommended to return to the original surgical facility for further evaluation.
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: 2017/03/04
More Info
After undergoing surgery for a parotid tumor, it is not uncommon to experience pain at the incision site, especially as the healing process progresses. The pain you are describing, which has persisted for nearly two weeks post-surgery, can be attributed to several factors related to the surgical procedure and the body's natural healing response.
Firstly, it is important to understand that any surgical intervention, including the removal of a parotid tumor, involves cutting through various layers of tissue, including skin, muscle, and potentially nerves. This disruption can lead to inflammation and pain as the body works to heal itself. The pain you are experiencing may be due to the healing of the incision, the formation of scar tissue, or even irritation of the surrounding tissues.
In the case of parotid gland surgery, the area around the ear and jaw can be particularly sensitive. The presence of sutures can also contribute to discomfort, as they may pull on the surrounding tissue or cause localized irritation. The fact that you mentioned using a topical ointment, such as a healing ointment, and finding some relief suggests that the pain may be related to the surface healing of the skin and the sutures.
It is also worth noting that the sensation of pain can be influenced by various factors, including emotional stress, physical activity, and even changes in posture. If you find that the pain intensifies with certain movements or activities, it may be a sign that you are engaging the muscles and tissues around the surgical site more than they are ready to handle.
Regarding the use of pain relief medications, it is generally acceptable to take over-the-counter pain relievers, such as acetaminophen or ibuprofen, to manage discomfort after surgery. These medications can help reduce inflammation and alleviate pain. However, it is crucial to follow the dosage instructions on the packaging and consult with your healthcare provider if you have any concerns or if the pain persists despite taking medication.
If the pain continues to be significant or worsens over time, it is advisable to follow up with your surgeon or healthcare provider. They can assess the surgical site for any signs of complications, such as infection or improper healing, and provide guidance on further management. Additionally, if you notice any unusual symptoms, such as increased swelling, redness, or discharge from the incision site, these could be indicators of an infection that requires prompt medical attention.
In summary, while some pain and discomfort after parotid tumor surgery is normal, especially in the first few weeks, it is essential to monitor your symptoms and communicate with your healthcare provider if you have any concerns. Pain management strategies, including the use of pain relievers and proper wound care, can help facilitate a smoother recovery process. Always prioritize your health and well-being by seeking professional advice when needed.
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