Can Salivary Gland Cysts Heal on Their Own? Expert Insights and Advice - Otolaryngology

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I would like to confirm if there is still a possibility for a salivary gland cyst that has not healed for a long time to resolve on its own?


Last week, I went to the hospital for an examination, and the doctor explained that I have a salivary gland cyst.
My sleep schedule has been irregular over the past year, often going to bed at 2 AM or even later, and I haven't been drinking enough water.
As a result, the cyst has been recurring and hasn't resolved in the past few months.
However, in the last two months, I have adjusted my schedule to go to bed before midnight, drink at least 1800 cc of water daily, and focus on supplementing vitamins B and C.
About four or five days ago, the cyst suddenly shrank, but it hasn't completely disappeared.
I would like to ask the doctor if there is a possibility for it to resolve on its own, or would you still recommend surgery?

Xiao Zhou, 20~29 year old female. Ask Date: 2020/08/22

Dr. Zheng Jueyi reply Otolaryngology


Hello: If the salivary gland cyst decreases in size and does not affect your daily life after improving your lifestyle, you can monitor it yourself.
However, if it repeatedly enlarges or causes significant discomfort, surgical removal may be considered for a definitive cure.
Wishing you peace and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/08/22

More Info


Salivary gland cysts, also known as mucoceles or sialoceles, can sometimes resolve on their own, especially if they are small and not causing significant symptoms. These cysts are typically formed due to the blockage of salivary glands, often resulting from trauma, dehydration, or other factors that affect saliva production and flow. In your case, it seems that lifestyle changes, such as improving your sleep schedule and increasing your water intake, may have contributed to the reduction in the size of the cyst.

The body has a remarkable ability to heal itself, and in some instances, salivary gland cysts can shrink or disappear without medical intervention. Factors that can influence this include the size of the cyst, its location, and the underlying cause of its formation. If the cyst is small and asymptomatic, many healthcare providers may recommend a watchful waiting approach, monitoring the cyst for any changes.

However, if the cyst persists, continues to grow, or causes discomfort, surgical intervention may be necessary. Surgery is typically considered when the cyst is large, symptomatic, or recurrent. The surgical procedure usually involves excising the cyst and addressing any underlying issues that may have contributed to its formation, such as removing any obstructing salivary stones or addressing ductal issues.

In your situation, since you have made positive lifestyle changes and noticed a reduction in the cyst's size, it may be worth discussing with your healthcare provider whether continued observation is appropriate. They may recommend follow-up imaging or examinations to monitor the cyst's status. If the cyst does not resolve completely or if you experience any new symptoms, such as pain, swelling, or difficulty swallowing, further evaluation and potential surgical options should be considered.

Additionally, maintaining good hydration and a balanced diet rich in vitamins, particularly B and C, can support overall salivary gland health. Staying hydrated helps ensure adequate saliva production, which can prevent the formation of new cysts.
In summary, while salivary gland cysts can sometimes heal on their own, the decision to pursue surgery should be based on the cyst's characteristics and any associated symptoms. Regular follow-up with your healthcare provider is essential to ensure that the cyst is monitored appropriately and to determine the best course of action based on your individual circumstances.

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