Salivary gland cyst mucocele
Hello Doctor, I recently underwent a salivary gland cyst excision surgery abroad, with the removal site being under the tongue and the back of the tongue.
Now, eight days post-surgery:
1.
The tip of my tongue feels somewhat numb, and there is a raised hard lump at the surgical site under the tongue.
Is this normal?
2.
Importantly, there are two blisters on the scar (edges).
One has ruptured, forming a very small ulcer.
Is this normal?
I kindly ask for your response, Doctor.
Andrew, 30~39 year old female. Ask Date: 2020/09/03
Dr. Li Jiaxuan reply Otolaryngology
It is normal for a wound to have some swelling, inflammation, or small blisters, but if the discomfort is too pronounced, it is important to return for a follow-up appointment.
Wishing you a safe recovery.
Reply Date: 2020/09/03
More Info
Post-surgery concerns, especially after a salivary gland cyst removal, can be quite common and often raise questions about the healing process and what to expect. Based on your description, let’s address your concerns regarding the recovery process and the symptoms you are experiencing.
1. Numbness of the Tongue Tip: It is not uncommon to experience some numbness or altered sensation in the tongue after surgery, particularly if the procedure involved manipulation or proximity to nerves. The lingual nerve, which provides sensation to the anterior two-thirds of the tongue, can be affected during surgery. This numbness may gradually improve over time as the nerve heals. However, if the numbness persists or worsens, it is essential to consult your surgeon for further evaluation.
2. Hard Lump Under the Tongue: The presence of a hard lump at the surgical site can be a normal part of the healing process. This lump may represent scar tissue or a localized area of inflammation. As the body heals, it is common for tissues to feel firmer than usual. However, if the lump becomes increasingly painful, grows in size, or is associated with other concerning symptoms (such as fever or increased swelling), it is advisable to seek medical attention.
3. Blisters and Ulceration: The development of blisters on the scar, especially after surgery, can occur due to several reasons, including irritation from oral hygiene products, friction, or even an allergic reaction. If one of the blisters has ruptured and formed a small ulcer, this can also be a part of the normal healing process, particularly if the area is sensitive. It is crucial to keep the area clean and avoid further irritation. Applying a topical antibiotic ointment, as recommended by your healthcare provider, can help prevent infection. If the ulcer does not heal or shows signs of infection (increased redness, warmth, pus), you should contact your doctor.
Additional Recovery Tips:
- Oral Hygiene: Maintain good oral hygiene to prevent infection. Use a gentle mouthwash or saline rinse as advised by your surgeon.
- Diet: Stick to a soft diet to avoid irritating the surgical site. Foods that are too hot, spicy, or hard can exacerbate discomfort.
- Pain Management: Over-the-counter pain relievers can help manage discomfort, but always follow your surgeon's recommendations regarding medication.
- Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your healing progress. Your surgeon will assess the surgical site and address any concerns you may have.
When to Seek Medical Attention:
- Persistent numbness or worsening symptoms.
- Increasing pain or swelling at the surgical site.
- Signs of infection, such as fever, increased redness, or discharge from the wound.
- Any new or concerning symptoms that arise during your recovery.
In conclusion, while some of the symptoms you are experiencing can be part of the normal healing process, it is essential to remain vigilant and communicate with your healthcare provider about any changes or concerns. Recovery can take time, and your healthcare team is there to support you through this process.
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