Post-Surgery Concerns: Severe Swelling After Ear Canal Surgery - Otolaryngology

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After surgery for preauricular sinus?


I had surgery on January 6th, and it has been five days since then.
Why is there significant swelling above the incision site? It feels very uncomfortable, and the swelling is quite extensive.
Is this normal?

YANG, 20~29 year old female. Ask Date: 2021/01/11

Dr. Ji Zhaoyun reply Otolaryngology


Hello, if there are symptoms such as redness, swelling, heat, or pain at the surgical site after the operation, it is advisable to return to the original surgeon for evaluation.
Wishing you a speedy recovery.

Reply Date: 2021/01/11

More Info


After undergoing ear canal surgery, experiencing significant swelling at the surgical site can be concerning. However, it is important to understand that some degree of swelling is a common response to surgical trauma. The body’s natural healing process involves inflammation, which can lead to swelling, redness, and discomfort in the affected area. This is particularly true in the first few days following surgery, as the body begins to repair the tissues that were affected during the procedure.

In your case, since you had the surgery on January 6 and are now five days post-operation, it is not unusual to experience swelling. However, the extent of the swelling you describe as "very severe" and "a large area" does warrant attention. Here are some factors to consider regarding your symptoms:
1. Normal Healing Process: Swelling is part of the inflammatory response, which helps to protect the area and initiate healing. It is common for swelling to peak within the first few days after surgery and then gradually subside.

2. Infection: While some swelling is normal, excessive swelling accompanied by increased pain, warmth, or discharge from the surgical site could indicate an infection. Signs of infection may include fever, chills, or a foul odor from the ear. If you notice any of these symptoms, it is crucial to contact your healthcare provider promptly.

3. Fluid Accumulation: Sometimes, fluid can accumulate in the area post-surgery, leading to a condition known as seroma. This can cause significant swelling and discomfort. If this is the case, your doctor may need to evaluate the area and possibly drain the fluid.

4. Allergic Reaction: If you have received any medications or topical treatments post-surgery, consider whether you might be experiencing an allergic reaction, which could also lead to swelling.

5. Follow-Up Care: It is essential to follow your surgeon's post-operative care instructions. If you have not already done so, reach out to your healthcare provider to discuss your symptoms. They may want to examine the surgical site to ensure that everything is healing as expected.

6. Pain Management: Managing discomfort is also important. Over-the-counter pain relievers, as recommended by your doctor, can help alleviate pain associated with swelling.

In summary, while some swelling is expected after ear canal surgery, the severity of your symptoms should be evaluated by a healthcare professional. It is always better to err on the side of caution, especially when it comes to post-surgical complications. If you feel that the swelling is excessive or if you have any other concerning symptoms, please do not hesitate to contact your surgeon or healthcare provider for further evaluation and guidance. They can provide you with the best advice tailored to your specific situation and ensure that your recovery proceeds smoothly.

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