Salivary Gland Biopsy: Recovery and Concerns Explained

Salivary gland biopsy?

Hello Doctor, I underwent a salivary gland biopsy due to a Sjögren's syndrome examination, where a small piece of tissue was taken from the inside of my lower lip for testing.
After the procedure, I had two stitches, and the doctor advised me to return in two weeks to have them removed.
It has been about a week now, and while the wound hasn’t been very painful, I do feel a pulling sensation when eating, and the area above my lip has been extremely numb and painful.
Over the past two days, the area where the stitches are has suddenly formed a depression, almost like the wound is exposed.
The stitches seem to have shifted from two ends to being centered in the depression.
Could this be due to the stitches pulling apart the originally sutured area, or is it because the wound is healing and forming tissue? If the stitches have indeed come apart, do I need to have them re-sutured or removed? Thank you for your patience and professional response, I really appreciate it!

Joi, 30~39 year old female. Ask Date: 2023/04/04

Dr. Zheng Jueyi reply Otolaryngology

Hello, it is necessary to see the wound directly to make an assessment.
If you are concerned about any changes, it is advisable to schedule a follow-up appointment in advance for the original surgeon to evaluate the condition of the wound.

Reply Date: 2023/04/04

More Info

Salivary gland biopsy is a procedure often performed to diagnose conditions such as Sjögren's syndrome, which is characterized by dry mouth and dry eyes due to autoimmune destruction of the salivary and lacrimal glands. Understanding the recovery process and potential concerns following this procedure is crucial for patients.

After a salivary gland biopsy, it is common to experience some discomfort, swelling, and tenderness at the site of the incision, which is typically made inside the lower lip. The stitches used to close the incision are usually dissolvable, and the healing process can vary from person to person. In your case, it sounds like you are experiencing some normal post-operative sensations, such as a pulling feeling when eating and localized pain or numbness. These symptoms can occur as the tissues heal and may be exacerbated by movement or stretching of the lip.

The appearance of a "dimple" or indentation at the site of the incision, as you described, can be concerning. This could be due to several factors:
1. Normal Healing Process: As the tissue heals, it can sometimes retract or change in appearance, leading to a dimpled effect. This is often temporary and may resolve as healing continues.

2. Tension on the Suture: If the stitches are under tension, they may pull on the surrounding tissue, causing a change in the appearance of the incision site. This can sometimes create a feeling of tightness or discomfort.

3. Infection or Complications: While less common, it is essential to monitor for signs of infection, such as increased redness, swelling, warmth, or discharge from the incision site. If you notice any of these symptoms, it would be prudent to contact your healthcare provider.

4. Suture Issues: If the sutures are not holding properly, it could lead to a separation of the wound edges. This might require further evaluation by your doctor to determine if re-suturing is necessary.

Given that you are one week post-surgery, it is still within the normal range for healing, but the changes you are observing warrant attention. It is advisable to follow up with your healthcare provider, especially if you have concerns about the integrity of the incision or if you experience increased pain, swelling, or any signs of infection. They can assess the site, determine if the sutures are intact, and provide guidance on whether any further intervention is needed.

In summary, while some discomfort and changes in the appearance of the incision site can be expected after a salivary gland biopsy, any significant changes, especially those that cause concern, should be evaluated by your physician. They can provide reassurance and ensure that your recovery proceeds smoothly. Always prioritize communication with your healthcare provider regarding any post-operative concerns, as they are best equipped to address your specific situation and ensure optimal healing.

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