Postoperative care for salivary gland cyst?
Doctor, I had excision surgery two weeks ago, but a few days later, a lump appeared at the wound site.
After applying an ointment, it went down, but then it popped up again after a few days.
I looked online and read that inflammation or small blisters at the wound site can be normal.
I would like to ask if I should continue applying the ointment and observe for a few more days, or if this indicates a recurrence? Are there any dietary restrictions I should be aware of, or anything specific I need to note? How can I prevent a recurrence? Thank you for taking the time to respond, Doctor.
vane, 10~19 year old female. Ask Date: 2023/06/10
Dr. Zheng Jueyi reply Otolaryngology
Hello, if the persistent swelling does not subside, it may be related to inflammation or recurrence.
You can use an oral ointment and observe for a week, drink plenty of water, rinse your mouth, and reduce the intake of irritating foods.
If there is still no improvement, it is recommended to return to the original surgeon for a follow-up examination.
Reply Date: 2023/06/10
More Info
Post-surgery care for a salivary gland cyst removal is crucial for ensuring proper healing and minimizing the risk of complications, including recurrence. After surgery, it is common to experience some swelling or the formation of small bumps at the incision site, which can be mistaken for a recurrence of the cyst. Here’s what you can expect and what you should avoid during your recovery period.
What to Expect After Surgery
1. Swelling and Bruising: It is normal to have some swelling and bruising around the surgical site. This should gradually decrease over time. If the swelling persists or worsens, it may indicate an issue that requires medical attention.
2. Discomfort and Pain: Mild to moderate pain is expected after surgery. Pain management may involve over-the-counter pain relievers or medications prescribed by your doctor.
3. Fluid Accumulation: The formation of small fluid-filled bumps or blisters can occur as part of the healing process. These may be seromas (fluid collections) or hematomas (blood collections). If they are not painful and do not show signs of infection (redness, warmth, increased pain), they may resolve on their own.
4. Signs of Infection: Watch for signs of infection, such as increased redness, swelling, warmth, pus or drainage from the incision, and fever. If you notice any of these symptoms, contact your healthcare provider immediately.
Care Instructions
1. Wound Care: Keep the surgical site clean and dry. Follow your surgeon's instructions regarding dressing changes and the use of topical ointments. If your doctor has recommended using an oral ointment, apply it as directed. If the bump resolves after applying the ointment, continue to monitor it. However, if it reappears frequently, consult your doctor.
2. Dietary Considerations: After surgery, it is advisable to avoid spicy, acidic, or hard foods that may irritate the surgical site. Stick to a soft diet for the first few days post-surgery, gradually reintroducing regular foods as tolerated. Staying hydrated is also important for overall recovery.
3. Avoiding Irritants: Refrain from smoking and limit alcohol consumption, as these can impede healing. Additionally, avoid strenuous activities, heavy lifting, and vigorous exercise for at least a few weeks post-surgery, as these can increase swelling and pressure on the surgical site.
4. Oral Hygiene: Maintain good oral hygiene to prevent infections. Rinse your mouth gently with a saltwater solution or an antiseptic mouthwash as recommended by your doctor.
Preventing Recurrence
1. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. They will monitor your healing process and address any concerns you may have.
2. Recognizing Symptoms: Be aware of any changes in your mouth or the surgical site. If you notice any new lumps, persistent swelling, or changes in sensation, report these to your doctor.
3. Healthy Lifestyle: Maintain a healthy lifestyle, including a balanced diet and regular exercise, to support your immune system and overall health.
4. Stress Management: Stress can impact healing, so consider incorporating relaxation techniques such as meditation or gentle yoga into your routine.
In summary, while some post-operative symptoms like swelling and bumps can be normal, it is essential to monitor your recovery closely. If you have any doubts or if symptoms worsen, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice based on your specific situation and help ensure a smooth recovery.
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