Post-Surgery Concerns: Healing Time for Salivary Gland Cyst Removal - Otolaryngology

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Postoperative Wound after Salivary Gland Cyst Surgery


Dear Doctor, I underwent laser surgery on July 6 to remove a salivary gland cyst located at the junction of my lower lip and gums.
During my follow-up appointment, the doctor mentioned that the report did not confirm it was a salivary gland cyst and did not indicate any other abnormalities; the tissue was deemed normal.
However, it has been over two weeks, and the wound is still a hole.
I experience some pain, especially when eating.
Is this an abnormal healing process? How long does it typically take for the tissue to start regenerating? The appearance of the hole is quite concerning.
😱

Mei, 30~39 year old female. Ask Date: 2023/07/21

Dr. Zheng Jueyi reply Otolaryngology


Hello, increasing the intake of protein-rich foods can help with wound healing.
If there is no improvement, it is recommended to continue follow-up visits with the original surgeon for further treatment.

Reply Date: 2023/07/21

More Info


After undergoing laser surgery for the removal of a salivary gland cyst on July 6, it is understandable to have concerns regarding the healing process, especially when the wound appears to be open and is causing discomfort during eating. Healing times can vary significantly based on several factors, including the size and depth of the incision, the individual’s overall health, and adherence to post-operative care instructions.

Typically, after a minor surgical procedure like the removal of a salivary gland cyst, the initial healing phase can take anywhere from a few days to a couple of weeks. However, complete healing, where the tissue fully regenerates and the wound closes, can take longer—often several weeks to a few months. In your case, since it has been over two weeks and the wound still appears open, it is essential to monitor the situation closely.

The presence of a "hole" or open wound can be concerning, but it is not uncommon for surgical sites, especially in areas with high moisture and movement, such as the mouth, to take longer to heal. The pain you are experiencing while eating could be attributed to the exposed tissue, which may be sensitive as it heals. It is crucial to maintain good oral hygiene to prevent infection, as the mouth is home to numerous bacteria that can complicate healing.

If the wound does not show signs of improvement—such as closure or reduction in pain—within the next week or so, it is advisable to return to your healthcare provider for a follow-up examination. They may want to assess the wound for any signs of infection or other complications, such as improper healing or the formation of scar tissue. In some cases, additional treatment may be necessary, such as wound care management or, in rare instances, further surgical intervention.

Regarding your concern about whether the wound is healing normally, it is essential to consider the following signs of proper healing:
1. Reduction in Pain: Pain should gradually decrease over time. If it worsens or remains severe, it may indicate an issue.

2. Decreased Swelling and Redness: While some swelling and redness are normal immediately after surgery, these should diminish as healing progresses.

3. Formation of Granulation Tissue: As the wound heals, you should see new tissue forming, which is typically pink or red in color.

4. Closure of the Wound: The wound should gradually close as new tissue forms. If it remains open for an extended period, further evaluation may be needed.

In terms of dietary considerations during your recovery, it may be beneficial to consume softer foods that require less chewing and do not irritate the surgical site. Avoiding spicy, acidic, or crunchy foods can help minimize discomfort. Staying hydrated and maintaining a balanced diet will also support your body’s healing process.

In summary, while some degree of discomfort and an open wound can be normal after such a procedure, it is crucial to keep an eye on the healing process. If you have any doubts or if the situation does not improve, do not hesitate to reach out to your 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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