Salivary Gland Stones: Recovery After Endoscopic Surgery - Otolaryngology

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Salivary gland stones


I underwent sialendoscopy and had a stone approximately 0.7 cm removed from my salivary gland.
I would like to know how long the swelling in the salivary gland will last, or if I should return for a follow-up if it swells further.

Xiao Liu, 20~29 year old female. Ask Date: 2024/01/12

Dr. Zheng Jueyi reply Otolaryngology


Hello, it usually improves gradually within a week.
If discomfort persists or swelling worsens, it is recommended to return to the original surgeon's clinic for further evaluation and treatment.

Reply Date: 2024/01/12

More Info


After undergoing endoscopic surgery to remove a salivary gland stone, it is not uncommon to experience some swelling in the affected area. The recovery process can vary significantly from person to person, but there are some general guidelines and expectations that can help you understand what to anticipate.


Understanding Swelling After Surgery
Swelling is a natural response of the body to surgical intervention. It occurs as part of the healing process and is typically due to inflammation, which is the body’s way of repairing itself. In the case of salivary gland surgery, the swelling may be localized around the surgical site and can last for several days to a few weeks.

Duration of Swelling
Generally, you can expect the swelling to start decreasing within a few days post-surgery. However, complete resolution may take up to two weeks or longer, depending on various factors, including the extent of the surgery, your overall health, and how well you follow post-operative care instructions. If the swelling persists beyond two weeks or worsens, it is advisable to consult your healthcare provider.


Signs to Watch For
While some swelling is normal, there are certain signs that should prompt you to seek medical attention:
1. Increased Swelling: If you notice that the swelling is getting worse instead of better after a few days, this could indicate a complication such as infection or hematoma (a localized collection of blood outside of blood vessels).

2. Pain: While some discomfort is expected, if you experience severe pain that is not relieved by over-the-counter pain medications, you should reach out to your doctor.

3. Fever: A fever may suggest an infection, which is a serious concern post-surgery.

4. Pus or Discharge: Any unusual discharge from the surgical site should be evaluated by a healthcare professional.

5. Difficulty Opening Your Mouth: If you experience significant difficulty in opening your mouth or swallowing, this could indicate swelling that is affecting your airway or esophagus.


Post-Operative Care Tips
To aid in your recovery and minimize swelling, consider the following tips:
- Hydration: Drink plenty of fluids to help keep your salivary glands functioning and to promote healing.


- Warm Compresses: Applying a warm compress to the swollen area can help reduce swelling and promote drainage.

- Avoid Irritants: Stay away from spicy or acidic foods that may irritate the salivary glands.

- Follow-Up Appointments: Make sure to attend any scheduled follow-up appointments with your surgeon to monitor your recovery.

- Medication Compliance: If your doctor prescribed any medications, such as antibiotics or anti-inflammatories, be sure to take them as directed.


Conclusion
In summary, some swelling after salivary gland stone removal is normal and should gradually decrease over time. However, if you notice any concerning symptoms or if the swelling does not improve, it is essential to consult your healthcare provider for further evaluation. They can provide personalized advice based on your specific situation and ensure that your recovery proceeds smoothly. Always prioritize open communication with your healthcare team to address any concerns you may have during your recovery process.

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