Post-Surgery Concerns: Managing Salivary Gland Cyst Aftercare - Otolaryngology

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Postoperative care for salivary gland cyst?


Hello doctor, I underwent a salivary gland cyst excision at Kaohsiung Datong Hospital on April 24th.
As of now, the swelling has completely subsided, but there are still small blisters at the site of the original cyst that resemble the cyst itself.
Last week, on June 12th, I visited the original doctor for a check-up, and he only took a quick glance before telling me to schedule a follow-up, saying there was no issue.
However, I still have concerns about a possible recurrence.
Could you please take a look and advise me on how to proceed? Thank you.

Ian, 20~29 year old female. Ask Date: 2024/06/18

Dr. Zheng Jueyi reply Otolaryngology


Hello, online consultations cannot replace clinical evaluations.
If there are still small blisters after the swelling has subsided, you may consult the original surgeon for further assessment or seek a second opinion at another hospital's otolaryngology department.

Reply Date: 2024/06/18

More Info


After undergoing surgery for a salivary gland cyst, it is common to have concerns about the healing process and the appearance of the surgical site. Based on your description, it seems that you are experiencing a small fluid-filled area at the site of the original cyst, which can understandably cause anxiety regarding the possibility of recurrence.

First and foremost, it is essential to understand that post-operative healing can vary significantly from person to person. After the removal of a cyst, the body goes through a healing process that may include the formation of fluid collections, which can sometimes resemble the original cyst. These fluid-filled areas may be seromas or lymphatic collections, which are generally benign and resolve on their own over time. However, they can also be a source of concern for patients, especially if they resemble the original cyst.

In your case, since your surgeon has assessed the area and indicated that there is no cause for concern, it is likely that what you are observing is a normal part of the healing process. However, if you continue to have doubts or if the area becomes painful, red, or shows signs of infection (such as increased swelling or discharge), it is crucial to follow up with your healthcare provider. They may recommend imaging studies, such as an ultrasound, to evaluate the area further and ensure that there is no recurrence of the cyst.

In terms of aftercare, here are some general recommendations to help manage your recovery:
1. Keep the Area Clean: Maintain good hygiene around the surgical site to prevent infection. Gently clean the area with mild soap and water, and avoid using harsh chemicals or scrubbing the site.

2. Monitor for Changes: Keep an eye on the size and appearance of the fluid-filled area. If it increases in size, becomes painful, or shows signs of infection, seek medical attention promptly.

3. Avoid Strain: Refrain from activities that may put strain on the surgical site, such as heavy lifting or vigorous exercise, until you receive clearance from your doctor.

4. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion.

5. Hydration and Nutrition: Ensure you are well-hydrated and consume a balanced diet rich in vitamins and minerals to support your healing process.

6. Pain Management: If you experience discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. However, consult your doctor before taking any medication.

7. Avoid Smoking and Alcohol: These can impede the healing process and increase the risk of complications.

8. Educate Yourself: Understanding the typical recovery process for salivary gland cyst removal can help alleviate anxiety. Research reputable medical sources or ask your healthcare provider for educational materials.

In conclusion, while it is natural to be concerned about the appearance of the surgical site following the removal of a salivary gland cyst, it is essential to trust your healthcare provider's assessment. Continue to monitor the area, maintain good aftercare practices, and do not hesitate to seek further evaluation if your concerns persist. Healing takes time, and being proactive about your health will contribute to a smoother recovery.

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