Post-Salivary Gland Surgery: Common Concerns and Recovery Insights

Some issues after salivary gland cyst removal?

Dear Doctor, a few weeks ago I underwent a minor surgery for salivary gland removal.
It has been about 3 to 4 weeks since the surgery, and the wound has mostly healed (though it may not be completely healed yet).
However, when I gently tap the surgical area on my lower lip, I still feel a tingling sensation, and it seems like there is a hard lump inside the healing wound based on the sensation from my tongue.
Is this normal?

A Yuan, 20~29 year old female. Ask Date: 2009/12/29

Dr. Chen Jianzhi reply Otolaryngology

Dear Inquirer,
According to your literal question, after surgery, there is typically a healing period for the wound under normal circumstances, which includes the recovery of sensation and the formation of scars.
The tingling sensation (sensation recovery) and the feeling of a lump (scar formation) you are experiencing will generally resolve on their own after about a month.
There is no need to worry.
Sincerely,
Dr.
Chien-Chih Chen,
Physician at Taoyuan Hospital, Department of Health,
Lecturer at Fu Jen Catholic University

Reply Date: 2009/12/29

More Info

Post-salivary gland surgery, such as a salivary gland excision, can lead to various concerns during the recovery phase. It is not uncommon for patients to experience sensations such as numbness, tingling, or a "pins and needles" feeling in the area surrounding the surgical site. This is often due to nerve irritation or damage that can occur during the procedure, especially if the surgery involved manipulation of nearby nerves.
In your case, having undergone surgery about 3 to 4 weeks ago, it is expected that the initial healing process is underway. The presence of a hard lump or induration at the surgical site can also be a normal part of the healing process. This hard area may represent scar tissue formation, which is common after any surgical intervention. Scar tissue can take time to mature and soften, and it may remain palpable for several weeks or even months post-surgery.

However, it is essential to monitor the symptoms you are experiencing. If the numbness persists or worsens, or if you notice any signs of infection (such as increased redness, swelling, warmth, or discharge from the incision site), it is crucial to consult your surgeon or healthcare provider. They may recommend imaging studies or a physical examination to assess the healing process and rule out complications such as hematoma (a localized collection of blood outside of blood vessels) or seroma (a pocket of clear fluid that can develop after surgery).

In terms of recovery, most patients can expect gradual improvement in sensation and function over time. The timeline for recovery can vary significantly depending on individual factors such as the extent of the surgery, the patient's overall health, and adherence to post-operative care instructions. Typically, full recovery from salivary gland surgery can take several weeks to months. During this period, it is advisable to follow your surgeon's recommendations regarding activity restrictions, wound care, and follow-up appointments.

Physical therapy may also be beneficial in some cases, especially if there is significant stiffness or discomfort in the area. Gentle massage and exercises, as advised by a healthcare professional, can help improve circulation and promote healing.

In summary, while some degree of numbness and hardness at the surgical site can be normal after salivary gland surgery, it is essential to remain vigilant for any concerning symptoms. Regular follow-up with your healthcare provider will ensure that your recovery is on track and that any potential complications are addressed promptly. If you have any further questions or concerns, do not hesitate to reach out to your surgeon for personalized advice and reassurance.

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