Mucous Cyst Surgery on the Tongue: What to Expect - Dentistry

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Surgical procedure for mucous cyst of the tongue?


Dear Doctor, I was recently diagnosed with a small mucous cyst on the ventral surface of my tongue.
After my first surgery, it immediately recurred, leading to a second surgery.
The doctor mentioned that they would remove a bit more tissue during this procedure.
However, after the surgery, that same night, the side of my tongue where the surgery was performed became swollen and showed signs of bruising.
Is this a normal symptom after surgery? This swelling did not occur after the first surgery.
Thank you for your response.

Chen, 30~39 year old female. Ask Date: 2015/10/02

Dr. Zeng Guanghui reply Dentistry


Due to the extensive nature of the surgery, there may be swelling and pain at the surgical site (including the tongue) postoperatively.
As long as there is no severe swelling and pain (referring to extension into the neck), this is considered a normal postoperative complication.
It is recommended to return for a follow-up appointment for a thorough examination by the surgeon.

Reply Date: 2015/10/02

More Info


Understanding mucous cysts on the tongue, particularly in the context of surgical intervention, is essential for managing expectations and understanding potential outcomes. Mucous cysts, also known as mucocele, are fluid-filled sacs that can occur in various locations in the oral cavity, including the tongue. They often arise from blocked salivary glands or trauma to the area.
When you undergo surgery to remove a mucous cyst, the procedure typically involves excising the cyst along with some surrounding tissue to ensure complete removal and reduce the risk of recurrence. It is not uncommon for patients to experience swelling and bruising post-operatively, especially if the surgery was performed on a highly vascular area like the tongue. The tongue is rich in blood vessels, and any surgical manipulation can lead to localized swelling and bruising, which may appear as a result of bleeding under the skin.

In your case, the recurrence of the cyst after the first surgery suggests that the initial removal may not have been complete, or that the underlying cause, such as a blocked salivary gland, was not adequately addressed. The decision to remove additional tissue during the second surgery was likely made to minimize the chances of recurrence.
Post-operative swelling and bruising are generally considered normal responses to surgery. However, the degree of swelling can vary significantly among individuals. Factors such as the extent of the surgery, individual healing responses, and adherence to post-operative care instructions can all influence recovery. It is essential to monitor the swelling and any other symptoms you may experience. If the swelling is accompanied by severe pain, fever, or signs of infection (such as increased redness or discharge), you should contact your healthcare provider immediately.

In terms of recovery, it is crucial to follow your surgeon's post-operative care instructions closely. This may include recommendations for pain management, dietary modifications (such as avoiding spicy or acidic foods), and oral hygiene practices to prevent infection. Keeping the surgical site clean and avoiding trauma to the area will aid in healing.

If you continue to experience issues with recurrence or if the symptoms do not improve, it may be beneficial to seek a second opinion or consult with a specialist in oral and maxillofacial surgery. They can provide further insight into the management of mucous cysts and explore other treatment options if necessary.

In summary, while post-operative swelling and bruising are common after mucous cyst surgery on the tongue, it is essential to monitor your recovery closely. If you have concerns about your symptoms or the recurrence of the cyst, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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