Post-Parotid Tumor Surgery: Hard Lumps and Recovery - Plastic Surgery

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Just underwent surgery for a salivary gland tumor?


I recently underwent surgery for a salivary gland tumor, and it has been about 13 days since the procedure.
The stitches have been removed, and the wound looks fine, but there is a large hard lump in front of the incision.
The lump is not very painful, but it is quite large and feels firm along the S-shaped incision.
I am feeling quite anxious about this.
Thank you for your help.

Yi Ling, 40~49 year old female. Ask Date: 2016/02/18

Dr. Lu Daokuan reply Plastic Surgery


The parotid gland is a salivary gland, and the removal of parotid gland tumors is usually partial rather than total excision (unless malignant).
There may be a swelling period, which can feel firm.
If there are any concerns, you should discuss them with your attending physician.

Reply Date: 2016/02/18

More Info


After undergoing parotid tumor surgery, it's understandable to have concerns about the recovery process, especially when you notice hard lumps or swelling around the surgical site. Let's break down your situation and provide some insights into what you might be experiencing.


Understanding Post-Surgical Hard Lumps
1. Normal Post-Operative Changes: After surgery, it is common for patients to experience swelling and the formation of hard lumps around the incision site. This can be due to several factors, including:
- Fluid Accumulation: The body often responds to surgery with inflammation, which can lead to the accumulation of fluid (seroma) in the tissues. This fluid can create a firm feeling under the skin.

- Scar Tissue Formation: As the body heals, scar tissue (fibrosis) can develop, which may feel hard or firm. This is a normal part of the healing process and can take time to soften and become less noticeable.

- Hematoma: In some cases, blood can collect under the skin (hematoma), leading to swelling and firmness. If the hematoma is small and not causing pain or other symptoms, it may resolve on its own.

2. When to Be Concerned: While some swelling and hardness are normal, you should monitor for any signs that may indicate a complication:
- Increased Pain or Tenderness: If the lump becomes painful or tender, it could indicate an infection or other issue.

- Redness or Warmth: These symptoms could suggest inflammation or infection.

- Fever: A fever may indicate an infection and should be evaluated by a healthcare provider.

- Changes in Size: If the lump continues to grow or does not start to decrease in size over time, it warrants further investigation.


Recovery Timeline
- Initial Recovery: The first few weeks post-surgery are crucial for healing. You mentioned that it has been 13 days since your surgery, which is still within the early recovery phase. Swelling and hardness can persist for several weeks.

- Long-Term Recovery: Full recovery from parotid surgery can take several months. It's important to follow your surgeon's post-operative care instructions, including any recommendations for activity restrictions and wound care.


Recommendations
1. Follow-Up with Your Surgeon: It is vital to keep your follow-up appointments with your surgeon. They can assess the lump and determine if it is a normal part of healing or if further intervention is needed.

2. Self-Care: Continue to care for your surgical site as instructed. Avoid any activities that could strain the area until you receive clearance from your healthcare provider.

3. Monitor Symptoms: Keep an eye on the lump and any associated symptoms. If you notice any concerning changes, contact your healthcare provider promptly.


Emotional Support
It is completely normal to feel anxious after surgery, especially when you notice changes in your body. Consider discussing your feelings with your healthcare provider, who can offer reassurance and support. Connecting with support groups or counseling can also be beneficial as you navigate your recovery.

In summary, while the hard lump you are experiencing may be a normal part of the healing process, it is essential to stay vigilant and communicate with your healthcare provider about any concerns. They are best equipped to evaluate your condition and provide guidance tailored to your specific situation. Wishing you a smooth recovery!

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