Oral Maxillofacial Surgery | After Salivary Gland Stone Removal in Carmel

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After Salivary Gland Stone Removal

Bleeding

A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. This can be controlled by placing a gauze pad over the surgical area and holding firm pressure for fifteen to thirty minutes. Repeat if necessary. To minimize further bleeding, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions.

Swelling / Bruising

Swelling in the surgical region is normal and is usually proportional to the difficulty of the surgery. This is the body’s normal reaction to surgery and eventual repair. The swelling may not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. In some instances, you may note swelling in the region of the floor of the mouth. This may cause some elevation of the tongue. If you have any difficulty swallowing or difficulty breathing as a result, please contact Dr. Alderman immediately. 

Swelling may be minimized by the immediate use of ice packs. An ice pack should be applied under your lower jaw in the region of the upper neck on the side your surgery was performed.  This should be applied off and on for 20 minutes at a time while you are awake. After 36 hours, ice has no beneficial effect. If swelling has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery, the application of moist heat, or a heating pad, to the surgical site is beneficial in reducing the size of the swelling.

In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Rinsing / Hygiene

No rinsing of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but be very gentle near the surgical area. The day after surgery, begin rinsing after eating with an 8oz cup of warm water mixed with a teaspoon of salt.  If you are given a prescription for a mouth rinse, please use this instead. 

Diet

Unless instructed otherwise, start with a soft diet and advance to a regular diet as tolerated. Be especially careful of chewing if your tongue or lip is still numb from the anesthetic that was administered. If you had an IV sedation, start with fluids before advancing your diet.

Please make sure to stay well hydrated.  You should be drinking 8-12 8oz. glasses of water per day.

Eat sour candy (ie. Sugar-free lemon drops).  This will increase the flow of saliva.

Medication

Mild to moderate discomfort can be controlled by taking up to four tablets of 200mg Ibuprofen (Motrin or Advil) every 8 hours (so, a total of 800mg every 8 hours).

If pain medication was prescribed, alternate Ibuprofen with the prescription pain medication.  The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. After initially increasing over the first few days, discomfort following surgery should subside more and more every day.  If pain persists, it may require attention and you should call the office.

If you have been placed on antibiotics, take as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions.

Exercise

If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may therefore cause you to feel weak. If you get light headed, stop exercising.  Please wait 48 hours prior to resuming your normal exercise regimen.


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