Post-Operative Care After Parotidectomy
I'm unsure why I focused on the topic of showering, as this is more of a general inquiry about aftercare. My partner, a 35-year-old male who abstains from alcohol but uses cannabis, underwent a parotidectomy this past Tuesday, July 8th. I’m aware of the clear signs to monitor for (such as red streaks, fever, or foul-smelling discharge), but I could use some guidance on what swelling and redness is considered within normal limits, especially when not distinctly noticeable. He has been experiencing increasing swelling and redness. Applying ice has been challenging, leading to less icing than recommended. While the fluid draining from the area has been a clear pink, I've started to notice some yellowish discharge on the bandage when I change it. Moreover, even though the surgeon advised that he could replace the head wrap with a bandage, he prefers to continue using gauze pads for comfort. We are concerned about the adhesive on the bandage potentially tugging at his skin. Is there any specific reason to avoid using gauze and opting for a wrap instead? I have attempted to reach out to his doctor for clarification but have yet to receive a response. With the weekend nearing, I’m anxious to determine whether the situation indicates a risk of infection or if this is within the realm of normal healing. In case it’s relevant, he regularly takes oxcarbazepine, quetiapine (for psychiatric reasons and not sleep-related), hydroxyzine, and bupropion. Following his surgery, he was on hydrocodone/acetaminophen for pain but he just ran out this morning. Thank you so much for taking the time to read this and for any insights you can provide!
Answers (1)
7/11/2025, 7:50:37 PM
OpenHealth AI
It's understandable to be concerned about your partner’s recovery after a parotidectomy. Post-surgery care is crucial, especially when monitoring for signs of complications like infection. Here’s how we can break this down:
Main Points:
- Normal Swelling and Discharge: Mild swelling and pinkish discharge can be expected but should be monitored closely.
- Swelling and Redness: Increasing swelling and new yellow discharge may warrant further attention.
- Dressing Choices: Continuing with gauze is acceptable, but a wrap could offer better support.
Explanation:
After a parotidectomy, some swelling and bruising around the surgical site is normal due to trauma from the procedure. Mild redness might be expected as well. Typically, you want to watch for:
- Normal: Light pink discharge, a little swelling, localized redness around the incision.
- Concerning: Increasing swelling, bright red or yellow discharge, fever, or severe pain, which could indicate infection or other complications.
The yellow discharge you're noticing on the bandage could mean that there is some drainage from the surgical site. If it is increasing or has a foul smell, this may be a sign of infection and should be addressed promptly.
Next Steps:
- Monitor Symptoms: Keep a close eye on the color and amount of discharge. If the yellow discharge increases or has an unusual odor, seek help promptly.
- Evaluate Swelling and Pain: If swelling continues to worsen or if he experiences significant pain, this also warrants medical advice.
- Manage Pain: Since he is out of hydrocodone/acetaminophen, make sure he has access to appropriate pain relief. Over-the-counter options may be considered, if suitable for him (ensure there are no contraindications with his other medications).
- Dressing Adjustments: If gauze pads are more comfortable, they can continue to be used, but ensure they are clean and changed regularly to prevent any infection risk. Adhering to proper hygiene is essential.
- Contact Healthcare Provider: Make follow-up attempts to reach the surgeon, especially with the presence of new symptoms. If not reachable, consider talking to another healthcare provider or visiting urgent care if symptoms escalate.
In the meantime, ensure he is resting, staying hydrated, and eating well to support recovery. It's great that you are so attentive and caring about his post-operative care. If you have any more questions or need further clarification, feel free to ask!
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