One month after the surgery for epiglottis cyst, the wound has long been healed. At this time, the simple neck swelling and pain may be related to subacute thyroiditis, cervical lymphadenitis, cervical cellulitis and other diseases. Depending on the cause of the disease and the characteristics of the condition, general treatment, medication and local physiotherapy should be chosen to control the disease and improve the symptoms.
1. Subacute thyroiditis: This disease is mostly related to infections such as coxsackie virus and parotid virus, and most of the thyroid glands are enlarged and hard and solid in texture. The most characteristic manifestation is the pain or pressure pain in the thyroid area, and often radiates to the submandibular, behind the ear or neck, and the pain is aggravated when swallowing. Non-steroidal drugs such as aspirin are usually sufficient to control the symptoms.
2. Cervical lymphadenitis: this disease is closely related to bacterial infections such as Staphylococcus aureus and hemolytic streptococcus in the head, face and neck. Initially, it can be manifested as enlarged and hardened lymph nodes in the neck with conscious pain or pressure. Patients need quiet rest, treatment of underlying diseases, systemic application of amoxicillin, cefaclor and other broad-spectrum antibiotic anti-infection treatment.
3. Cervical cellulitis: it is due to the skin, mucous membrane damage or other lesions, so that the subcutaneous loose connective tissue by hemolytic streptococcus and other bacterial infections, often leading to red, swelling, heat, pain in the neck of the local manifestations. Penicillin antibiotics are generally preferred for anti-infective treatment, and metronidazole or tinidazole is added when anaerobic infection is suspected. Incision and drainage can be performed when the fluctuating sensation of abscess formation is obvious.
When the epiglottis cyst surgery a month after the neck swelling and pain, should actively seek medical treatment, systematic examination, clear diagnosis, follow the doctor’s instructions standardized treatment.