From the Research
Labial cysts typically don't require treatment unless they cause discomfort or cosmetic concerns, and when treatment is needed, surgical excision or marsupialization are the most effective approaches, as supported by the most recent and highest quality study 1. When considering treatment options for labial cysts, it's essential to prioritize morbidity, mortality, and quality of life as outcomes. The goal is to alleviate symptoms, prevent complications, and improve the patient's overall well-being.
- For small, asymptomatic cysts, watchful waiting is appropriate as many resolve on their own.
- Surgical excision is a definitive approach, performed under local anesthesia in an outpatient setting, involving making a small incision, removing the entire cyst wall, and closing with dissolvable sutures.
- Marsupialization is an alternative technique where the cyst is opened, drained, and the edges are sutured to create a permanent opening, preventing recurrence.
- Warm compresses applied to the area for 10-15 minutes several times daily can help relieve discomfort and potentially aid in drainage for inflamed cysts.
- Sitz baths (sitting in warm water for 15-20 minutes) may also provide relief.
- If the cyst becomes infected, antibiotics may be prescribed, typically clindamycin 300mg three times daily or amoxicillin-clavulanate 875/125mg twice daily for 7-10 days.
- Post-treatment care includes keeping the area clean, avoiding tight clothing, and using mild, fragrance-free soap. The most recent and highest quality study 1 provides evidence for the effectiveness of surgical excision and marsupialization in treating labial cysts, with low rates of recurrence and complications.
- The study found that endoscopic transnasal marsupialization is a relatively new alternative to intraoral sublabial resection of nasolabial cysts, with similar efficacy.
- The rates of postoperative swelling, pain, and recurrence are similar in both groups, as reported in the study 1.