Persistent Cheek Swelling >2 Months: Causes & Urgent Need for Evaluation

Swelling lasting >8 weeks requires medical evaluation. Possible causes include:

  • Dental/odontogenic: Periapical abscess, periodontal cyst, impacted tooth
  • Salivary gland: Sialadenitis, stone (sialolith), tumor (parotid/submandibular)
  • Lymph node: Reactive, infectious (TB, cat-scratch), malignant (lymphoma, metastasis)
  • Soft tissue: Lipoma, dermoid cyst, sarcoma (rare)
  • Sinus/Allergy: Chronic maxillary sinusitis, angioedema
  • Autoimmune/Granulomatous: Sarcoidosis, granulomatosis with polyangiitis

Next Steps: See a primary care physician, ENT, or oral surgeon. Expect exam, imaging (ultrasound/CT/MRI), possible biopsy/FNA. Do not delay—early diagnosis improves outcomes, especially if neoplastic.

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