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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