Facial swelling is a common presenting complaint. It may be generalised or localised. Many cases are due to trauma or infection, but it may be a sign of systemic disease.

Causes

Traumatic

  • Insect bites

  • Facial fractures

Infective

  • Dental infection (e.g. abscesses)

  • Sinusitis

  • Parotitis (bilateral: mumps)

  • Cellulitis/Erysipelas

  • Actinomycosis

Neoplastic

  • Sinuses

  • Parotid ( Fig. 19 )

    Figure 19, Pleomorphic adenoma (benign) of the parotid gland .

  • Jaw

  • Mediastinal tumours

Vascular

  • Superior vena cava thrombosis

  • Cavernous sinus thrombosis

Endocrine

  • Cushing’s syndrome

  • Congenital hypothyroidism

  • Severe hypothyroidism (myxoedema)

  • Acromegaly

Drug-induced

  • Steroids

Other

  • Allergic reactions

  • Angioedema (without anaphylaxis)

  • Paget’s disease

  • Renal failure

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