Question: His is my recap/follow up-
A few months ago I noticed what seems to be a tightness in the lower right cheekbone just above the upper last 2 back teeth where the cheekbone meets. Tightness seems to be from the skin pulled a bit tighter is how I can explain it. I went to my GP and he probed around and didn't feel anything out of sort as far as glands. I had a impacted wisdom tooth removed a few other in the area more than a year ago so there are no teeth at the point in question.

If I run my fingers back on bother sides - inside my mouth I can feel on side is larger, GP gave me 5 days of antibiotics and assumed possibly sinus related. No change after the course of antibiotics. GP then ordered a CT scan.

CT Scan - results - INDICATION: ACUTE SINUSITUS -There is a tiny amount of mucosal thickening along the floor of the left maxillary sinus and there is an 8mm cyst along the floor. There is minimal thickening and a small amount of fluid along the posterior left sphenoid. There is no bone destruction. The infundibula are patent. The uncinate processes are correctly oriented. There is a moderate sized right Haller cell. There is moderate nasal septal deviation to the right. The mastoids are aerated. The limited included intracranial structures are unremarkable.

Conclusion - Minimal sinus thickening, right Haller cell and nasel septal deviation. Small amount od fliud in the left sphenoid.

GP - wrote a script for 10 days of Agumentin - no change after the course. I don't have any pain just a tight feeling in the area and seems larger - this occurred in a 1 month period. Does not seem to have changed in size in the past 2 months.

My question is - would an 8mm cyst make the cheekbone area larger or is that too small to notice? Would any blocked or partial blocked gland/duct cause this sensation and would it have shown on the CT scan?

I have a few bad teeth toward the front that need extracted and thought maybe abscess might have formed way back in that area - just guessing . I have no pain just can feel that the area is larger when I open and lose my mouth a bit. Could there be some type of growth/mass? I assume that would have shown on the CT scan.

Any thoughts appreciated?

Thanks

I have quite a few missing teeth in the area and was thinking that this might be related to some structural changes/degradation over time. Also would a partially blocked parotid duct be a possibility? As the enlarged area seems to be where the duct travels along the lower cheek line. I would assume that would have show on the CT also? This was unenhanced can without contrast.

Thank-you Dr. Bhatti for the quick reply.

Thanks again Dr. Bhatti - you have given me logical answers to my questions for better understandings and possibilities.

Have a good day