non-traumatic facial swelling / oedema

see also:

• facial rashes
• facial trauma

• non-traumatic facial swelling is a relatively common presentation to the ED

• angioedema
• anaphylaxis
• urticaria
• insect bites
• dental abscess
• facial cellulitis / superficial abscess
• Periorbital and orbital cellulitis
• cavernous sinus thrombosis
• mumps
• parotitis and parotid swellings
• sinusitis
• Vincent's angina
• Ludwig's angina - mainly submental
• superior vena cava (SVC) obstruction - usually with facial oedema, plethora and cyanosis, +ve Pemberton's sign
• congenital anomalies
• children with slowly progressive swelling:
  • neurofibroma, hemangioma, lymphangioma, vascular malformation, or pseudocyst, or of fibrous dysplasia
• children with rapidly progressive facial swelling in association with cranial nerve deficits:
  • rhabdomyosarcoma, Langerhans cell histiocytosis, Ewing sarcoma, osteogenic sarcoma, and metastatic neuroblastoma