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facial_swelling

non-traumatic facial swelling / oedema

Introduction

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

Aetiology

  • insect bites
  • dental abscess
  • facial cellulitis / superficial abscess
  • cavernous sinus thrombosis
  • 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
facial_swelling.txt · Last modified: 2017/05/17 15:37 by 127.0.0.1

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