i have a large hard knot beneath the skin of my left cheek approx. 1 in. from the corner of my lips. i've gone to an np who diagnosed it as an abscess; prescribed antibiotics are clindamycin & (a substitute for bactrim) swelling started april 6th. the next day is when i visited the np. the following day i went to an er due to more aggressive facial swelling. the dr there gave me a cat scan & diagnosed the swelling as periorbital cellulitis due to dental decay. (at this point i had explained to the dr that none of my teeth were bothering me in any way. ) most of the swelling has come and gone but i still have the hard knot that remains. what could be causing this knot will it go away what can i do? notes from cat scans significant left periorbital & left facial soft tissue swelling & stranding of subcutaneous fat no discrete abscess is identified. impression: pansinusitis predominantly involving the right paranasal sinuses.
if there is no walled off cavity or abscess formation then drainage or any surgical intervention would not be required. antibiotics would be required for addressing the pansinusitis for 3 to 4 weeks. a better alternative would be levofloxacin at a high dose 500 mg bd or moxifloxacin in consultation with an ent specialist. wishing you best of health thanks