Concerns About a Lump on the Jaw: When to See an ENT Specialist?

There is a foreign object in the left mandibular angle?

Hello, several years ago I noticed a lump on the angle of my left jaw.
It has never been painful when pressed, but occasionally it seems to get larger, and at times it appears to shrink.
Although it doesn't hurt and doesn't cause any issues, I am concerned that it has grown to the point behind my ear and wonder if it could be a tumor.
Should I see an ENT specialist for this examination, or which department should I go to? Could this be related to my long-term teeth grinding during sleep? Thank you.

Haru, 30~39 year old female. Ask Date: 2020/12/12

Dr. Ji Zhaoyun reply Otolaryngology

Hello, there are many possibilities based on your description, including salivary gland tumors, hemangiomas, subcutaneous masses, inflammation, salivary gland stones, and lymphadenopathy, among others.
It is advisable to see a physician if the symptoms persist.

Reply Date: 2020/12/12

More Info

When it comes to concerns about a lump on the jaw, especially one that has been present for several years and exhibits changes in size, it is essential to approach the situation with caution and seek a professional evaluation. Based on your description, the lump is non-painful and has fluctuated in size, which can be indicative of various conditions, some benign and others more serious.

Firstly, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. ENT specialists are well-equipped to evaluate lumps in the head and neck region, including the jaw area. They can perform a thorough examination, which may include imaging studies such as ultrasound or CT scans, to assess the characteristics of the lump. If necessary, they may also perform a biopsy to determine the nature of the lump.

The fact that the lump has been present for several years without causing pain is a positive sign, as many malignant tumors tend to be associated with pain, rapid growth, or other systemic symptoms. However, the fluctuation in size is noteworthy and should not be overlooked. Conditions such as lymphadenopathy (swollen lymph nodes), cysts, or benign tumors like lipomas or fibromas can present similarly.
Regarding your question about the potential relationship between the lump and bruxism (teeth grinding), there is a possibility that they could be connected. Bruxism can lead to muscle hypertrophy in the jaw area, particularly the masseter muscle, which may create the appearance of a lump. Additionally, chronic grinding can cause inflammation or irritation in the surrounding tissues, potentially leading to the formation of cysts or other benign growths. However, this is speculative, and a proper evaluation by an ENT specialist would provide more clarity.

In summary, it is crucial to take your concerns seriously and seek a consultation with an ENT specialist. They will be able to provide a comprehensive assessment and guide you on the appropriate next steps. Early evaluation is key, especially if there are any changes in the characteristics of the lump or if you experience new symptoms. Remember, while many lumps are benign, it is always better to err on the side of caution and get a professional opinion.

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