Cheek Pain: Symptoms and Specialist Recommendations - Otolaryngology

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Cheek pain


Hello, doctor.
I noticed pain in my cheek after waking up.
The exact location is near my right ear, in a sunken area of my cheek.
The surrounding area, including the bone (the pain extends to the temple), hurts when pressed.
What could be the symptoms of this condition, and which specialty should I consult? Thank you.

Pan, 20~29 year old female. Ask Date: 2007/08/07

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your question, it is mostly related to temporomandibular joint issues.
Please consult an otolaryngologist or a dentist.

Reply Date: 2007/08/07

More Info


Cheek pain, especially localized near the ear and extending to the temple, can be indicative of several underlying conditions. The symptoms you describe, including pain upon palpation of the area near the cheekbone and temple, suggest that you may be experiencing issues related to the temporomandibular joint (TMJ), dental problems, or even neuralgia.

1. Temporomandibular Joint Disorders (TMJ): TMJ disorders are common and can cause pain in the jaw, cheeks, and temples. This pain may be exacerbated by jaw movement, such as chewing or speaking. TMJ disorders can arise from various factors, including teeth grinding (bruxism), arthritis, or jaw misalignment. If you notice that your pain worsens with jaw movement or if you have a clicking or popping sound when you open your mouth, TMJ could be a likely cause.

2. Dental Issues: Dental problems, such as cavities, abscesses, or impacted teeth, particularly wisdom teeth, can also lead to pain in the cheek area. If you have any recent dental work or if you have been experiencing tooth sensitivity, it would be wise to consult a dentist.

3. Neuralgia: Conditions like trigeminal neuralgia can cause severe, sharp facial pain that may be triggered by touch or movement. This type of pain is often described as electric shock-like and can be quite debilitating. If your pain is sudden and severe, this could be a possibility.

4. Sinusitis: Inflammation of the sinuses can lead to facial pain, particularly in the cheeks and around the eyes. If you have accompanying symptoms such as nasal congestion, fever, or a runny nose, sinusitis may be the cause.

5. Infections: Infections in the ear, throat, or even the skin can lead to referred pain in the cheek area. If you have any signs of infection, such as fever or swelling, it is essential to seek medical attention.


Recommendations for Specialists:
Given the symptoms you've described, the following specialists may be appropriate for you to consult:
- Dentist: If you suspect dental issues or if the pain is related to your teeth or gums, a dentist can provide a thorough examination and treatment options.


- Oral and Maxillofacial Surgeon: If TMJ disorders or other jaw-related issues are suspected, an oral surgeon may be able to provide specialized care.

- Otolaryngologist (ENT): If you suspect sinus issues or ear-related problems, an ENT specialist can evaluate and treat these conditions.

- Neurologist: If the pain is severe and resembles neuralgia, a neurologist can assess for nerve-related issues and provide appropriate management.


Conclusion:
It is essential to monitor your symptoms closely. If the pain persists or worsens, or if you develop additional symptoms such as swelling, fever, or difficulty opening your mouth, seek medical attention promptly. Early diagnosis and treatment can significantly improve your quality of life and prevent further complications. In the meantime, applying a warm compress to the affected area may help alleviate some discomfort, and over-the-counter pain relievers may provide temporary relief.

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