Facial Bumps: What to Know About Oral Health Concerns - Otolaryngology

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There is a spot near the left side of the lips on the face that feels uneven to the touch?


Hello, I do not smoke or drink alcohol.
I previously had a viral infection on the inside of my right cheek that caused mouth sores, which took a long time to heal.
Therefore, I now perform self-examinations of my oral cavity.
About six months ago, I noticed a slightly raised area on the inner left side of my cheek near my lips.
The surface of the tissue inside my mouth appears smooth, but when I touch it, it feels protruded.
I have also had an ENT specialist examine it, and they said there was nothing wrong.
However, every time I perform a self-examination of both sides of my cheeks, I can still feel a protrusion on the left side near my lips.

Wenwen, 30~39 year old female. Ask Date: 2015/10/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, it could be a small lymph node or a minor salivary gland in the oral cavity.
If the surface is smooth and there are no ulcers, it is mostly normal and can be monitored.
However, if it continues to be painful or increases in size, it is advisable to seek medical evaluation for a definitive diagnosis.
Wishing you peace and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/10/22

More Info


When it comes to oral health concerns, particularly regarding facial bumps or abnormalities in the oral cavity, it is essential to understand the potential underlying issues that could be at play. Based on your description, it seems you have been vigilant about monitoring changes in your oral health, especially after experiencing a viral infection that caused prolonged mouth sores. This proactive approach is commendable, as early detection of oral health issues can lead to more effective treatment.

The bump you are feeling on the inside of your left cheek near the lips could be attributed to several factors. One possibility is that it may be a benign growth, such as a fibroma or a mucocele, which are common in the oral cavity. Mucoceles are fluid-filled cysts that can occur when a salivary gland duct is blocked or damaged, leading to swelling. They are typically painless and can appear as smooth, rounded bumps. Fibromas, on the other hand, are fibrous tissue growths that can develop in response to irritation or trauma, such as biting the cheek.

Another consideration is the possibility of a condition known as oral lichen planus, which can cause white patches or bumps in the mouth and may be associated with discomfort or sensitivity. This condition is often linked to immune system responses and can sometimes be exacerbated by stress or certain medications.

Given your history of viral infections and the current symptoms, it is crucial to consult with a dental professional or an oral surgeon who can perform a thorough examination. They may recommend imaging studies, such as X-rays or even a biopsy, to determine the nature of the bump and rule out any serious conditions, including oral cancers. While the ENT specialist you consulted did not find anything concerning, a dental professional may have more specialized knowledge regarding oral lesions and can provide a more comprehensive assessment.

In addition to seeking professional advice, maintaining good oral hygiene is vital. Regular brushing with fluoride toothpaste, flossing, and using an antibacterial mouthwash can help prevent infections and maintain overall oral health. If you notice any changes in the size or texture of the bump, or if you experience pain, discomfort, or other symptoms such as difficulty swallowing or changes in taste, it is essential to seek medical attention promptly.

Lastly, it's worth noting that stress and anxiety can also manifest physically in the mouth, leading to habits such as cheek biting or grinding teeth, which can exacerbate oral health issues. If you find yourself feeling anxious about your oral health, consider discussing these feelings with a healthcare provider who can offer support and coping strategies.

In summary, while the bump you are experiencing may be benign, it is essential to have it evaluated by a dental professional to ensure proper diagnosis and treatment. Early intervention can help prevent complications and promote better oral health.

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