Discussions By Condition: I cannot get a diagnosis.

swelling in left mandible!

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: panacea_amc
  • October 25, 2009
  • 03:11 AM

hello,
i am a doctor myself posted in the villages. i met a 1.5 year old child. he had suffered from mumps a month back. now he had developed a swelling in his left mandible (in the horizontal porion). it is non pulsatile , hard, painless, non movable, non cystic, boundaries are well defined.
there is no fever, or any constitutional symptoms. its not a lymph node swelling either. there is nothing which can be seen from inside in the buccal cavity..it needed a x-ray and i sent the patient to do the same..
what are the provosional diagnois for this kid?
thanks in advance!

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4 Replies:

  • hello, i am a doctor myself posted in the villages. i met a 1.5 year old child. he had suffered from mumps a month back. now he had developed a swelling in his left mandible (in the horizontal porion). it is non pulsatile , hard, painless, non movable, non cystic, boundaries are well defined.there is no fever, or any constitutional symptoms. its not a lymph node swelling either. there is nothing which can be seen from inside in the buccal cavity..it needed a x-ray and i sent the patient to do the same..what are the provosional diagnois for this kid?thanks in advance!Possible masseter separation from mandible, removing a chip of bone, resulting in subsequent calcification?...what did the x ray show?
    Croatiamedstudent 32 Replies
    • October 25, 2009
    • 04:13 PM
    • 0
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  • Possible masseter separation from mandible, removing a chip of bone, resulting in subsequent calcification?...what did the x ray show?The kid hasnt returnd wid the x-ray. if it wud hav been masseter avulsion pulling out a bone fragment, there there wud have been pain n inflammatn. the mass is painless. i guess, its sum bone cyst locatd deep in d bone.
    panacea_amc 2 Replies
    • October 25, 2009
    • 05:34 PM
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  • hello, i am a doctor myself posted in the villages. i met a 1.5 year old child. he had suffered from mumps a month back. now he had developed a swelling in his left mandible (in the horizontal porion). it is non pulsatile , hard, painless, non movable, non cystic, boundaries are well defined.there is no fever, or any constitutional symptoms. its not a lymph node swelling either. there is nothing which can be seen from inside in the buccal cavity..it needed a x-ray and i sent the patient to do the same..what are the provosional diagnois for this kid?thanks in advance!It would be very uncommon for a 1 1/2 year old to get calcification or have bone chip removal. You need more information to diagnose this. First of all, how big is it and can you feel it from the external buccal surface? Is it under the jaw on the inferior border or is it lingual next to the tongue? There's a rare possibility it could be a tooth bud. Some kids are born with teeth, but without more information that's tough to diagnose. This is per my husband who is an endodontist. If you should happen to see this child again, he should be referred to a pedodontist.
    Anonymous 42789 Replies
    • October 25, 2009
    • 09:12 PM
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  • It would be very uncommon for a 1 1/2 year old to get calcification or have bone chip removal. You need more information to diagnose this. First of all, how big is it and can you feel it from the external buccal surface? Is it under the jaw on the inferior border or is it lingual next to the tongue? There's a rare possibility it could be a tooth bud. Some kids are born with teeth, but without more information that's tough to diagnose. This is per my husband who is an endodontist. If you should happen to see this child again, he should be referred to a pedodontist.thanks.the swelling is-1. on d external surface of d mandible- neither under the tongue nor under the jaw: u can say its just at that position in the middle of the horizontontal part of mandible where the lateral surface meets the inferior surface.2. swelling is hard.3. margins well defined.4. fixd to the bone. 5. swelling gradually developd in 10 days time.6. painless.7. size is 1cm* 1cmcant it b a simple bone cyst?
    panacea_amc 2 Replies
    • October 26, 2009
    • 02:34 AM
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