An African American man in his 40s was referred for evaluation of a 3-week history of pain and swelling over his right orbit and upper eyelid. Worsening edema prompted his primary care physician to initiate a course of oral methylprednisolone and amoxicillin-clavulanic acid, which did not alleviate the symptoms. Because of persistent swelling, he was referred for further evaluation. The patient denied fevers, chills, purulent drainage, otalgia, or odynophagia. The patient had no history of frequent sinusitis, trauma, or exposure to chemicals, but he did note poor dentition.