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Clinical Challenge
April 2018

Hard Swelling on Inner Cheek

Author Affiliations
  • 1American Board of Oral and Maxillofacial Pathology, Tampa, Florida
  • 2University of Michigan, School of Dentistry Periodontics and Oral Medicine, Ann Arbor
  • 3American Board of Periodontology, Severna Park, Maryland
  • 4Legacy Periodontics and Implant Center, Novi, Michigan
JAMA Otolaryngol Head Neck Surg. 2018;144(4):373-374. doi:10.1001/jamaoto.2017.3131

A man in his 50s presented for an emergency examination with a hard swelling of the left inner cheek. He stated that he had recently bitten his cheek and had since experienced increasing spontaneous pain and swelling. There was no obvious swelling extraorally. Oral examination revealed an erythematous, 15 × 10-mm lesion of the buccal mucosa, adjacent to the maxillary first molar. The lesion was hard and produced a small amount of bleeding with palpation (Figure 1).