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Mass in mouth / Questionable cause
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Mass in mouth / Questionable cause

History:
2002 - 5 (5th on right upper side) impacted wisdom teeth removed resulted in heavy bruising on face/neck/chest and subsequent TMD symptoms for many years (never had before procedure) including nerve damage along my right side of face/mouth. (slowly healing).
After many years of doctor after doctor, NTI devices  (grinded through that!), mouth guards, medication (gabapentin!, anti-depressants, pain meds) physiotherapy (laser appeared to work best) and alternative therapies (shiatsu,yoga, reiki etc) pain still continues.
Over time - jaw has continued to be sitting "out of place" , with extensive clicking, crunching and pressure.Sinus pain increased. Neck and face muscles appear to tense up easily with slight aggrovation - causing increased pain to area

2008 - Dentist discovered a lump in my mouth upper-back right in between teeth and cheek. Around 2cm in size.
Lump appears to be under surface and non cyst like.
ENT did endoscope test of nose and sinus cavity. Right side appears blocked. Salivary glands working on both sides. Lump in mouth is growing and is now around 3 cm and not uniform in shape.
Intial tests CT Scan 2 weeks ago (available here :http://www.flickr.com/photos/kiwinky) show some sinus distortion. ENT "I have no idea what it is"
Possibly jaw muscle caught up and inflamed however lump does not appear to behave like muscle.
Awaiting biopsy and MRI in the coming few weeks.
Pain continues to increase with difficulty chewing food on right side as it feels like the LEFT side will "pop out" of place. Sinus pressure/pain changes (depending on weather! or activity). Head muscles throb.
Pre-op shows low blood pressure and ECG with regular heart beat but strength of beat varies.

Has anyone heard of something like this before? My doctor has "no clue!"

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4 Comments Post a Comment
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Avatar_n_tn
Forgot to add:

Lymph nodes are not enlarged and copies of ct scan report / more images available.
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Avatar_m_tn
It appears that you may have a benign soft tissue neoplasm. Biopsy can generally establish a definitive diagnosis. After proper treatment of soft tissue growth, if tmj symptom persits, seeing a competent tmj specialist is advised.. NTI device is nothing new, it probably has been commercially promoted too much. I personally do'nt agree with the protocol or fabrication instruction from their web site. I guess a competent tmj specialist probably would not use the device.
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Avatar_n_tn
Hi Scottma

Thank you for your reply - The NTI relieved some of the discomfort for a while, but I still grinded through it!. I haven't been using any night guard etc since then.

How would they treat a tissue neoplasm?

Thanks again!
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Avatar_m_tn
Surgical excision is generally the treatment of choice for a benign neoplasm.
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scottma
taipei, Taiwan