Post I & D , sinus on cheek

2021-06-17 14:50:03
I had an abscess on right cheek , just above the mandible in 2018. To which I& D was done and was followed with Linezoild after the procedure.. but now since 2021 January , there is very little amount of seropurulent foul smelling fluid is coming out of it by squeezing it , there may be a blind sinus formation. I had taken cefixime , Doxycycline , applying clindamycin locally but the slimy fluid is still coming out on Squeezing though very very less amount , its not healing completely. No induration , no swelling is there. What should be done . No dental involvement is there as examined by dentist.
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It may be a parotid fistula and needs examination and investigation.
Next Steps
Consult for further investigation advice

Answered2021-06-18 08:16:42

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As per the location of the sinus opening, it can be a case of parotid fistula. You should go Sinogram/Fistulogram for better evaluation and if its parotid fistula then the treatment is superficial parotidectomy.
Next Steps
Consult an ENT surgeon or General Surgeon for better opinion and management.

Answered2021-06-17 17:28:42

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Consult online for detailed prescription

Answered2021-06-17 17:06:24

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If it is not healing completely than some infection is persists or it is connected with some gland Please visit surgeon and get it checked More workup after examination might conclude your problem Do not take antibiotics unnecessarily

Answered2021-06-17 14:57:08

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