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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Hard Lump Below The Eye Post Injury To Cheek?

Hi I was punched dead in the cheek. Between my right eye and nose is a hard knot and all around it is red and purple coloring underskin from eyebrow to top lip. However, now after 5 days the knot is still hard. Will this go down? Is there ever a situation were this will need to be drained?
Wed, 29 Jul 2015
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain due to trauma there has been an injury to the minor blood vessels and due to which there is spilling of blood from ruptured blood vessels into the soft tissues leading to bruising and also there is HEMATOMA formation. The hard knot is due to accumulation of the inflammatory cells, overgrown fibrous tissue and at times the Hematoma gets encapsulated and there is formation of a hard knot..
You need not to worry as it will resolve but can take a long time, although bruising will reduce soon but the knot take time to resolve..
You can do alternate hot and cold packs over the knot and bruising..
Apply Thrombophob gel over the knot and bruised area but keep away from eye and apply only after patch test..
For pain you can take anti-inflammatory OTC painkiller Ibuprofen..

Hope this information helps..

If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..

Thanks and regards..
Dr.Honey Nandwani Arora..
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What Causes Persistent Hard Lump Below The Eye Post Injury To Cheek?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain due to trauma there has been an injury to the minor blood vessels and due to which there is spilling of blood from ruptured blood vessels into the soft tissues leading to bruising and also there is HEMATOMA formation. The hard knot is due to accumulation of the inflammatory cells, overgrown fibrous tissue and at times the Hematoma gets encapsulated and there is formation of a hard knot.. You need not to worry as it will resolve but can take a long time, although bruising will reduce soon but the knot take time to resolve.. You can do alternate hot and cold packs over the knot and bruising.. Apply Thrombophob gel over the knot and bruised area but keep away from eye and apply only after patch test.. For pain you can take anti-inflammatory OTC painkiller Ibuprofen.. Hope this information helps.. If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation.. Thanks and regards.. Dr.Honey Nandwani Arora..