if there is no walled off cavity or abscess formation then drainage or any surgical intervention would not be required. antibiotics would be required for addressing the pansinusitis for 3 to 4 weeks. a better alternative would be levofloxacin at a high dose 500 mg bd or moxifloxacin in consultation with an ent specialist. wishing you best of health thanks
i have a large hard knot beneath the skin of my left cheek approx. 1 in. from the corner of my lips. i've gone to an np who diagnosed it as an abscess; prescribed antibiotics are clindamycin & (a substitute for bactrim) swelling started april 6th. the next day is when i visited the np. the following day i went to an er due to more aggressive facial swelling. the dr there gave me a cat scan & diagnosed the swelling as periorbital cellulitis due to dental decay. (at this point i had explained to the dr that none of my teeth were bothering me in any way. ) most of the swelling has come and gone but i still have the hard knot that remains. what could be causing this knot will it go away what can i do? notes from cat scans significant left periorbital & left facial soft tissue swelling & stranding of subcutaneous fat no discrete abscess is identified. impression: pansinusitis predominantly involving the right paranasal sinuses.