Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Idiopathic Cellulitis of Facial Soft Tissue-Reply

James C. Klein, DDS, MD
JAMA. 1988;260(3):339. doi:10.1001/jama.1988.03410030054018.
Text Size: A A A
Published online


In Reply.—  Dr Deutsch's patient had a history of severe pain and swelling on the right side of her face, which responded to four days of antibiotic therapy. Clinical examination after antibiotic therapy revealed a decrease in swelling; however, a tender subcutaneous nodule approximately 2 cm in diameter remained in the midcheek area just lateral to the coronoid process of the mandible.Dr Salon suggests the possibility of internal derangement of the temporomandibular joint or even perforation of the meniscus. It has been my experience in well over 1000 cases of dysfunction of the temporomandibular joint that such problems do not manifest themselves as a tender subcutaneous nodule lateral to the mandible. They also don't respond to antibiotic therapy and trigger points of the muscles involved are not found in the soft tissues of the cheek, which are at some distance from the sites of origin and insertion of the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.