Brief Answer:
Need more information

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to advise accordingly.

What specific antibiotics did you use.
Did you undergo any imaging investigation such as CT para nasal sinuses. If available can you upload an image of the CT scan.
Is this the first instance or have you had these episodes before.
What medications are you taking besides those prescribed recently


Wishing you best of health

Thanks

Let me know if you have any query

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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Brief Answer:
Explained in detail

Detailed Answer:
Hello again.

There are many causes to present like this. Firstly it can be hypersenstivity reaction e.g insect bite but that resloves quickly. It can be infection of the lacrimal sac called dacrocytitis which is painful and tender swelling and responds to antibiotics. Another most probable cause is chronic dacrocytitis which is also with increase lacrimation of the eye because tears are not drained. This does not respond to antibiotics and treatment is by surgery called dacrocystorhinostomy.
Other cause which can cause swelling in this area are sinusitis, salivary gland infammation as you mentioned it extended to the ear. Trauma to the nose can cause swelling but in acute cases only possibilty now is that trauma could have cause deflected nasal septum which is now presenting with complication , fibrosis in the area obstruting the lacrimal duct.
Infection in the nose , polyps, allergic rhinitis, any forieng body are some other causes to ruled out.
Simple investigation is to do x ray or CT PNS. It will clear many things.

You can discuss these options with your doctor.

wishing you best of health

Thanks

Dr M.S Khalil

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