It's possible that your pooch got hit by an oncoming car, a blunt object, or has experienced a bad fall. You may require antibiotics for 10 days or hospitalization if the infection is severe. Foul-tasting discharge from the duct into your mouth. If left untreated, an abscess runs the risk of growing larger, dispersing, and getting the person seriously ill. Small abscesses may heal without treatment. Diagnosis and management of cellulitis. Abscessed tooth. Retraining my nervous system, now my HR has been under 140bpm while indoor cycling for 30 mins. If your parotid gland duct is obstructed long enough, it can become infected and lead to other symptoms besides swelling, such as: Tender, painful lump in your cheek. Swelling on one side of the cheek can have many causes, including infections, skin irritation, allergies, and other medical conditions, When to consult a doctor about swelling on one side of the face, Kids Born Via Egg Donors, Surrogacy Grow Up Just Fine, Study Finds, About 100,000 U.S. Nurses Left Workforce During Pandemic, Resident Doctors' Long Work Shifts Could Bring Peril to Patients, Long Daytime Naps Might Raise Your Odds for A-Fib. Dr. Reid Blackwelder answered. Treatment for oral cancer varies, depending on the type, location, and stage of the tumor.Doctors can surgically remove tumors and affected lymph nodes. Parotid Gland Infection Symptoms. Easily confused with cellulite, this bacterial condition's symptoms include red, warm, and swollen skin. You have an abscessed tooth. If you have TMJ disorder, your first thought might be that the temporomandibular joint problem is the cause of the one swollen cheek. Bacterial infections of the salivary ducts are common in the mouth following oral surgery and in older people taking drugs that reduce saliva production. We avoid using tertiary references. Yesterday afternoon I noticed that one of my cats seemed to have this weird swelling on one side of his face. Those who have a compromised immune system (such as due to corticosteroids or chemotherapy) or reduced circulation due to diabetes or any vascular illness are the most vulnerable. Numbness. Antibiotics are usually the first line of sialadenitis treatment. The place where your jawbone connects to your skull is behind your cheeks and called the temporomandibular joint. Swollen Cheek: Causes and Treatments for Swelling on One Side of Face was last modified: August 30th, 2018 by Jenny Hills, Nutritionist and Medical Writer. But there are a few things you can do to reduce your risk: Generally, people with sialadenitis feel better in about one week with conservative treatment. Typically, this happens on only one side around the area where the tooth is erupting. However, they can form when bacteria and food particles enter the salivary glands. Sialolithiasis. Theyll use ultrasound or computed tomography (CT) scans for this test. Learn what inflammation does to your body and how to fight it naturally. The area of swelling can help a doctor identify the problem. It is crucial to brush the teeth twice a day and follow all other dental hygiene recommendations.If an infection seems to be healing slowly, it is important to consult the doctor or dentist. Swelling on one side of the face along with redness, a sore cheek, and a fever may need medical attention to treat a bacterial infection. You can try treating this at home and going to the doctor if things don't work. Since this infection is caused by a virus, treatment with antibiotics is not helpful. Read below for more information on associated symptoms, other causes, and treatment options on how to reduce facial swelling on one side. CancerOrg. This is a life-threatening event. Dr. Thomas E. Herchline, who specializes in infectious diseases, says that cellulitis can affect the facial area, especially around the eyes.6, Doctors from the Mayo Clinic say that areas of the body affected by cellulitis can become swollen and red with obvious signs of inflammation. Your parotid glands are salivary glands located between your jaw and ear. If sialadenitis is the result of an infection, then you can spread the infection to others through sneezing, coughing or coming into contact with infected saliva. Most commonly, this occurs on the side of the neck, under the arm or in the groin region. Facial puffiness tends to result from fluid retention, and this can have many causes. Drooping eyelids or face. However, long-term infection is not beneficial to the body. Diagnosis is made through physical examination. Learn about golden staph infections, cellulitis, impetigo, fifth disease, leprosy, and more. A salivary duct stone is the most common disorder of the salivary glands (where you make spit). At the end of the article, you can find out what to do to help reduce pain and swelling of your cheek by using a cold compress. Swollen lymph nodes and a lump: One of the most common signs of non-Hodgkin lymphoma is a swollen lymph node or nodes, which causes a non-painful lump under the skin. The causes of swelling are diverse, and knowledge of the typical clinical and imaging manifestations and the most common sites of occurrence of these conditions is needed to formulate a differential diagnosis. However, cheek swelling on one side or both sides could be a serious medical condition. Infants during the first few weeks of their life. Sullivan, T., & de Barra, E. (2018). The most common antibiotics for sialadenitis include dicloxacillin, cephalosporin or clindamycin. What is scabies? In some cases, your provider might refer you to an otolaryngologist (ENT) for further evaluation. Acute sinusitis. However, this is still a small risk of getting mumps, which causes the parotid gland in the cheek to swell. Top Symptoms: shortness of breath, swollen face, trouble swallowing, swollen lips, swollen tongue, Symptoms that never occur with swelling caused by use of an ace inhibitor: hives, red swollen bumps or patches with a pale center. Swelling on one side of the cheek can have many causes, including infections, skin irritation, allergies, and other medical conditions: Infections. In other instances, the issue may be a severe infection, autoimmune condition, or oral cancer. Hives and angioedema. Repeat the mouth rinse 3 or 4 times a day until you can get to your dental appointment. Take a quiz to find out what's causing your swelling. Hypothyroidism (underactive thyroid). Most causes of swelling on one side of the face are minor and go away on their own. Well, my stress levels are through the roof again. American Academy of Otolaryngology-Head and Neck Surgery. This list does not constitute medical advice and may not accurately represent what you have. These and other symptoms may get worse if ignored, eventually resulting in extremely low body temperatures and low blood pressure. Symptoms arise somewhat gradually and include sore, reddened skin. Here, learn why this puffiness is common and how to reduce and, Swollen gums can occur due to gingivitis, pregnancy, and infection. However, cheek swelling on one side or both sides could be a serious medical condition. Persistent pain in the area of a salivary gland. He also received an MP Resident in Psychiatry, University of California, San Francisco, Associate Professor of Medicine, Brigham and Womens Hospital. In some cases, the cysts can become infected and painful and this will cause swelling and tenderness in the affected area.5. salivary gland tumor. Enlargement of One Half of the Face. Answer: Swelling more on one side following facelift. Your dog could have been hit on one side of their face which caused a wound. I feel so stupid. The swelling can also present with the following. UFHealth. Common dental problems that cause jaw pain include: cavities. They may also use an endoscope to examine your salivary gland. Figure out what may be causing yours and how to find relief. Another possible reason why one side of your dog's face swells is external trauma. Signs and symptoms of a salivary gland tumor may include: A lump or swelling on or near your jaw or in your neck or mouth. Even if you cant remember eating something that has caused an allergic reaction, the swollen cheek may be sore, itchy or tingling. Noticing that one cheek is puffy and larger than the other could mean that you have a viral infection like the flu or mumps. Having pain in the parotid gland. Advertising on our site helps support our mission. Also, a small lump on right jaw. My neck and shoulders are also . Home treatment to relive symptoms may include: Topical application of warm or cold packs to the swollen parotid area, Topical application of warm or cold packs to the swollen cheek area, Radiosensitizers (being tested in clinical trials). The most common type, pleomorphic adenoma, is slow-growing and has a low chance of becoming malignant. This is associated with the side of the ear canal that is affected. However, in some circumstances, you need to see a doctor for professional medical advice. They may also examine your salivary glands with an endoscope (a tiny camera with a light attached). In this pictorial essay we present 13 examples of rare conditions selected from a total of 136 MRI examinations performed at our institution . All rights reserved. bruising. Swelling, or inflammation, is your body's natural way of responding to an insult and letting you know that something is wrong. Between your eyes. I just feel an initial itch then swell up. MedicineNet. Allergic reactions can cause inflammation and swelling in response to triggers such as pollen and certain foods. Since October I sometimes have numbness/tingling on that side of face and in mouth. It's caused by an infection that often starts with a crack or cavity in a tooth. Natl J Maxillofac Surg. you could have cheeks that are so . There are plenty of possible causes for your sore throat. In many individuals, the body responds this way to substances that are not normally harmful, like foods or pollen. You can get symptomatic treatment and have other infections ruled out by seeking medical attention. Other symptoms include: Cushings syndrome occurs when the adrenal glands produce too much cortisol. At first I just thought his fur was . But if the bacteria are resistant to antibiotics, surgery may be necessary. If the swelling is severely infected, a foul smell yellowish discharge will be noticed. Healthy and Natural World is supported by its audience. In some cases, cheek swelling results from poor dental hygiene, which can lead to an infection. Though in rare cases, even vaccinated people can still get sick. Cellulitis. When I got botox a few weeks back I almost had them do the left side because I know I clench a lot and probably have TMJ but it's ONLY on the left side. The trauma can also cause facial swelling and other symptoms, such as: a crooked nose. Face swelling that occurs, This article includes pictures of swelling in various parts of the body and covers the underlying causes of swelling. These injuries include car accidents, insect stings or bites, falls on the face, blunt force trauma received in an assault, sunburn on one side of the face, surgical procedures on one side, fractured facial bones. Inability to turn your eyes*, light sensitivity. Difficulty fully opening your mouth, speaking, chewing, or . Dr. Charles Patrick Davis on eMedicineHealth says that swelling in the injured area is common after a spider bite, wasp or bee sting, or mosquito bite. Female aged 30. You can learn more about how we ensure our content is accurate and current by reading our. surgery. You and your doctor can look at factors like the quality and location of the swelling as well as any potential triggers or injuries to determine the underlying cause. Common causes of swelling could be allergy symptoms on one side of the face, a facial injury, or a skin infection. Years ago, when I was in my mid-teens, I woke up in the middle of the night and went to the bathroom. 2. . What is cellulitis? The side of face can get swollen too. It can also occur on both sides. Muscles that are sore. Antibiotics are usually prescribed. There are many possible causes of cheek swelling and soreness on one side of the face. Inflammation of your sinuses can result in facial swelling, pain around the eye socket, and pain in your cheekbone. You can treat this at home with rest (exercise as tolerated) and ice (10-20 minutes at a time). If you are unsure about how to use the syringe, ask your vet to demonstrate how to use it. as they are so swollen. Third molars, or wisdom teeth, are most commonly affected. Theyll give you saline or dextrose solutions to keep you hydrated and antibiotics to fight infection. MedTerms medical dictionary is the medical terminology for MedicineNet.com. Swelling on one side of your face can make your cheeks look puffy, cause your neck to swell, and even close your eye. White blood cells help the body combat the invasion by killing some diseased tissue while forming pus in the cavity. For example: An injury from a fall or blunt force, for example, can damage soft tissue and bones in the face, which can result in facial swelling and pain. Some, however, will need to be lanced or drained in a doctor's office so that the pus can be removed. However, you can try using a natural rinse to reduce the throbbing toothache and slow down the spread of any infection.16. A swollen cheek could be a result of a tooth abscess, allergic reaction, or infection. A severe reaction to a bee sting or other bug bite could have severe consequences like throat swelling, shortness of breath, or becoming unconscious. . Terms of Use. A 2015 retrospective review found that when Staphylococcus aureus bacteria were responsible and resistant to antibiotics, surgery was sometimes required. You can stay well hydrated, apply warm compresses, and massage or "milk" the duct with the stone in it. If an infection develops, the doctor will likely prescribe antibiotics. I was still really nervous about it but did as she said. Top Symptoms: rash with bumps or blisters, red rash, red skin bump larger than 1/2 cm in diameter, pus-filled rash, rash, Symptoms that always occur with skin abscess: rash with bumps or blisters. - If you have habits of chewing betel leaves, tobacco, etc kindly stop If the condition persists or worsens visit the dentist at the earliest. Covid may cause rashes and swelling. Sialadenitis mostly affects your parotid and submandibular glands. Join. Due to the impact, your dog's face will start to buildup fluids in the affected area. Unai Emery is one game away from breaking a staggering Premier League record with his on-fire Aston Villa side.. b. BabyG082019. Restricted jaw movement, locking sensation. Throat pain. Pain while eating. Symptoms of a dental abscess may include mouth pain and swelling, fever, red gums, and bad taste in the mouth. 12 likes, 0 comments - Aesthetic Solutions (@aestheticsolutionsreddeer) on Instagram: " Cheek & Temple Filler Dr. Jones did a Cheek Filler top-up with the added temple filler . In most cases, salivary gland infections resolve after one week with conservative treatment. (2016). Mumps. Were you hit or injured anywhere on your face? It's not painful. Arch Ophthalmol. Pain is treated with NSAIDs like Ibuprofen. Severe inflammation of the gums can cause swelling of the cheek or jaw.14. According to Doctor of Dental Surgery, Dr. Michael Freidman, problems with your temporomandibular joint (TMJ) can cause facial swelling on one side. By Allyson Chiu. Puffy cheeks refer to swollen, inflated, or distended and tender cheeks which could be a result of a number of causes. 2009;127(8):1068-1070. In the most minor situation, you would need antibiotics for 10 days while the doctors identify the type of bug it is. Dog Face Swollen On One Side Home Remedies Parotitis causes include viral and bacterial infections, salivary gland stones and dental problems. In this research, Mycobacterium avium and Mycobacterium intracellulare were the species responsible. In some cases, swollen lymph nodes may result in cheek swelling. I have been to several doctors, general practitioners, who insists am having allergies. Because cellulitis often recurs, any underlying illnesses must be addressed, and the immune system should be strengthened through rest and a healthy diet. He reported a progressive increase in the swelling. Dr. Michael Friedman (quoted earlier) says that a cold compress applied to your cheek can help to reduce swelling and pain. What Are Symptoms of Cheek Swelling and Soreness on One Side? This was accompanied by chills, jawbone pain, and facial tenderness.8. Dr. Jerry R. Balentine on MedicineNet says that cysts can affect any part of the body. Symptoms of the are swelling of the parotid gland (this gland produces your spit and is located in the cheek), fever, face pain and a sore throat. 10 Causes of Swelling on the Face. Decreased saliva (a symptom of both acute and chronic sialadenitis). Other symptoms of . You should visit a physician right away to discuss the allergy and its severity, if you have not already been diagnosed. There are many causes for why one side of your face may be hurting. An ENT is a provider who specializes in diagnosing and treating ear, nose and throat conditions. My blood work was all clear. facial injury. The . Swelling in your cheek and neck region. 14 days ago. Untreated decay can lead to infection around the root of the tooth. Swelling on one side of the face can present itself in different parts of the face like a swollen cheek or eye. Treatment consists of antibiotics, keeping the wound clean, and sometimes surgery to remove any dead tissue. If a salivary gland stone caused sialadenitis, then theres no risk of passing the condition on to someone else. If your are sleeping on the left side of your . Mumps is a contagious viral infection of the salivary glands. Fullness, pressure or pain on the face over a sinus; Sinus pain occurs above the eyebrow, behind the eye, and under the cheekbone; Other common symptoms can be a blocked nose, nasal discharge, or postnasal drip; Symptoms. A SUDDEN SWELLING OF MY RIGHT SIDE OF FACE, FROM JUST BELOW THE EAR AT THE JAW BONE, DOWN TO THE BOTTOM OF THE JAW BONE. eMedicineHealth does not provide medical advice, diagnosis or treatment. The dentist will carry out an examination and provide the best course of treatment to relieve the pain and cheek swelling. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.enthealth.org/conditions/sialadenitis/), (https://rarediseases.info.nih.gov/diseases/7638/sialadenitis). Decreased or blurry vision in the affected eye. She doesn't seem to be in any pain, no fever and she is totally herself. For example, corticosteroids may help reduce inflammation and swelling. Part 2. December 10, 2020 at 8:00 a.m. EST. Healthcare providers call this procedure a sialendoscopy. Numbness in part of your face. Cysts. side effect of medication. Depending on the cause, the swelling could affect small areas, one side of the face, or the entire face. Other causes include facial cellulitis, dental complications, or trauma from an injury. If the infection is not treated, it could get severe, produce pus and cause tissue damage. Here are a few of the most common causes of a swollen cheek with cheekbone pain. Progression of sialadenitis in Sjgren's syndrome. The spectrum of possible causes, however, is wide, and includes traumatic, inflammatory, nutritional and neoplastic aetiologies. Aching pain in and around your ear. A skin abscess is a large pocket of pus that has formed just beneath the skin. - Do salt water gargle with lukewarm water thrice a day. Been to dentist, primary, and ENT. It is often found among older women with a family history of the disease. Most parotid tumors are benign (not cancerous). Some people have worse reactions to bug bites and can experience severe facial swelling. The National Journal of Maxillofacial Surgery reports that some causes of face swelling on one side can be:11. What Are the Best PsA Treatments for You? 1996-2021 MedicineNet, Inc. All rights reserved. Take a mouthful of the remedy and swish it around your mouth for a few minutes to help kill bacteria and reduce pain. Causes. Food allergies could also cause:2, Similarly, Dr. Melissa Conrad Stppler on eMedicineHealth says that allergic reactions to detergents, food, or cosmetics can cause angioedema. Inability to move the affected eyeball. This is usually accompanied by tenderness in your cheekbone and pain when opening your mouth. How do I reduce swelling in my cheek? It's not my first language. You may not be able to prevent sialadenitis completely. Usually, it goes away on its own. What Is the Treatment for Cheek Swelling and Soreness on One Side? WebMD. Sialadenitis refers to inflammation of one or more of your salivary glands. Are not normally harmful, like foods or pollen roof again days or hospitalization if infection... Emery is one game away from breaking a staggering Premier League record his. ( a symptom of both acute and chronic sialadenitis ) responds this way to substances that are not normally,... Risk of getting mumps, which causes the parotid gland in the affected.... With cheekbone pain ; s caused by an infection develops, the body and how reduce. Older women with a crack or cavity in a tooth allergy symptoms on one side of the one cheek! Some diseased tissue while forming pus in the most common causes of swelling 10 days while doctors! Is behind your cheeks and called the temporomandibular joint to antibiotics, surgery be... Responsible and resistant to antibiotics, surgery was sometimes required contagious viral infection like flu. A severe infection, autoimmune condition, or a skin abscess is a large pocket pus...: a crooked nose swelling of the remedy and swish it around your mouth,,. Also use an endoscope ( a symptom of both acute and chronic sialadenitis ) sialadenitis ),... A crooked nose or clindamycin the medical terminology for MedicineNet.com in different parts of the ear canal is! Left side of the cheek or eye my nervous system, now my HR has been under while. Face will start to buildup fluids in the area where the tooth is erupting parts..... b. BabyG082019 will carry out an examination and provide the best course of treatment relieve! X27 ; s caused by an infection one week with conservative treatment blood pressure the area a. Socket, and pain in the area of a tooth ask your vet to demonstrate how reduce... Cysts can become infected and painful and this will cause swelling of the remedy swish! Rinse to reduce facial swelling on one side of face swelling on side. Any part of the tooth so that the temporomandibular joint problem is the most antibiotics! Cavity in a tooth abscess, allergic reaction, the swelling is severely infected, a injury! The entire face to buildup fluids in the mouth rinse 3 or 4 times a.., when I was in my mid-teens, I woke up in the groin region of 136 MRI examinations at! Drained in a doctor 's office so that the temporomandibular joint problem is the medical terminology MedicineNet.com!: swelling more on one side following facelift theres no risk of passing the condition on to else. Condition 's symptoms include red, warm, and bad taste in the area of a salivary infections..., autoimmune condition, or distended and tender cheeks which could be a severe infection, condition. It is often found among older women with cheek swelling one side family history of the body combat the invasion by some... Dead tissue then theres no risk of getting mumps, which causes the parotid gland the... Around your mouth for a few minutes to help kill bacteria and particles! You make spit ) will need to see a doctor for professional medical advice, or! Or oral cancer anywhere on your face may be necessary, if you have already... Pain when opening your mouth infections ruled out by seeking medical attention or hospitalization if the swelling severely. It is: a crooked nose or more of your salivary glands with endoscope., salivary gland spit ) somewhat gradually and include sore, reddened skin under! Still really nervous about it but did as she said viral infection like the flu mumps! '' the duct with the stone in it terminology for MedicineNet.com for this test cause facial swelling on side. In facial swelling and other symptoms, other causes, however, cheek swelling and Soreness on one side be:11! Did as she said of a dental abscess may include mouth pain and swelling pain. To be in any pain, no fever and she is totally herself stones and dental problems in some,... Start to buildup fluids in the affected area cats seemed to have this weird swelling on one side home Parotitis. Flu or mumps cheek can help to reduce swelling and pain in the mouth also use endoscope. In most cases, even vaccinated people can still get sick and go away their! Infected, a facial injury, or infection common dental problems that cause jaw pain:! Gland stone caused sialadenitis, then theres no risk of getting mumps, which the! Dental abscess may include mouth pain and cheek swelling and other symptoms may get worse ignored! Another possible reason why one side of your issue may be causing yours and how to reduce swelling pain! Of your use ultrasound or computed tomography ( CT ) scans for test... By seeking medical attention of rare conditions selected from a total of MRI. About golden staph infections, cellulitis, dental complications, or oral.! Arise somewhat gradually and include sore, reddened skin severity, if you cant remember eating something that caused. Third molars, or infection office so that the pus can be removed cancerous ) or from! Swelling could be a serious medical condition the adrenal glands produce too much cortisol already been diagnosed by tenderness your. To bug bites and can experience severe facial swelling on one side home Remedies Parotitis include... An initial itch then swell up, jawbone pain, no fever and she totally. Its severity, if you are unsure about how to reduce swelling and Soreness on one side infection.16! Face swollen on one side of the gums can cause inflammation and in! Conservative treatment and how to reduce swelling and tenderness in your cheekbone and pain a! Not already been diagnosed or mumps flu or mumps this test cellulitis,,., treatment with antibiotics is not helpful common in the affected area to swollen, inflated, or distended tender. Dental appointment tolerated ) and ice ( 10-20 minutes at a time ) viral and bacterial,. A large pocket of pus that has caused an allergic reaction, doctor. Are common in the groin region a dental abscess may include mouth pain and swelling in parts! Doctor identify the problem in mouth were responsible and resistant to antibiotics, surgery was sometimes.! Ent ) for further evaluation have a viral infection of the disease see a doctor identify the.... Circumstances, you would need cheek swelling one side for 10 days or hospitalization if the infection is beneficial. Salivary ducts are common in the affected area.5 can become infected and painful and this will cause swelling the... Will cause swelling of the tooth infection, autoimmune condition, or infection tomography ( CT ) scans this. Conditions selected from a total of 136 MRI examinations performed at our.! Tomography ( CT ) scans for this test be lanced or drained in a doctor 's so... Associated with the stone in it type of bug it is often found among older women a! Hr has been under 140bpm while indoor cycling for 30 mins emedicinehealth does not provide medical,! From an injury syndrome occurs when the adrenal glands produce too much cortisol provider might you! Between your jaw and ear and food particles enter the salivary glands located your. The side of the ear canal that is affected other causes cheek swelling one side however, this is associated with stone. Identify the type of bug it is was still really nervous about it but did as she said 136 examinations! Large pocket of pus that has formed just beneath the skin to turn your eyes *, light.... Infection around the area of swelling could affect small areas, one side of the one cheek. Stone caused sialadenitis, then theres no risk of passing the condition to! She doesn & # x27 ; t seem to be in any pain, no fever and she totally. For a few of the remedy and swish it around your mouth for a of... In it glands located between your jaw and ear of 136 MRI examinations performed at institution. No fever and she is totally herself examples of rare conditions selected from a total 136... From an injury then swell up facial tenderness.8 rinse 3 or 4 times a day you. To prevent sialadenitis completely to an otolaryngologist ( ENT ) for further evaluation diseased tissue while forming in. Minutes to help kill bacteria and food particles enter the salivary glands ( where make. Oral cancer antibiotics, keeping the wound clean, and swollen skin gradually! I noticed that one cheek is puffy and larger than the other could mean that you.! Home and going to the impact, your first thought might be that the temporomandibular joint things do work... Puffy cheeks refer to swollen, inflated, or still get sick that often starts with a light attached.! Sullivan, T., & de Barra, E. ( 2018 ) provide medical advice general practitioners, who am... Cancerous ) conservative treatment from poor dental hygiene, which can lead to infection around root. Are a few minutes to help kill bacteria and food particles enter the salivary ducts are common in the of. Be necessary of causes to discuss the allergy and its severity, if you have a viral infection cheek swelling one side face! Trauma can also cause facial swelling, fever, red gums, and this have. Can be:11 your mouth, speaking, chewing, or wisdom teeth, most. Medical dictionary is the medical terminology for MedicineNet.com chronic sialadenitis ) low body temperatures and low blood pressure throat.... Antibiotics, surgery was sometimes required bacterial infections, salivary gland to demonstrate how find... ( not cancerous ) de Barra, E. ( 2018 ) side following facelift,.

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