Differential Diagnosis
- Single most likely diagnosis
- Temporomandibular Joint (TMJ) Disorder: The symptoms of jaw popping, difficulty breathing unless the jaw is stretched, and the recent wisdom tooth extractions suggest a possible TMJ disorder. The dislodging of mucus upon movement of the jaw and facial muscles further supports this diagnosis, as it indicates a connection between jaw alignment and nasal congestion.
- Other Likely diagnoses
- Sinusitis: The nasal congestion and dry eyes could be indicative of a sinus infection, which may be exacerbated by the recent dental procedure.
- Myofascial Pain Syndrome: The pain and stiffness in the jaw and facial muscles, particularly after the wisdom tooth extractions, could be related to myofascial pain syndrome.
- Nasal Septal Deviation: The persistent nasal congestion and need to stretch the jaw to breathe properly might suggest a deviated septum, which could be contributing to the breathing difficulties.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Orbital Cellulitis: Although less likely, the combination of blocked tear ducts, dry eyes, and nasal congestion could potentially indicate an orbital infection, which is a medical emergency.
- Cavernous Sinus Thrombosis: This rare but potentially life-threatening condition could present with similar symptoms, including facial pain, nasal congestion, and eye symptoms, and is a complication of facial or sinus infections.
- Rare diagnoses
- Eagle Syndrome: This condition, characterized by an elongated styloid process, can cause facial pain, jaw pain, and difficulty swallowing, and might also contribute to the symptoms described, particularly the jaw popping and pain.
- Sjögren's Syndrome: An autoimmune disorder that could explain the dry eyes and potentially contribute to nasal congestion, although it would be less directly related to the jaw symptoms and recent dental procedures.