PMC3955306_01
Extraoral photograph showing bilaterally symmetrical face
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F1
Intraoral photograph showing slight obliteration of the left buccal vestibule in 27,28 region
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F2
Overlying mucosa was found to be normal and the temperature of the swelling was not raised [Figures 2 and 3].
Intraoral photograph showing no evidence of palatal swelling
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F3
Overlying mucosa was found to be normal and the temperature of the swelling was not raised [Figures 2 and 3].
Topographic occlusal view of maxilla (left) showing widening of PDL space with 27
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F4
Intra-oral periapical radiograph of 27, 28 region, topographic occlusal view of maxilla (left side) and orthopentamogram(OPG) shows periodontal ligament(PDL) space widening with 27 in the apical 1/3rd, loss of lamina dura in apical 1/3rd of 28 mesially and complete loss of lamina dura distally and also shows rarefaction in adjacent alveolar bone [Figure 4-6].
Intraoral periapical radiograph showing loss of lamina dura in apical region of 28 mesially and complete loss of lamina dura distally
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F5
Intra-oral periapical radiograph of 27, 28 region, topographic occlusal view of maxilla (left side) and orthopentamogram(OPG) shows periodontal ligament(PDL) space widening with 27 in the apical 1/3rd, loss of lamina dura in apical 1/3rd of 28 mesially and complete loss of lamina dura distally and also shows rarefaction in adjacent alveolar bone [Figure 4-6].
OPG showing the area of osteolysis distal to 28
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F6
Intra-oral periapical radiograph of 27, 28 region, topographic occlusal view of maxilla (left side) and orthopentamogram(OPG) shows periodontal ligament(PDL) space widening with 27 in the apical 1/3rd, loss of lamina dura in apical 1/3rd of 28 mesially and complete loss of lamina dura distally and also shows rarefaction in adjacent alveolar bone [Figure 4-6].
PA water's view shows complete opacification of the left maxillary sinus
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F7
Postero-anterior(PA) waters view shows complete opacification of the left maxillary sinus [Figure 7].
Computer tomography scan (axial section-soft tissue window) showing complete obliteration of the left maxillary sinus with soft-tissue density mass, which is protruding posteriorly outside the maxillary sinus
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F8
Axial section (soft-tissue window) of CT [Figure 8] shows complete obliteration of the left maxillary sinus with soft-tissue density mass which is protruding posteriorly and causing complete destruction of the postero-lateral wall of the maxillary sinus, obliteration of pterygomaxillary fissure and intact anterior and medial wall [Figure 9].
Paranasal sinuses computer tomography scan (axial section-bone window) showing the destruction of the posterolateral wall of the maxillary sinus
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F9
Axial section (soft-tissue window) of CT [Figure 8] shows complete obliteration of the left maxillary sinus with soft-tissue density mass which is protruding posteriorly and causing complete destruction of the postero-lateral wall of the maxillary sinus, obliteration of pterygomaxillary fissure and intact anterior and medial wall [Figure 9].
Computer tomography scan (coronal section) showing complete opacification of left maxillary sinus causing protrusion of the soft density mass laterall
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F10
C.T. [Figure 10 and 11] shows complete opacification of the left maxillary sinus with destruction of the floor of the sinus laterally, causing the protrusion of the mass laterally. CT scan diagnosis was suggestive of benign expansile and destructive lesion of left maxillary sinus.
Computer tomography scan (coronal section) showing complete opacification of left maxillary sinus
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F11
C.T. [Figure 10 and 11] shows complete opacification of the left maxillary sinus with destruction of the floor of the sinus laterally, causing the protrusion of the mass laterally. CT scan diagnosis was suggestive of benign expansile and destructive lesion of left maxillary sinus.