PMC3513810_01
Preoperative picture showing left maxillary tumor
NJMS-3-51-g001.jpg
PMC3513810_01_NJMS-3-51-g001.jpg
F1
A 21-year-old female reported to the department of oral and maxillofacial surgery with complaint of a painless swelling in the mandible and posterior maxilla bilaterally [Figures 1-3], left lateral wall of the nose and left knee joint for the past three years, which was growing slowly; swelling started in the mandible first then in maxilla and later in lateral wall of the nose and knee joint.
Preoperative picture showing right maxillary tumor
NJMS-3-51-g002.jpg
PMC3513810_01_NJMS-3-51-g002.jpg
F2
A 21-year-old female reported to the department of oral and maxillofacial surgery with complaint of a painless swelling in the mandible and posterior maxilla bilaterally [Figures 1-3], left lateral wall of the nose and left knee joint for the past three years, which was growing slowly; swelling started in the mandible first then in maxilla and later in lateral wall of the nose and knee joint.
Preoperative picture showing mandibular tumor
NJMS-3-51-g003.jpg
PMC3513810_01_NJMS-3-51-g003.jpg
F3
A 21-year-old female reported to the department of oral and maxillofacial surgery with complaint of a painless swelling in the mandible and posterior maxilla bilaterally [Figures 1-3], left lateral wall of the nose and left knee joint for the past three years, which was growing slowly; swelling started in the mandible first then in maxilla and later in lateral wall of the nose and knee joint.
CT scan showing tumor at mandibular region and right lateral wall of the nose
NJMS-3-51-g004.jpg
PMC3513810_01_NJMS-3-51-g004.jpg
F4
Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
CT scan showing tumor at mandibular region
NJMS-3-51-g005.jpg
PMC3513810_01_NJMS-3-51-g005.jpg
F5
Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
CT scan showing tumor at right maxillary region
NJMS-3-51-g006.jpg
PMC3513810_01_NJMS-3-51-g006.jpg
F6
Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
X-ray showing tumor at left knee joint
NJMS-3-51-g007.jpg
PMC3513810_01_NJMS-3-51-g007.jpg
F7
Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
Resected mandibular segment
NJMS-3-51-g009.jpg
PMC3513810_01_NJMS-3-51-g009.jpg
F8
The mandibular mass was removed by segmental mandibulectomy, and bilateral maxillary mass was approached through the mandibular resected site and posterior maxillectomy done bilaterally till the clear pterygoid plates were seen and lateral nasal lesion was approached intra orally [Figures 8 and 9].
Resected maxillary site
NJMS-3-51-g010.jpg
PMC3513810_01_NJMS-3-51-g010.jpg
F9
The mandibular mass was removed by segmental mandibulectomy, and bilateral maxillary mass was approached through the mandibular resected site and posterior maxillectomy done bilaterally till the clear pterygoid plates were seen and lateral nasal lesion was approached intra orally [Figures 8 and 9].
Reconstruction plate in position
NJMS-3-51-g011.jpg
PMC3513810_01_NJMS-3-51-g011.jpg
F10
Reconstruction plate was used to maintain the contour of the mandible [Figure 10]; primary closure was achieved in the mandible [Figure 11] and lateral wall of the nose, but posterior maxilla was left to heal by secondary intention.
Postoperative extraoral picture
NJMS-3-51-g012.jpg
PMC3513810_01_NJMS-3-51-g012.jpg
F11
Reconstruction plate was used to maintain the contour of the mandible [Figure 10]; primary closure was achieved in the mandible [Figure 11] and lateral wall of the nose, but posterior maxilla was left to heal by secondary intention.
Many osteoclasts like multinucleated giant cells and fi broblast with hemosiderin deposits
NJMS-3-51-g013.jpg
PMC3513810_01_NJMS-3-51-g013.jpg
F12
The resected specimen was sent for histopathological examination; the histopathological slide with eosin and hematoxylin section with 40x magnification diagnosed as Brown tumor [Figure 12].