PMC9977463_01
Face of patient clearly showing the excessive growth of tumor, thereby occluding the vision in right eye and causing breathing discomfort to patient due to abnormal growth on nose.
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FIG1
The patient's physical examination revealed a massive soft tissue swelling involving the right mandibular region and cheek, extending up to the nasolabial fold, pulling down the right angle of the mouth as well as the right eye and the left eye, and partially obstructing the field of vision in both eyes (Figure 1).
Image showing the restricted mouth opening of the patient indicated by arrows.
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FIG2
Mouth opening (MO) was found to be more than two fingers but less than three fingers with Mallampatti class IV (only hard palate was visible) (Figure 2).
Image showing the generalised growth over cheek, forehead and scalp region indicated by arrows.
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FIG3
Tempero mandibular joint (TMJ) movement was found to be adequate but neck extension was restricted by tumour growth on scalp and cervical region (Figure 3).
Image showing remarkably high blood loss, particularly during debulking of scalp region.
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FIG4
Once debulking of the cranial region was started, blood loss was remarkably high (Figure 4).
Image of patient post reversal of anesthesia and successful extubation.
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FIG5
Post extubation, the patient was shifted to the surgical intensive care unit (ICU) for further management (Figure 5).