PMC3603617_01
Preoperative frontal view showing swelling on left side of the face.
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Extraoral examination revealed diffuse swelling over the left cheek involving lateral part of the nose and infraorbital region (Figure 1).
Orthopantomograph showing ill-defined mixed radiolucency in the left maxilla with displacement of the adjacent teeth.
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Orthopantomograph revealed an ill-defined mixed radiolucency in the left maxilla with displacement of adjacent teeth (Figure 2).
Coronal CT scan section showing the lesion completely obliterating the left maxillary sinus.
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Computed tomography sections showed the lesion completely obliterating the left maxillary sinus with intact palatal bone and posterior wall of the sinus (Figures 3, 4(a), and 4(b)).
Axial CT Scan sections showing the lesion perforating the anterior wall of the antrum and its extension in to the nasal cavity.
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Computed tomography sections showed the lesion completely obliterating the left maxillary sinus with intact palatal bone and posterior wall of the sinus (Figures 3, 4(a), and 4(b)).
Exposure of the tumour by an intraoral approach.
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Complete curettage and enucleation of the lesion was then performed by an intraoral approach under general anesthesia (Figures 5 and 6).
Curettage and complete removal of the lesion.
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Complete curettage and enucleation of the lesion was then performed by an intraoral approach under general anesthesia (Figures 5 and 6).
Gross appearance of the tumour mass.
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The enucleated tumour mass was submitted to oral and Maxillofacial Pathology Department (Figure 7).
Histopathological examination showing spindle-shaped fibroblasts in loose myxoid tissue.
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The histopathology showed spindle-shaped fibroblasts in loose myxoid tissue and confirmed the diagnosis (Figure 8).
Postoperative image showing intraoral healing.
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Patient came for regular followups, and there was no recurrence of the lesion with good intraoral healing (Figure 9).