PMC5239829_01
Clinical preoperative aspect (scar on the temporal region).
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Clinical examination revealed a hypochromic linear scar on the left temporal region, corresponding to the aggression site (Figure 1).
Opening mouth limitation.
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The mouth opening:the main complaint:was restricted, with interincisal distance of approximately 24 mm (Figure 2).
Computed tomography scan (hyperdense images medially to left zygomatic arch near to mandibular ramus).
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The computed tomography (CT) scan showed two rectangular hyperdense images: one medially to the zygomatic arch and the other one medially to the mandibular ramus (Figure 3).
First foreign body removal.
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A zygomatic arch ostectomy was made then, after which a colorless fragment of hard consistency and smooth surface:possibly glass:was palpable and carefully removed (Figure 4).
Postoperative computed tomography images.
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Mouth opening had a slight improvement (28 mm of interincisal distance) and CT showed infratemporal fossa without foreign body fragments (Figure 5).
Mouth opening at 45th postoperative day.
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Forty-five days after the operation, we observed a mouth opening of 31 mm (Figure 6).