PMC5406798_01
Photograph showing diffuse swelling on the left middle third of the face with facial asymmetry
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F1
On extraoral examination, a diffuse swelling was present on the left middle third of the face causing facial asymmetry [Figure 1].
Photograph showing 3 cm x 5 cm swelling extending from the left upper permanent canine to the second permanent premolar
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F2
Intraoral examination showed 3 cm x 5 cm swelling extending from the left upper permanent canine to the second permanent premolar which obliterated the vestibule [Figure 2].
Photograph showing multilocular radiolucency near 21, 22, 63, 24 and 25 (arrowhead) and impacted tooth (arrow) in the floor of maxillary sinus
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F3
A panoramic radiograph [Figure 3] was obtained, which revealed the presence of a multilocular radiolucent lesion near the teeth 21, 22, 63, 24 and 25.
Photograph showing an expansile lytic lesion (arrow) approximately measuring 2.2 cm x 2.1 cm x 2.4 cm in the left maxilla and lesion associated with impacted tooth in the maxillary sinus
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F4
It also revealed another lesion which appeared to be associated with impacted tooth present in the floor of maxillary sinus [Figure 4].
Photograph showing the excised mass with irregular surface and a bony window
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F5
The excised mass was white with irregular surface [Figure 5].
Photograph showing impacted canine along with cyst lining
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F6
The impacted canine along with cyst lining was found adjacent which was separated by a bony wall [Figure 6].
Photomicrograph showing mature collagen fibers interspersed with pump fibroblasts and nests of odontogenic epithelium x10
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F7
Microscopic examination of mass from the body of maxilla revealed mature collagen fibers interspersed with plump fibroblasts and nests of odontogenic epithelium [Figure 7].
Photomicrograph showing cystic wall composed of fibrous tissue and lined by stratified squamous, nonkeratinized epithelium x10
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F8
Focal areas of calcification resembling cemento-osseous material were evident, and a section attached to the neck of the canine showed cystic wall composed of fibrous tissue and lined by stratified squamous, nonkeratinized epithelium [Figure 8].