PMC5345331_01
Panoramic radiographic visualizing a pedunculated osseous lesion originating from the left zygomatic arch.
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F1
A panoramic radiographic exam showed the presence of a pedicled osseous lesion originating from the left zygomatic arch (Fig. 1).
Cone Beam Computed Tomography scan. (A) Axial image showing a round well-circumscribed radiopaque lesion originating from the lateral surface of the left zygomatic arch. (B) Three-dimensional reconstruction image visualizing a well-circumscribed radiopaque structure located on the lateral border of the left zygomatic arch.
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F2
A cone beam computed tomography confirmed the presence of a 1.2 X 1.4 cm well-circumscribed radiopaque structure located on the lateral border of the left zygomatic arch (Fig. 2).
Intraoperative clinical photo of the exposed peripheral osteoma on the zygomatic arch.
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The pedunculated bony structure was removed with bur and chisel (Fig. 3).
Intraoperative clinical photo after resection of the peripheral osteoma and recontouring of the zygomatic arch.
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Finally, surgical recontouring of the zygomatic arch was performed (Fig. 4).
Panoramic radiographic after one year disclosing no recurrence of the peripheral osteoma on left the zygomatic arch.
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There was no clinical or radiographic evidence of recurrence on the one year follow-up examination (Fig. 5).