PMC9392013_01
endobuccal view showing swelling of the upper right molar region occupying the corresponding vestibule area with inflammatory mucosa (A); computed tomography on axial view showing an osteolytic image of the right maxilla crossed by septas and causing thinning of the cortical (B)
PAMJ-42-103-g001.jpg
PMC9392013_01_PAMJ-42-103-g001.jpg
F1
The intrabuccal examination showed a gingival mass located in the upper left premolar-molar region measuring 4 cm on the long axis, occupying the corresponding vestibule area and extending to the palatal side (Figure 1 A). The mass caused a cortical thinning of maxillary sinus walls with rupture and pushed back the surrounding soft tissues (Figure 1 B).
PMC9392013_02
endobuccal preoperative view showing the swelling of the lower right molar sector with a displacement of the facing teeth (A); intraoperative view of the remaining cavity after tumoral resection (B); picture of the resection piece (C)
PAMJ-42-103-g002.jpg
PMC9392013_02_PAMJ-42-103-g002.jpg
F2
The covering mucosa looked normal (Figure 2 A). Therapeutic intervention: given the aggressive and locally destructive aspect of the tumor, a marginal mandibulectomy was performed using a trans-labial approach (Figure 2 B, C).