PMC3206509_01
Preoperative picture showing discharging ulcer over left cheek.
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fig1
Local examination revealed swelling of left zygoma with discharging sinus just below the left eyelid at the outer canthus of the left eye, with sprouting granulation tissue with thick pus and inflamed and tender surrounding area with mild ectropion (Figure 1).
CT scan showing osteomyelitis of left maxilla and zygoma.
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fig2
CT (computed tomographic) scan of paranasal sinus with contrast was done which showed complete destruction of left maxillary alveolar process, anterior portion of hard palate, left zygoma and proximal 1/3rd of left zygomatic arch with oroantral fistula, and left maxillary sinusitis (Figures 2(a), 2(b), and 2(c)).
Postoperative picture demonstrating healed ulcer over left cheek.
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fig3
Post-op followup of one year showed no evidence of recurrence with minimal depression and asymptomatic mild ectropion (Figure 3).