PMC1790895_01
Clinical photograph of the patient at presentation.
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PMC1790895_01_1477-7819-5-11-1.jpg
F1
A 3-year-old boy presented with a large bosselated swelling over the cheek extending to the submandibular, submental, postauricular region and which was still further increasing in size (Figure 1).
Clinical photograph of the patient after recurrence.
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PMC1790895_01_1477-7819-5-11-2.jpg
F2
The patient presented after 13 months with recurrent swelling over the cheek with significant difficulty in swallowing and constant dribbling of saliva due to inadequate mouth closure (Figure 2).
A CT scan revealing recurrence at the floor of mouth and presence of tumor in the infratemporal fossa and base of skull.
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PMC1790895_01_1477-7819-5-11-3.jpg
F3
A CT scan revealed presence of a large recurrent mass in the floor of mouth, infiltrating the infratemporal fossa (ITF) and reaching up to the base of skull (Figure 3).
A, B & C). Intraoperative photograph showing the skin paddle of PMMC and its suturing to the surgical defect.
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PMC1790895_01_1477-7819-5-11-5.jpg
F5
The technique for harvesting the PMMC has been described previously (Figure 5).