PMC5502506_01
Extensive edema in the right hemiface causing asymmetry from the region of the outer corner of the mouth to the submandibular region
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F1
Oral and Maxillofacial Surgery and Traumatology Department of the Federal University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil, on referral by a public health professional. Ovoid swelling was found >5 cm in diameter on the right submandibular region [Figures 1 and 2].
In a lower view, one can better visualize the limits of the lesion. Oval and well delimited
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F2
Oral and Maxillofacial Surgery and Traumatology Department of the Federal University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil, on referral by a public health professional. Ovoid swelling was found >5 cm in diameter on the right submandibular region [Figures 1 and 2].
Axial computed tomography. Homogeneous mass, well circumscribed with more than five centimeters in its greatest extensionagreement
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F3
The lesion was >5.0 cm in diameter, with a clear boundary, [Figure 3].
Ultrasound of the cystic lesion. Hypoechoic cystic lesion measuring 5.3 cm x 4.6 cm x 5.1 cm
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F4
Well delimited mass being removed in a single block, surgically
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F5
The enucleation of the lesion was performed under general anesthesia, and surgical specimen was sent for histopathological examination to confirm the diagnosis [Figure 5].
Epidermal cyst-cystic cavity lined by stratified squamous epithelium and filled with corneal lamellae anucleate
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F6
Granular layer well developed and it showed the presence of ortoceratina in light of the cyst [Figure 6].
Excess skin removed to facilitate primary closure and improvement in esthetic quality after removal of cystic masswithout
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F7
A skin track was removed to compensate for the excessive presence of expanded skin and prevent its sagging [Figure 7].
Postoperative appearance of 1 month. Esthetic quality. Facial symmetry
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F8
The patient is in outpatient follow-up [Figure 8].