PMC3591076_01
Preoperative photograph of the patient. Note the swelling over the right massetric region.
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F1
On examination facial asymmetry with swelling at the right mandibular angle region was evident only on clenching [Figure 1].
Panoramic radiograph reveals multiple well-defined radioopaque masses scattered over the lower border of the right mandibular angle region below the mandibular third molar
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F2
Panoramic radiograph reveals multiple well-defined radio-opaque masses scattered over the lower border of the right mandibular angle region below the mandibular third molar [Figure 2].
Axial view of CT scan examination revealed a multiple hyperdense masses located in the region of the right mandibular angle over the right masseter muscle
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F3
Axial view of CT scan examination revealed a multiple hyperdense masses located in the region of the right mandibular angle over the right masseter muscle [Figure 3].
Intraoral sugical incision for access to the calcified mass
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F4
The incision was placed in the buccal vestibule opposite to the first molar extending along the anterior border of the ramus toward coronoid notch [Figure 4].
Identification of calcified masses for excision
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F5
Blunt dissection was carried supraperiostally extending toward the masses till it was identified [Figure 5].
Excised calcified nodules
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F6
The whole bunch of nodules was excised [Figure 6].
Histopathological examination reveals calcified bodies within the dense fibrous connective tissue stroma (H& E Section, 10x)
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F7
The excised masses were sent for histopathological examination, which was revealed as calcified bodies within the fibrous connective tissue [Figure 7].