PMC5396429_01
Swelling in relation to lower lateral side of face.
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Overlying skin was normal in color and texture with no signs of local inflammation (Figure 1).
3D CT scan showing ballooning expansion of cortex.
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Images showed uniform expansion resulting in the ballooning of the mandibular ramus (Figures 2(a) and 2(b)).
Microscopically the lesion is composed of blood-filled spaces separated by connective tissue septa containing fibroblasts, osteoclast-type giant cells.
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fig3
Cysts-like spaces were also evident in certain areas which were lined by cellular connective tissue wall suggesting both Central Giant Cell Granuloma and aneurysmal bone cyst-like appearance (Figures 3(a) and 3(b)).
Intraoperative picture showing excised mass.
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The bony lesion was resected, into healthy bony limits (Figure 4).
Postoperative photograph.
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The clinical appearance of the patient is excellent (Figure 5).
Postoperative OPG showing spontaneous regeneration of mandible.
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Recent OPG revealed spontaneous regeneration of mandible (Figure 6).