PMC3912639_01
Extraoral examination reveals swelling in the left side of the face just below the eye.
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Extraorally, a mild swelling was observed over left side of middle third of the face causing obliteration of nasolabial fold,there was discolouration of overlying skin and periorbital oedema of left eye was also observed (Figure 1).
Intraoral examination reveals necrotic bone with pus discharge in relation to left maxilla (white arrow).
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Intraoral examination revealed, necrotic alveolar bone with evidence of foul discharge and tenderness in relation to maxillary left edentulous region (Figure 2).
Orthopantomogram reveals missing teeth (24, 25, 26, 27,  and  28) with unhealed sockets.
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Radiographic examination revealed opacification of left maxillary sinus (Figure 3).
Coronal view of CT showing involvement of left maxillary sinus, nasal conchae, and ethmoidal sinus extending up to frontal sinus.
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CT scan revealed nonhomogenous opacification of left maxillary sinus causing obstruction of left osteomeatal unit extending into middle meatus, ethmoidal, and frontal sinus (Figure 4) causing destruction of walls of left maxillary and ethmoidal sinuses (Figure 5).
Axial view of CT showing destruction of posterior, medial, and anterior walls of left maxillary sinus.
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CT scan revealed nonhomogenous opacification of left maxillary sinus causing obstruction of left osteomeatal unit extending into middle meatus, ethmoidal, and frontal sinus (Figure 4) causing destruction of walls of left maxillary and ethmoidal sinuses (Figure 5).
Histopathology of biopsied tissue showing nonseptate obtuse angled fungal hyphae and sporangiophores with spores.
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