PMC4280059_01
AP and lateral X-ray of the mandible. Features of reconstruction of bone structure and ramus area on the left side with considerable distension, presence of numerous cystic centres of rarefaction of bone structure and septum.
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The description was: "Features of reconstruction of the bone structure in the mandibular body and ramus region on the left side with considerable distension, presence of numerous cystic centres of rarefaction of bone structure and septum" (Figure 1).
CT of the facial cranium with contrast medium. Extensive osteolytic decrease caused by the presence of a hypodense, polycyclic lesion of approximately 10x10x4 centimetres not undergoing a substantial enhancement on administering intravenous contrast medium.
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Within the neck region no enlarged lymph glands were revealed (Figure 2).
Orthopantomogram of the mandible. Features of reconstruction of bone structure and ramus area on the left side with considerable distension, presence of numerous cystic centres of rarefaction of bone structure and septum.
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The patient was referred to the Oral and Maxillofacial Surgery Clinic, where orthopantomography and decompression of the lesion were performed, with the resulting material examined histopathologically (Figure 3).
Condition after hemiresection of the mandible with exarticulation of the mandibular condyle from the left temporomandibular joint, reconstruction of the left side of the mandible and left temporomandibular joint by means of autogenic bone grafting from the left ala of the ilium and a titanium implant.
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