PMC4485688_01
(A) Preoperative view. (B) 3DCT scan image shows a honeycomb lesion in the left zygoma.. The lesion is a mass of mixed density over the malar eminence of the zygomatic bone involving the lateral orbital wall on the left side.
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A hard, immobile mass of the malar eminence was palpable (Fig. 1A). The honeycomb lesion was also evident on 3-dimensional CT (3DCT) (Fig. 1B).
(A) Lateral view of the selective left internal maxillary arteriogram before embolization. Homogenous staining was seen in the circle. The left internal maxillary artery was feeding the lesion. (B) Patient at 6 months postoperative.
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Selective bilateral external carotid artery angiograms displayed markedly hypertrophied branches of the left facial artery and left internal maxillary artery (Fig. 2A). Follow-up at 6 months demonstrated no significant deformity of the left zygoma, with good contour of the midface on clinical examination (Fig. 2B).
3DCT scan imaging 6 months postoperatively.
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CT scan at 6 month postoperatively, revealed volume maintenance and anatomical continuity of the calvarial bone grafts (Fig. 3).