PMC3981330_01
Clinical photograph showing ulcer with necrosis in the anterior palate extending to alveolar bone of left lateral incisor and canine (arrows showing the necrotic bone).
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F1
Ulcer was nontender with signs of erythema over the margins (Figure 1).
Computed tomography scan showing focal destruction of the bone of anterior palate (circled area) to the left anterior maxillary region (arrow).
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F2
The computed tomography (CT) scan revealed focal destruction of the bone of anterior palate and in the left anterior maxillary region (Figure 2).
Intra-operative image showing the area after the removal of necrotic bone.
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F3
The patient underwent a partial maxillectomy (Figure 3) and the specimen was creamish white, non-vital, measured about 5x3 cm with rough surface (Figure 4).
Photograph showing superior view of surgical specimen with involved teeth.
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F4
The patient underwent a partial maxillectomy (Figure 3) and the specimen was creamish white, non-vital, measured about 5x3 cm with rough surface (Figure 4).
Microphotograph showing non-septate branched fungal hyphae in a necrotic tissue (H & E stain, Original magnification x250).
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F5
Numerous non-septate, broad, branching hyphae were seen within the necrotic marrow tissue (Figures 5 and 6).
Microphotographs showing non-septate, broad, branched fungal hyphae (H & E stain, Original magnification x400).
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F6
Numerous non-septate, broad, branching hyphae were seen within the necrotic marrow tissue (Figures 5 and 6).
Post-operative photograph showing the oro-nasal fistula (arrows).
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F7
He was rehabilitated with an obturator for the oro-nasal fistula (Figures 7 and 8) and was being followed up for the past 6 months and has no further complaints.
Photograph showing the obturator for the oro-nasal fistula.
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F8
He was rehabilitated with an obturator for the oro-nasal fistula (Figures 7 and 8) and was being followed up for the past 6 months and has no further complaints.