PMC9531734_01
Extraoral clinical photograph of right facial swelling
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F1
On extra-oral examination [Figure 1] a diffuse, painless and firm swelling was noted on the right maxilla with nasal and oral extension.
CT scan axial sections
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F2
Computer tomogram scan revealed huge expansive hypodense mass from the right maxillary antrum with involvement of the palate and right unilateral proptosis [Figure 2].
Intraoperative images showing: Tumor resected
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F3
After extensive resection of the right maxilla including fifty percent of the orbital floor and pterygoid plates, a large defect resulted and the orbital floor reconstructed with a pedicled BFP flap [Figure 3].
Intraoperative orbital floor reconstruction with pedicled buccal fat pad
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F4
The flap was advance medially protecting its posterior vascular pedicle and inserted along the orbital floor [Figure 4].
immediate postoperative clinical photograph
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F5
PMC9531734_02
Two weeks postoperative clinical photograph
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F6
At two weeks postoperatively [Figure 6] patient did well clinically with good eyeball projection, no diplopia, no limitation of ocular movement.