case_images: PMC4668723_01
case_images: Swelling and facial asymmetry present on right side of face
case_images: NJMS-6-123-g001.jpg
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case_images: F1
case_images: Clinical examination revealed a smooth, firm, but diffuse swelling of size 4 cm x 4 cm (approximately) was present in the right preauricular region [Figure 1].
case_images: Computed tomography view of the condylar pathology
case_images: NJMS-6-123-g002.jpg
case_images: PMC4668723_01_NJMS-6-123-g002.jpg
case_images: F2
case_images: Further imaging with computed tomography (CT) revealed a 3.4 cm x 3.3 cm sized expanded, cystic lesion of the right mandibular condyle with septa and fluid levels, suggesting a diagnosis of ABC [Figure 2].
case_images: Metallic condylar head add-on system in place after resection
case_images: NJMS-6-123-g003.jpg
case_images: PMC4668723_01_NJMS-6-123-g003.jpg
case_images: F3
case_images: Extraoral approach was used for gross condylar resection with the articular disk in place and alloplastic metallic condylar head add-on system [Figure 3] as a primary reconstructive option.
case_images: Low magnification view showing cystic spaces lined by fibroblasts with hemorrhage in lumina (H and E stain)
case_images: NJMS-6-123-g004.jpg
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case_images: F4
case_images: Histopathological examination of resected condyle revealed a wide fibrous stroma with cystic spaces lined by uneven band of fibroblasts, stromal cells, and osteoclastic giant cells with hemorrhage in lumina of cysts suggestive of ABC [Figures 4 and 5].
case_images: High magnification view showing uneven band of fibroblasts, stromal cells, and osteoclastic giant cells (H and E stain)
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case_images: PMC4668723_01_NJMS-6-123-g005.jpg
case_images: F5
case_images: Histopathological examination of resected condyle revealed a wide fibrous stroma with cystic spaces lined by uneven band of fibroblasts, stromal cells, and osteoclastic giant cells with hemorrhage in lumina of cysts suggestive of ABC [Figures 4 and 5].
case_images: Normal facial nerve function postoperatively
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case_images: PMC4668723_01_NJMS-6-123-g006.jpg
case_images: F6
case_images: On postoperative evaluation, all the branches of facial nerve were functioning normally [Figure 6].
case_images: Panoramic view of condylar prosthesis after 1-year
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case_images: F7
case_images: The patient has been reviewed on a monthly basis for 1-year without any signs of discomfort and recurrence [Figure 7] with the satisfactorily functioning condylar head add-on system, normal mouth opening [Figure 8], and mandibular border movements.
case_images: Satisfactorily working temporomandibular joint after 1-year
case_images: NJMS-6-123-g008.jpg
case_images: PMC4668723_01_NJMS-6-123-g008.jpg
case_images: F8
case_images: The patient has been reviewed on a monthly basis for 1-year without any signs of discomfort and recurrence [Figure 7] with the satisfactorily functioning condylar head add-on system, normal mouth opening [Figure 8], and mandibular border movements.