case_images: PMC3304184_01
case_images: Soft, tender, pulsatile swelling in left mandibular region
case_images: NJMS-1-45-g001.jpg
case_images: PMC3304184_01_NJMS-1-45-g001.jpg
case_images: F1
case_images: On detailed examination after 12 hours, a soft, pulsatile, tender swelling with audible bruit was noted in left submental region [Figure 1].
case_images: Preoperative OPG showing moth eaten irregular radiolucency in left mandibular parasymphysis body region with enlarged and torturous mandibular canal; adjacent teeth are displaced
case_images: NJMS-1-45-g002.jpg
case_images: PMC3304184_01_NJMS-1-45-g002.jpg
case_images: F2
case_images: The ill-defined moth eaten type radiolucency involved left mandibular parasymphysial body region; also inferior alveolar canal was dilated and tortourous with enlarged mental foramen [Figure 2].
case_images: Axial CT and Coronal CT section demonstrating widespread destruction and thinning of cortical plates.
case_images: NJMS-1-45-g003.jpg
case_images: PMC3304184_01_NJMS-1-45-g003.jpg
case_images: F3
case_images: Axial, coronal sections of computed tomography (CT) scan revealed multiseptae central bony destructive lesion with expansion of bicortical plates without perforation [Figures 3a, b].
case_images: Resected mandibular segment containing focal lesion
case_images: NJMS-1-45-g004.jpg
case_images: PMC3304184_01_NJMS-1-45-g004.jpg
case_images: F4
case_images: Using extracorporeal technique, teeth were extracted in the involved segment, followed by curettage and hollowing of mandible with curretes, rotating handpiece and bur [Figures 4 and 5].
case_images: Extracorporeal technique of extraoral removal of teeth and curettage of lesion
case_images: NJMS-1-45-g005.jpg
case_images: PMC3304184_01_NJMS-1-45-g005.jpg
case_images: F5
case_images: Using extracorporeal technique, teeth were extracted in the involved segment, followed by curettage and hollowing of mandible with curretes, rotating handpiece and bur [Figures 4 and 5].
case_images: Reimplantation of mandibular segment and stabilization with miniplates
case_images: NJMS-1-45-g006.jpg
case_images: PMC3304184_01_NJMS-1-45-g006.jpg
case_images: F6
case_images: Stabilization of reimplanted mandibular piece was done with three 2.5 mm miniplates [Figure 6].
case_images: Postoperative OPG showing good alignment of mandibular lower border and fixation with plates at symphysis and angle
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case_images: PMC3304184_01_NJMS-1-45-g007.jpg
case_images: F7
case_images: During follow up of 2 years, ultrasound revealed no new vascular lesion in the region while excellent facial form and function was maintained [Figures 7 and 8].
case_images: Postoperative radiograph showing maintenance of normal anatomical contour
case_images: NJMS-1-45-g008.jpg
case_images: PMC3304184_01_NJMS-1-45-g008.jpg
case_images: F8
case_images: During follow up of 2 years, ultrasound revealed no new vascular lesion in the region while excellent facial form and function was maintained [Figures 7 and 8].