case_images: PMC6018279_01
case_images: Preoperative view showing facial swellings and skin pigmentation
case_images: AMS-8-131-g001.jpg
case_images: PMC6018279_01_AMS-8-131-g001.jpg
case_images: F1
case_images: Pigmentation in the form of freckles was seen on his skin and especially so on the facial skin [Figure 1]. In addition, similar swelling was observed in the region of the right Maxilla [Figure 1].
case_images: Preoperative OPG showing the maxillary and mandibular lesions
case_images: AMS-8-131-g002.jpg
case_images: PMC6018279_01_AMS-8-131-g002.jpg
case_images: F2
case_images: Orthopantomographic examination revealed the presence of multiple, multilocular lesions in the symphysis, and left- and right body-angle region of the mandible with similar lesions in the right and left maxilla [Figure 2].
case_images: Computed tomography scan - Axial view
case_images: AMS-8-131-g003.jpg
case_images: PMC6018279_01_AMS-8-131-g003.jpg
case_images: F3
case_images: Plain and contrast-enhanced computed tomography (CT) of the paranasal sinuses, mandible, and maxilla was performed in the axial and coronal planes and color volume-rendered three-dimensional-CT images were obtained with audio video interleaved files [Figures 3 and 4].
case_images: Computed tomography scan - Coronal view
case_images: AMS-8-131-g004.jpg
case_images: PMC6018279_01_AMS-8-131-g004.jpg
case_images: F4
case_images: Plain and contrast-enhanced computed tomography (CT) of the paranasal sinuses, mandible, and maxilla was performed in the axial and coronal planes and color volume-rendered three-dimensional-CT images were obtained with audio video interleaved files [Figures 3 and 4].
case_images: Histopathology slide suggestive of Giant cell lesions
case_images: AMS-8-131-g005.jpg
case_images: PMC6018279_01_AMS-8-131-g005.jpg
case_images: F5
case_images: A biopsy procedure was carried out for the lesions of the maxilla and the mandible and was suggestive of multiple giant cell tumors with odontogenic keratocysts and Cherubism [Figure 5].
case_images: Lesions exposed for curettage
case_images: AMS-8-131-g006.jpg
case_images: PMC6018279_01_AMS-8-131-g006.jpg
case_images: F6
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Lesions exposed for curettage
case_images: AMS-8-131-g007.jpg
case_images: PMC6018279_01_AMS-8-131-g007.jpg
case_images: F7
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Decalcified freeze-dried bone powder used for filling the surgical defects
case_images: AMS-8-131-g008.jpg
case_images: PMC6018279_01_AMS-8-131-g008.jpg
case_images: F8
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Decalcified freeze-dried bone powder
case_images: AMS-8-131-g009.jpg
case_images: PMC6018279_01_AMS-8-131-g009.jpg
case_images: F9
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Mandibular defects filled with bone powder postcurettage
case_images: AMS-8-131-g010.jpg
case_images: PMC6018279_01_AMS-8-131-g010.jpg
case_images: F10
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Maxillary defects filled with bone powder postcurettage
case_images: AMS-8-131-g011.jpg
case_images: PMC6018279_01_AMS-8-131-g011.jpg
case_images: F11
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Postoperative OPG: At 2-week postenucleation
case_images: AMS-8-131-g012.jpg
case_images: PMC6018279_01_AMS-8-131-g012.jpg
case_images: F12
case_images: The lesions in the right and left maxilla, right, left half and anterior mandible were exposed [Figures 6 and 7] and curetted thoroughly, and the cavities in bone were filled with decalcified freeze-dried bone powder [Figures 8-12].
case_images: Six months postoperative view
case_images: AMS-8-131-g013.jpg
case_images: PMC6018279_01_AMS-8-131-g013.jpg
case_images: F13
case_images: Postoperative recovery of the patient was uneventful, and there was a significant improvement in the facial appearance 6 months postoperatively [Figure 13].
case_images: Postoperative OPG: At 15 months postcalcitonin therapy
case_images: AMS-8-131-g014.jpg
case_images: PMC6018279_01_AMS-8-131-g014.jpg
case_images: F14
case_images: There was a significant reduction in the size of the lesions postcalcitonin therapy as reflected in the postoperative OPG [Figure 14].