case_images: PMC5502506_01
case_images: Extensive edema in the right hemiface causing asymmetry from the region of the outer corner of the mouth to the submandibular region
case_images: AMS-7-151-g001.jpg
case_images: PMC5502506_01_AMS-7-151-g001.jpg
case_images: F1
case_images: Oral and Maxillofacial Surgery and Traumatology Department of the Federal University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil, on referral by a public health professional. Ovoid swelling was found >5 cm in diameter on the right submandibular region [Figures 1 and 2].
case_images: In a lower view, one can better visualize the limits of the lesion. Oval and well delimited
case_images: AMS-7-151-g002.jpg
case_images: PMC5502506_01_AMS-7-151-g002.jpg
case_images: F2
case_images: Oral and Maxillofacial Surgery and Traumatology Department of the Federal University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil, on referral by a public health professional. Ovoid swelling was found >5 cm in diameter on the right submandibular region [Figures 1 and 2].
case_images: Axial computed tomography. Homogeneous mass, well circumscribed with more than five centimeters in its greatest extensionagreement
case_images: AMS-7-151-g003.jpg
case_images: PMC5502506_01_AMS-7-151-g003.jpg
case_images: F3
case_images: The lesion was >5.0 cm in diameter, with a clear boundary, [Figure 3].
case_images: Ultrasound of the cystic lesion. Hypoechoic cystic lesion measuring 5.3 cm x 4.6 cm x 5.1 cm
case_images: AMS-7-151-g004.jpg
case_images: PMC5502506_01_AMS-7-151-g004.jpg
case_images: F4
case_images: Well delimited mass being removed in a single block, surgically
case_images: AMS-7-151-g005.jpg
case_images: PMC5502506_01_AMS-7-151-g005.jpg
case_images: F5
case_images: The enucleation of the lesion was performed under general anesthesia, and surgical specimen was sent for histopathological examination to confirm the diagnosis [Figure 5].
case_images: Epidermal cyst-cystic cavity lined by stratified squamous epithelium and filled with corneal lamellae anucleate
case_images: AMS-7-151-g006.jpg
case_images: PMC5502506_01_AMS-7-151-g006.jpg
case_images: F6
case_images: Granular layer well developed and it showed the presence of ortoceratina in light of the cyst [Figure 6].
case_images: Excess skin removed to facilitate primary closure and improvement in esthetic quality after removal of cystic masswithout
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case_images: PMC5502506_01_AMS-7-151-g007.jpg
case_images: F7
case_images: A skin track was removed to compensate for the excessive presence of expanded skin and prevent its sagging [Figure 7].
case_images: Postoperative appearance of 1 month. Esthetic quality. Facial symmetry
case_images: AMS-7-151-g008.jpg
case_images: PMC5502506_01_AMS-7-151-g008.jpg
case_images: F8
case_images: The patient is in outpatient follow-up [Figure 8].