case_images: PMC3513810_01
case_images: Preoperative picture showing left maxillary tumor
case_images: NJMS-3-51-g001.jpg
case_images: PMC3513810_01_NJMS-3-51-g001.jpg
case_images: F1
case_images: A 21-year-old female reported to the department of oral and maxillofacial surgery with complaint of a painless swelling in the mandible and posterior maxilla bilaterally [Figures 1-3], left lateral wall of the nose and left knee joint for the past three years, which was growing slowly; swelling started in the mandible first then in maxilla and later in lateral wall of the nose and knee joint.
case_images: Preoperative picture showing right maxillary tumor
case_images: NJMS-3-51-g002.jpg
case_images: PMC3513810_01_NJMS-3-51-g002.jpg
case_images: F2
case_images: A 21-year-old female reported to the department of oral and maxillofacial surgery with complaint of a painless swelling in the mandible and posterior maxilla bilaterally [Figures 1-3], left lateral wall of the nose and left knee joint for the past three years, which was growing slowly; swelling started in the mandible first then in maxilla and later in lateral wall of the nose and knee joint.
case_images: Preoperative picture showing mandibular tumor
case_images: NJMS-3-51-g003.jpg
case_images: PMC3513810_01_NJMS-3-51-g003.jpg
case_images: F3
case_images: A 21-year-old female reported to the department of oral and maxillofacial surgery with complaint of a painless swelling in the mandible and posterior maxilla bilaterally [Figures 1-3], left lateral wall of the nose and left knee joint for the past three years, which was growing slowly; swelling started in the mandible first then in maxilla and later in lateral wall of the nose and knee joint.
case_images: CT scan showing tumor at mandibular region and right lateral wall of the nose
case_images: NJMS-3-51-g004.jpg
case_images: PMC3513810_01_NJMS-3-51-g004.jpg
case_images: F4
case_images: Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
case_images: CT scan showing tumor at mandibular region
case_images: NJMS-3-51-g005.jpg
case_images: PMC3513810_01_NJMS-3-51-g005.jpg
case_images: F5
case_images: Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
case_images: CT scan showing tumor at right maxillary region
case_images: NJMS-3-51-g006.jpg
case_images: PMC3513810_01_NJMS-3-51-g006.jpg
case_images: F6
case_images: Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
case_images: X-ray showing tumor at left knee joint
case_images: NJMS-3-51-g007.jpg
case_images: PMC3513810_01_NJMS-3-51-g007.jpg
case_images: F7
case_images: Clinical examination and CT scan showed a diffused swelling in the mandible measuring 6 x 7 cm and diffused swelling in the posterior maxilla at the tuberosity region; on the right side it measures 4 x 2 cm and 2 x 2 cm on the left side, and lateral wall of the nose measures 1 x 2 cm and left knee measures 10 x 6 cm [Figures 4-7].
case_images: Resected mandibular segment
case_images: NJMS-3-51-g009.jpg
case_images: PMC3513810_01_NJMS-3-51-g009.jpg
case_images: F8
case_images: The mandibular mass was removed by segmental mandibulectomy, and bilateral maxillary mass was approached through the mandibular resected site and posterior maxillectomy done bilaterally till the clear pterygoid plates were seen and lateral nasal lesion was approached intra orally [Figures 8 and 9].
case_images: Resected maxillary site
case_images: NJMS-3-51-g010.jpg
case_images: PMC3513810_01_NJMS-3-51-g010.jpg
case_images: F9
case_images: The mandibular mass was removed by segmental mandibulectomy, and bilateral maxillary mass was approached through the mandibular resected site and posterior maxillectomy done bilaterally till the clear pterygoid plates were seen and lateral nasal lesion was approached intra orally [Figures 8 and 9].
case_images: Reconstruction plate in position
case_images: NJMS-3-51-g011.jpg
case_images: PMC3513810_01_NJMS-3-51-g011.jpg
case_images: F10
case_images: Reconstruction plate was used to maintain the contour of the mandible [Figure 10]; primary closure was achieved in the mandible [Figure 11] and lateral wall of the nose, but posterior maxilla was left to heal by secondary intention.
case_images: Postoperative extraoral picture
case_images: NJMS-3-51-g012.jpg
case_images: PMC3513810_01_NJMS-3-51-g012.jpg
case_images: F11
case_images: Reconstruction plate was used to maintain the contour of the mandible [Figure 10]; primary closure was achieved in the mandible [Figure 11] and lateral wall of the nose, but posterior maxilla was left to heal by secondary intention.
case_images: Many osteoclasts like multinucleated giant cells and fi broblast with hemosiderin deposits
case_images: NJMS-3-51-g013.jpg
case_images: PMC3513810_01_NJMS-3-51-g013.jpg
case_images: F12
case_images: The resected specimen was sent for histopathological examination; the histopathological slide with eosin and hematoxylin section with 40x magnification diagnosed as Brown tumor [Figure 12].