case_images: PMC9531734_01
case_images: Extraoral clinical photograph of right facial swelling
case_images: JWACS-12-95-g001.jpg
case_images: PMC9531734_01_JWACS-12-95-g001.jpg
case_images: F1
case_images: On extra-oral examination [Figure 1] a diffuse, painless and firm swelling was noted on the right maxilla with nasal and oral extension.
case_images: CT scan axial sections
case_images: JWACS-12-95-g002.jpg
case_images: PMC9531734_01_JWACS-12-95-g002.jpg
case_images: F2
case_images: Computer tomogram scan revealed huge expansive hypodense mass from the right maxillary antrum with involvement of the palate and right unilateral proptosis [Figure 2].
case_images: Intraoperative images showing: Tumor resected
case_images: JWACS-12-95-g003.jpg
case_images: PMC9531734_01_JWACS-12-95-g003.jpg
case_images: F3
case_images: After extensive resection of the right maxilla including fifty percent of the orbital floor and pterygoid plates, a large defect resulted and the orbital floor reconstructed with a pedicled BFP flap [Figure 3].
case_images: Intraoperative orbital floor reconstruction with pedicled buccal fat pad
case_images: JWACS-12-95-g004.jpg
case_images: PMC9531734_01_JWACS-12-95-g004.jpg
case_images: F4
case_images: The flap was advance medially protecting its posterior vascular pedicle and inserted along the orbital floor [Figure 4].
case_images: immediate postoperative clinical photograph
case_images: JWACS-12-95-g005.jpg
case_images: PMC9531734_01_JWACS-12-95-g005.jpg
case_images: F5
case_images: PMC9531734_02
case_images: Two weeks postoperative clinical photograph
case_images: JWACS-12-95-g006.jpg
case_images: PMC9531734_02_JWACS-12-95-g006.jpg
case_images: F6
case_images: At two weeks postoperatively [Figure 6] patient did well clinically with good eyeball projection, no diplopia, no limitation of ocular movement.