case_images: PMC9977463_01
case_images: Face of patient clearly showing the excessive growth of tumor, thereby occluding the vision in right eye and causing breathing discomfort to patient due to abnormal growth on nose.
case_images: cureus-0015-00000034406-i01.jpg
case_images: PMC9977463_01_cureus-0015-00000034406-i01.jpg
case_images: FIG1
case_images: The patient's physical examination revealed a massive soft tissue swelling involving the right mandibular region and cheek, extending up to the nasolabial fold, pulling down the right angle of the mouth as well as the right eye and the left eye, and partially obstructing the field of vision in both eyes (Figure 1).
case_images: Image showing the restricted mouth opening of the patient indicated by arrows.
case_images: cureus-0015-00000034406-i02.jpg
case_images: PMC9977463_01_cureus-0015-00000034406-i02.jpg
case_images: FIG2
case_images: Mouth opening (MO) was found to be more than two fingers but less than three fingers with Mallampatti class IV (only hard palate was visible) (Figure 2).
case_images: Image showing the generalised growth over cheek, forehead and scalp region indicated by arrows.
case_images: cureus-0015-00000034406-i03.jpg
case_images: PMC9977463_01_cureus-0015-00000034406-i03.jpg
case_images: FIG3
case_images: Tempero mandibular joint (TMJ) movement was found to be adequate but neck extension was restricted by tumour growth on scalp and cervical region (Figure 3).
case_images: Image showing remarkably high blood loss, particularly during debulking of scalp region.
case_images: cureus-0015-00000034406-i04.jpg
case_images: PMC9977463_01_cureus-0015-00000034406-i04.jpg
case_images: FIG4
case_images: Once debulking of the cranial region was started, blood loss was remarkably high (Figure 4).
case_images: Image of patient post reversal of anesthesia and successful extubation.
case_images: cureus-0015-00000034406-i05.jpg
case_images: PMC9977463_01_cureus-0015-00000034406-i05.jpg
case_images: FIG5
case_images: Post extubation, the patient was shifted to the surgical intensive care unit (ICU) for further management (Figure 5).