case_images: PMC4178360_01
case_images: Orthopantomograph showing a unilocular radiolucent lesion in the ramus of left jaw. The inferior border of the lesion is scalloped
case_images: NJMS-5-60-g001.jpg
case_images: PMC4178360_01_NJMS-5-60-g001.jpg
case_images: F1
case_images: Examination revealed a unilocular radiolucent lesion, with a scalloped inferior border [Figure 1].
case_images: Orthopantomograph showing the reconstruction plate repairing the defect in the left jaw
case_images: NJMS-5-60-g002.jpg
case_images: PMC4178360_01_NJMS-5-60-g002.jpg
case_images: F2
case_images: A partial mandibulectomy was performed and a reconstruction plate with a mini plate at the anterior region along with a fibular graft in the jaw was inserted to repair the defect [Figure 2].
case_images: PMC4178360_02
case_images: Photomicrograph confirming the presence of granulomatous lesion (H and E, x40)
case_images: NJMS-5-60-g003.jpg
case_images: PMC4178360_02_NJMS-5-60-g003.jpg
case_images: F3
case_images: Histopathological examination revealed it as a granuloma [Figure 3].
case_images: PMC4178360_03
case_images: Extra oral swelling of the left lower jaw
case_images: NJMS-5-60-g004.jpg
case_images: PMC4178360_03_NJMS-5-60-g004.jpg
case_images: F4
case_images: A year later, the patient now 24 years old, was referred to the Department of Oral Surgery with the complaint of pain and recurrent swelling of the left jaw [Figure 4].
case_images: Intra oral photograph depicting exophytic growth in the junction of the left pterygomandibular fossa region and buccal mucosa
case_images: NJMS-5-60-g005.jpg
case_images: PMC4178360_03_NJMS-5-60-g005.jpg
case_images: F5
case_images: It had a smooth surface with no fluctuation on palpation [Figure 5].
case_images: CT scan showing the extent of the lesion during the second recurrence
case_images: NJMS-5-60-g006.jpg
case_images: PMC4178360_03_NJMS-5-60-g006.jpg
case_images: F6
case_images: Medially, the lesion led to mild pressure erosion with thinning of the buccal cortex of the left maxillary tuberosity and bulged against the left medial pterygoid muscle [Figure 6].
case_images: Photomicrograph showing giant cells in a vesiculated fibroblast connective tissue stroma (H and E, x40)
case_images: NJMS-5-60-g007.jpg
case_images: PMC4178360_03_NJMS-5-60-g007.jpg
case_images: F7
case_images: The connective tissue was minimal with vesiculated fibroblast proliferation [Figure 7].
case_images: Photomicrograph showing presence of giant cells near the condylar region (H and E, x40)
case_images: NJMS-5-60-g008.jpg
case_images: PMC4178360_03_NJMS-5-60-g008.jpg
case_images: F8
case_images: Even the bone graft attached to the condyle showed the presence of tumor giant cells [Figure 8].
case_images: Post-operative follow up OPG verifying the absence of lesion
case_images: NJMS-5-60-g009.jpg
case_images: PMC4178360_03_NJMS-5-60-g009.jpg
case_images: F9
case_images: No recurrence was noticed in post operative follow-up phase of 3 years [Figures 9 and 10] and further reconstruction of mandible using iliac crest graft is intended.
case_images: Post-operative intraoral view
case_images: NJMS-5-60-g010.jpg
case_images: PMC4178360_03_NJMS-5-60-g010.jpg
case_images: F10
case_images: No recurrence was noticed in post operative follow-up phase of 3 years [Figures 9 and 10] and further reconstruction of mandible using iliac crest graft is intended.