case_images: PMC2743198_01
case_images: 23-year-old female, exhibiting a swelling involving the entire right side of the cheek and floor of the mouth.
case_images: CRM2009-231947.001.jpg
case_images: PMC2743198_01_CRM2009-231947.001.jpg
case_images: fig1
case_images: Asymmetry of the face was very conspicuous (Figure 1).
case_images: (a) Oral Pantogram showing the impacted third molar on the right lower jaw (arrow head). (b) The denta scan of the lower jaw showing the horizontal lying impacted third molar (arrow).
case_images: CRM2009-231947.002.jpg
case_images: PMC2743198_01_CRM2009-231947.002.jpg
case_images: fig2
case_images: The radiograph and the CT scan revealed the right third molar tooth impacted lying horizontally, deep within the mandibular bone (Figure 2).
case_images: (a) and (b) CT scan of the soft tissue showing a diffused swelling involving the carotid and digastric triangle on the right side (*). (c) The swelling extending into the retropharyngeal space on the right side (*).
case_images: CRM2009-231947.003.jpg
case_images: PMC2743198_01_CRM2009-231947.003.jpg
case_images: fig3
case_images: A diffused swelling confined to the right side of the floor of the mouth, which extended into the oropharynx and retropharyngeal space, was observed (Figures 3(a), 3(b), and 3(c)).
case_images: (a) Inability to protrude the tongue and on effort protrusion, the tongue deviated to the right. (b) Impacted third molar extracted. (c) Improvement within two weeks of extraction.
case_images: CRM2009-231947.004.jpg
case_images: PMC2743198_01_CRM2009-231947.004.jpg
case_images: fig4
case_images: She felt extreme difficulty in protruding her tongue, and on extreme effort to protrude the tongue, it showed deviation to the right side, almost to a right angle (Figure 4(a)). The impacted tooth was extracted (Figure 4, Binbox). After two weeks the patient showed tremendous recovery in the hypoglossal nerve function, not only the tongue deviation to the right had lessened but also she could push it to the left side too (Figure 4(c)).