Figures index

From

Management of Giant Maxillary Cemento-ossifying Fibroma Invading the Orbital Cavity by Resection and Immediate Reconstruction Using Sagittal Coronoid - Ramus Graft: A Case Report and Literature Review

Mazen Almasri, Ebtesam Aljerb

Oral Surgery, Oral Medicine, Oral Radiology. 2015, 3(1), 9-14 doi:10.12691/oral-3-1-3
  • Figure 1. Clinical picture showing right maxillary swelling, causing proptosis
  • Figure 2. intraoral picture showing swelling of the right maxillary vestibule extending from the midline to the 2nd molar area
  • Figure 3. a coronal CT scan of facial aspect on soft tissue window showing approximately 5x5x7cm mass occupying the right maxillary sinus, alveolar bone, nasal nostril, inferior orbital rim, and invading the inferior orbital floor leading to displacement of the right eye globe
  • Figure 4. A histopathology specimen stained with Hematoxylinand Eusine, showing a fibrous background with collagen bundles running in non-organized pattern. Deposits of osteoid and cementoid particles are dispersed with few small vascular bundles
  • Figure 5. Weber-Ferguson approach exposing the lesion from the different aspects
  • Figure 6. the resected tumor mass in toto
  • Figure 7. intaroperative X-ray for the tumor showing periodontal ligaments invasion by the tumor
  • Figure 8. a postoperative parasagittal cut of CT scan of the faceshowing the reconstruction of IOR with ramus-coronoid graft that presents an acceptable thickness on site. The infrorbital metal mesh is then placed to reconstruct the floor
  • Figure 9. A one weekpostoperative clinical pictures showing the acceptable fullness of the midfacial area
  • Figure 10. A one weekpostoperative clinical pictures showing the acceptable fullness of the midfacial area
  • Figure 11. a three year follow up frontal and lateral photograph showing the patient satisfying results as fullness of the midface, cheek prominence, symmetrical IOR, non tender palpation, and normal masticatory function and speech. Mild retraction of the upper lip without lip incompetence is seen as well which was not of a major concern
  • Figure 12. a three year follow up frontal and lateral photograph showing the patient satisfying results as fullness of the midface, cheek prominence, symmetrical IOR, non tender palpation, and normal masticatory function and speech. Mild retraction of the upper lip without lip incompetence is seen as well which was not of a major concern