Rapid Communication| Volume 134, ISSUE 6, P668-672, December 2022

A painless swelling of the left face

Published:April 09, 2022DOI:
      A 69-year-old woman presented to her dental surgeon with a painless swelling of the left face, and no other signs or symptoms. Initial radiologic findings revealed a multiloculated radiolucent area within the left mandible (Figure 1). Further clinical investigations included a computed tomography (CT) scan of the cranium, sinuses, facial bones and cervical spine (Figure 2). A partially corticated oblong radiolucency was noted in the left posterior mandible measuring approximately 40 × 20 × 12 mm. The lesion extended anteriorly from the left mental foramen distally to the midramus area and superiorly from the crest to the inferior border of the mandible. Mild buccal and lingual expansion was also observed. The left inferior alveolar nerve canal was displaced buccally. There was no effect on the roots of the surrounding teeth. The imaging report described multiple discreet small opacities within the lesion, though these did not appear significant. No other abnormalities were noted.
      Fig 1
      Fig. 1Panoramic radiograph showing radiolucent area within the left mandible.
      Fig 2
      Fig. 2Cone-beam computed tomography scan revealed an oblong radiolucency in the left posterior mandible area extending from the left mental foramen to the mid-ramus, with mild buccal and lingual expansion and buccal displacement of the left inferior alveolar nerve canal.
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