The Journal
Case Report
A 12 years old male patient had come to our
outpatient department with chief complaint of
swelling in right side cheek region. The duration
of the swelling was 3 months and the growth
was slow in nature. Swelling had been
increasing in size with no associated pain.
General examination revealed pits in palm and
sole. On examination, the swelling was soft and
slightly tender on palpation. Examination of the
face showed frontal bossing, broad nasal
bridge, hypertelorism, and mandibular
prognathism (Figure 1).
Fig 2 :
Orthopantomograph showing multiple multilocular
well-defined radiolucencies with sclerotic border
located in maxilla and mandible.
Fig 1 :
The figure shows frontal bossing, broad nasal
bridge, hypertelorism, and mandibular
prognathism. Fig 3 :
The radiograph shows frontal bossing, broad nasal
bridge, hypertelorism, and mandibular prognathism.
Lateral cephalogram shows the increased
occipito-frontal circumference (Figure3)
Intraoral examination revealed that the buccal
sulcus on right side was obliterated and there
was expansion of the buccal cortical plates and
displacement of second molar and canine on
both sides is seen. Orthopantomograph
revealed multiple multilocular well-defined
radiolucencies with sclerotic border located in
maxilla and mandible (figure2). The displaced left and right second molars and
canine tooth also had a cyst-like radiolucency
over the crown. Total six cystic lesions (three in
maxilla and three in mandible) were seen on
OPG.Multi slice CT was taken and it revealed
expansile multilocular cystic lesions in maxilla
two on right side measuring 4*3.3 cms and
3.1*2.6 cms and one on the left side measuring
3.6*2.8 cms.Similar expansile multilocular
cystic lesions in mandible measuring 1.3*0.9
cms in the angle of the mandible on left side ,
3.3*1.7 cms in the ramus of mandible on left
34
29
23
22
10
3
1
21
14
Vol. 13
12 No. 2
3
May-August
Sept-Dec 2016
May-August
2016
2017