10/05/2025
Name: [XYZ]
Age/Gender: [40], [FEMALE]
Chief Complaint:
Swelling and gradual facial asymmetry in the lower jaw region for the past 10 years, recently associated with mild pain and difficulty in mastication.
History of Present Illness:
The patient reported a slow-growing, painless swelling on the lower left side of the face for over a decade. The swelling was initially neglected due to its indolent nature. Over time, it progressively increased in size, leading to facial asymmetry and recent onset of dull pain and pressure sensation in the region. history of pus discharge, paresthesia, or systemic symptoms.
Medical and Dental History:
Non-contributory. No prior surgeries or medical conditions of note. No history of trauma or tooth extraction related to the region.
Clinical Examination:
Extraoral: Facial asymmetry due to a firm, non-tender swelling in the left mandibular body region. Overlying skin intact.
Intraoral: Expansion of buccal and lingual cortical plates from the left mandibular canine to the angle region. Mucosa intact.
signs of ulceration or infection. Teeth in the region showed mobility.
Radiographic Findings:
Panoramic radiograph and CT scan revealed a multilocular radiolucency ("soap bubble" appearance) extending from the left mandibular canine to the ramus region. Cortical thinning and perforation noted.
No distant metastasis or lymphadenopathy.
Diagnosis:
Ameloblastoma of the left mandible (confirmed via incisional biopsy).
Treatment Plan:
Segmental en bloc mandibulectomy with immediate reconstruction using a titanium reconstruction plate.
Surgical Procedure:
Under general anesthesia, a segmental resection of the affected mandibular portion was performed, ensuring 1–1.5 cm clear margins beyond the tumor extent. The resected segment included part of the body and angle of the mandible. A reconstruction plate was contoured and fixed to restore mandibular continuity and function.
Prof Dr Muhammad Shahzad
MFDS RCS Glasgow
FFDRCSI Ireland
FDS RCS England
FCPS Pakistan
Chairman OMFS
