A chronic cigarette smoker-women of 56-year-old consuming an average of one pack per day since past 38 years was hospitalized for a large right sided hemifacial swelling. Her symptoms appeared from past 4 months with the development of straight facial neuralgia that was treated as dental neuralgia with no improvement.
The condition was progressed with rapidly intensified pain and emergence of a right-sided maxillary swelling rapidly increasing in size and restricting mouth opening with a nasal obstruction including episodes of epistaxis. Clinical examination determined A painful and inflammatory right-sided hemifacial swelling Right exophthalmus without notion of decreased visual acuity And hypoesthesia at the second and third trigeminal nerve areas Endonasal examination detected A tumor mass in her right nasal cavity with friable and bleeding at contact Oral examination (very difficult…
