Case presentation A 14-year-old female patient presented to the Department of Oral and Maxillofacial Surgery with a seven-month history of swelling and pus discharge on the left side of the mandible (Cover image A). Despite undergoing incision and drainage two months earlier, her symptoms persisted, accompanied by a reduced mouth opening of only one finger width.
Medical history Mild pain in the lower left back tooth region for seven months Initial episodes of evening fever No history of cough, loss of appetite, or weight loss Contrast-enhanced computed tomography Revealed irregular osteolytic changes involving the ramus and coronoid process of the left mandible, extending from the follicle of tooth 38 to the neck of the left condyle Laboratory investigations Fine needle aspiration cytology – Abscess Cartridge-based nucleic acid amplification test – Negative for Mycobacterium…
