An 86-year-old woman presented with a few months' history of progressive fullness in the right side of her face along with localized discomfort in her right maxillary region. She denied any trauma, nasal obstruction, diplopia, neurologic deficits, dysphagia, odynophagia, voice changes, weight loss, cough, pulmonary symptoms, fever, or chills. She also denied any history of tobacco or alcohol use but did report a history of hypertension, narcolepsy, and previous orthopedic procedures. The results of her clinical examination were remarkable for bone loss in the region of the anterior hard palate and the bilateral premaxilla. However, no masses or mucosal lesions were detected during the rest of the head and neck examination.
Furze AD, Defatta R, Ducic Y. Pathology Case Quiz 2. Arch Otolaryngol Head Neck Surg. 2010;136(2):205. doi:10.1001/archoto.2009.228-a