A firm mass at the angle of the mandible

An 8-year-old girl was brought in the oral and maxillofacial surgery department with swelling of her mandibular left jaw that her mother stated had been present for 3 weeks. At first, the patient noticed pain while brushing her teeth. Over the next 3 weeks, the patient’s mother noticed increasing swelling that progressively increased in firmness. The patient endorsed constant pain with increased discomfort on palpation. At no point in the course had the patient experienced fever, nausea, or vomiting.

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