A 15-year-old boy reported to emergency department with history of fall from a tree onto a wooden fence and sustained a penetrating injury from a wooden piece [Table/ Fig-1]. Patient was conscious and well oriented to time place and person. He reported after 30 minutes of the injury. He was given 1ml 0.5 mg tetanus vaccine. On presentation the patient was having pain over the injury site with foreign body in situ, his vitals were stable (pulse rate: 80/min, blood pressure: 120/80 mmHg). Thorough examination of the site of injury and facial nerve examination was done. There was no evidence of facial nerve injury. Computed tomography (CT) scan of neck and face was done to rule out injury to vascular structures and the extent of injury to Cranium in relation to foreign body. CT scan revealed that the foreign body was superficial to the investing layer of deep cervical fascia and all the major neurovascular structures were intact. The foreign body was visualized as linear hypo dense structure situated in the plane superficial to parotid fascia extending cranially superficial to temporal fascia [Table/ Fig-2]. After identification of the retained foreign object [Table/ Fig-3], surgical exploration and removal of the foreign body in Toto, precisely to prevent neurovascular damage under general anaesthesia was planned.

Injuries to the parotid duct and parenchyma resulting in swelling in the cheek region commonly present in maxillofacial practice. Sialocele is a discrete collection of saliva in a subcutaneous cavity that can be iatrogenic, idiopathic or the result of post-traumatic injuries to the duct or parenchyma, presenting as a salivary pseudocyst or retention cyst. We present an unusual case of parotid sialocele following surgery for sialolithiasis which presented with progressive painless swelling in the preauricular region of 9 months duration. Treatment included surgical exploration under local anaesthesia and draining the cavity by keeping the opening patent using an infant feeding tube.

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. It is characterized as a type of overgrowth that can occur in any bone where cartilage forms bone. It is uncommon in this part of body because of intramembranous origin of craniofacial bones. Osteochondromas do not result from any injury and the exact cause remains unknown. Recent research has indicated that multiple osteochondromas is an autosomal dominant inherited disease. The treatment choice for osteochondroma is surgical removal of solitary lesion or partial excision of the outgrowth when symptoms cause motion limitations or nerve and blood vessel impingements. Osteochondroma of the mandibular condyle is extremely rare. Case Report: A 45-year-old female presented to our department with diffuse swelling in her left side of face and pain in her left ear while opening the mouth since last six months. Clinically, mouth opening was limited with deviation of mandible towards right side while opening mouth. There was unilateral posterior crossbite on the right side. Protrusive movement and lateral excursions of mandible were restricted. The lesion appeared to be benign bony lesion and complete surgical excision of the whole tumor mass along with condylectomy was performed under general anesthesia. Conclusion: As osteochondroma is a benign neoplasm, various treatment modalities include resection of tumor along with condylectomy, condylectomy with reconstruction of the resected condyle if indicated or selected tumor removal without condylectomy. The prognosis of osteochondroma is usually excellent after adequate excision. This case showed no recurrence after the treatment. Malignant transformation of the lesion is exceedingly rare.