distribution of chronic inflammatory cell infiltrate were evident, suggesting OM.The patient was planned for surgical excision of pathology, and the right total condylectomy was done under general anesthesia. The lesion was removed (Fig. 2) by modified Blair's incision followed by reconstruction with a costal bone graft. The patient was kept under observation, and the suture site was healthy; the patient was stable when discharged.Microscopic features of the gross specimen were consistent with a preoperative diagnosis of OM (Fig. 3).Follow-up was done at regular intervals up to 9 months postoperatively, and signs of right-side facial nerve weakness were seen in the immediate postoperative period, which was managed with pharmacological and transcutaneous electrical nerve stimulation (TENS) therapy, which persistently improved.