A 31-year-old female patient presented with a swollen eye (Fig. 1). Intraoral examination showed a necrotic ulcerated lesion extending from the midline involving the buccal sulcus over the right central and lateral incisors (teeth 7 and 8) (Fig. 2). The CT scan showed an erosive mass anterior to the ethmoid cells and an opacified maxillary sinus. The patient is HIV negative.