The patient is a 65-year-old man from Patna in Bihar, India who has been noticing a gradual tightening of the facial structures involving his cheek and oral mucosa over the past six years. It has reached the point where he is able to open his mouth only minimally. The soft tissues had become very fibrous and hardened. He has been having difficulty with speech and eating since that time. There was also a burning sensation to his cheek whenever he ate even minimally hot and spicy food. He had been neglecting this since the time he first noticed this.