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Following extensive debridement and medical therapy, marked resolution of facial asymmetry was achieved. Facial distortion is often considered suggestive of a neoplastic process; however, it can also be seen with fungal and mycobacterial infections, and, in this case, an inflammatory condition of unknown etiology. In this cat, aggressive intervention and debridement of necrotic debris resulted in substantial bony remodeling of the skull and return to normal activity levels. Facial distortion is often considered suggestive of a neoplasti