Osteomas of the craniofacial region: A case series and review of literature

 

PDF Download Permissions and Reprints

ABSTRACT

Objective: 0 To discuss the clinical presentation, diagnosis and management of osteomas involving the craniomaxillofacial region. Materials and Methods: This study was conducted from June 2004 to March 2012 at our institute. A total of 12 cases between the ages of 10 and 50 years were managed with surgical excision and reconstruction. The criteria used to diagnose osteoma included radiographic and clinical features and histological confirmation of the specimen. The total follow-up period ranged from 6 to 24 months. Results: Out of 12 osteomas, 10 were peripheral and 2 were centrally located. Mandible involvement was seen in six patients, four involved the orbit, one the frontal bone and one the frontal bone with the skull base. All patients undergoing excision and reconstruction had a favourable aesthetic and functional outcome. There were no recurrences and no post-operative complications. Conclusion: Osteomas affect all age groups with no sex predilection and are usually clinically asymptomatic till they become large in size. Surgical excision and appropriate reconstruction is the mainstay of management. Surgery is indicated when lesion is symptomatic or actively growing and the surgical approach for exposure of the lesion should be case specific.

• 1 Woldenberg Y, Nash M, Bodner L. Peripheral osteoma of the maxillofacial region. Diagnosis and management: A study of 14 cases. Med Oral Patol Oral Cir Bucal 2005;10(Suppl 2):E139-42.
• 2 Frolich MA. Mandibular osteoma: A case of impossible rigid laryngoscopy. Anesthesiology 2000;92:261-2.
• 3 Sayan NB, Cook C, Karasu HA, Gunhau O. Peripheral osteoma of the maxillofacial region: A study of 35 new cases. J Oral Maxillofacial Surg 2002;60:1299-301.
• 4 Lew D, DeWitt A, Hicks RJ, Cavalcanti MG. Osteomas of the condyle associated with Gardner′s syndrome causing limited mandibular movement. J Oral Maxillofac Surg 1999;57:1004-9.
• 5 Larrea-Oyarbide N, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C. Osteomas of the craniofacial region. Review of 106 cases. Oral Pathol Med 2008;37:38-42.
• 6 Pelo S, Spota A, Gori P, Giuliani G. Osteomas of the facial massif. Minerva Stomatol 1988;37:875-86.
• 7 Alaerts J. 2 cases of ethmoido-frontal osteoma. Acta Otorhinolaryngol Belg 1972;26:294-302.
• 8 Baraglia M, Ungari L, Pesucci B, Ponti G, Corbi S, Secondari C. Osteomas of the mandibular condyle. A case report of particular surgical interest. Minerva Stomatol 1985;34:275-8.
• 9 Stuart E. Osteoma of the mastoid: Report of a case with an investigation of the constitutional background. Arch Otolaryngol 1940;31:838.
• 10 Dubin J, Bornhauser X, Desnos J. Osteoma of the paranasal sinuses. J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1977;26:573-89.
• 11 Kaplan I, Calderon S, Buchner A. Peripheral osteoma of the mandible: A study of 10 new cases and analysis of the literature. J Oral Maxillofac Surg 1994;52:467-70.
• 12 Ziccardi VB, Smith JA, Braun TW. Osteoma of the maxillary antrum. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:378-9.
• 13 Del Vecchio A, Agrestini C, Salucci P, Manicone AM, Della Rocca C. Osteomas and exostoses of the facial structures: A morphological study and the etiopathogenetic considerations. Minerva Stomatol 1993;42:533-40.
• 14 DelBalso AM, Werning JT. The role of computed tomography in the evaluation of cemento-osseous lesions. Oral Surg Oral Med Oral Pathol 1986;62:354-7.
• 15 Petrikowski CG, Peters E. Longitudinal radiographic assessment of dense bone islands of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:627-34.
• 16 Kaplan I, Nicolaou Z, Hatuel D, Calderon S. Solitary central osteoma of the jaws: A diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:e22-9.
• 17 Jones K, Korzcak P. The diagnostic significance and management of Gardner′s syndrome. Br J Oral Maxillofac Surg 1990;28:80-4.