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Park WB, Park W, Kim JA, Shin S, Hong JY. Large Peripheral Osteomas and Dental Implants: A Case Report. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1181. [PMID: 39064608 PMCID: PMC11279138 DOI: 10.3390/medicina60071181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2024] [Revised: 07/17/2024] [Accepted: 07/19/2024] [Indexed: 07/28/2024]
Abstract
Peripheral osteoma of the jaw is a rare, benign, slow-growing lesion, which usually appears as a unilateral, pedunculated, radiopaque mass protruding from the periphery and is generally solitary. Multiple osteomas without any syndromic involvement are rare. In the present case, a 75-year-old male patient underwent implant placement in the edentulous posterior ridges of the maxilla and mandible. Over 7 years, multiple masses gradually proliferated in the buccal bone of the implant in three different sextants of the posterior region, reaching a size of 2.0 cm. Clinically and radiologically, these lesions were presumed to be peripheral osteomas and were surgically removed because the large mass made self-performed oral hygiene and maintenance of peri-implant health difficult. The histopathological evaluation confirmed that peripheral osteomas were both compact and cancellous. The patient did not exhibit any other clinical manifestations of Gardner syndrome. Whether dental implant placement and loading are involved in the occurrence of peripheral osteomas is unclear, but they might have affected the consistent growth of the mass as a reactive mechanism. After resection, the functional abilities of chewing and self-cleansing significantly improved. No recurrence of peripheral osteoma was observed after 1 year of follow-up, and peri-implant health was well maintained. Within the limitations of the present case report, multiple peripheral osteomas can occur adjacent to dental implants without any syndromic issues, and a large mass of PO can harm peri-implant health which requires surgical removal. It is speculated that dental implants may be associated with the slow and consistent growth of PO.
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Affiliation(s)
- Won-Bae Park
- Private Practice in Periodontics and Implant Dentistry, Seoul 02771, Republic of Korea;
| | - Wonhee Park
- Department of Prosthodontics, Division of Dentistry, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea;
| | - Joo-An Kim
- Department of Dentistry, Graduate School, Kyung Hee University, Seoul 02447, Republic of Korea;
| | - Seungil Shin
- Department of Periodontology, College of Dentistry, Kyung Hee University Dental Hospital, Kyung Hee University, Seoul 02447, Republic of Korea;
| | - Ji-Youn Hong
- Department of Periodontology, College of Dentistry, Kyung Hee University Dental Hospital, Kyung Hee University, Seoul 02447, Republic of Korea;
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Mohod S, Dadgal KV, K R, Dangore-Khasbage S, Pakhale A, Hande A. A Rare Case of Peripheral Exophytic Osteoma of the Mandible Arising From an Extraction Site: Cone-Beam Computed Tomography (CBCT) Findings. Cureus 2024; 16:e64221. [PMID: 39131024 PMCID: PMC11315418 DOI: 10.7759/cureus.64221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2024] [Accepted: 07/10/2024] [Indexed: 08/13/2024] Open
Abstract
A benign osteogenic tumor made up of mature, well-differentiated bone tissue is called an osteoma. Jaw solitary peripheral osteomas are an uncommon occurrence. The mandible is affected more frequently than the maxilla, and the lingual side of the body, the angle, and the inferior border of the jaw are the sites of highest preference. Males are more likely than females to be impacted by osteomas, which can strike at any age. Patients with osteomas should be considered to have Gardner syndrome. This condition includes many embedded or supernumerary teeth, skeletal abnormalities such as osteoma and hyper calcification of the maxillary bones or skull, skin and soft tissue tumors, and gastroenteric polypus. Differential diagnosis is crucial since the development of gastroenteric polyps, which have a potentially malignant progression, occurs before oral and maxillofacial symptoms emerge. Mandibular osteomas are uncommon; even rarer is a massive osteoma with a prevalence of 0.01-0.04% of the population. That's the reason this is being discussed in this article. The primary differential diagnosis and pertinent clinical information from previously published literature are also included in this article.
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Affiliation(s)
- Swapnil Mohod
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Komal V Dadgal
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Rajanikanth K
- Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Suwarna Dangore-Khasbage
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Aayushi Pakhale
- Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Alka Hande
- Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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3
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Salih AM, Hassan SH, Saeed YA, Muhialdeen AS, Hussein BO, Ali RM, Qadir AA, Abdullah AM, Dhahir HM, Qaradakhy AJ, Kakamand FH. Lingual osteoma presenting as a solitary painless lesion: Report of a rare case with review of the literature. SAGE Open Med Case Rep 2024; 12:2050313X241260177. [PMID: 38854676 PMCID: PMC11159536 DOI: 10.1177/2050313x241260177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 05/22/2024] [Indexed: 06/11/2024] Open
Abstract
Lingual osteoma, a rare, benign bone tumor that primarily affects the posterior tongue, can be difficult to diagnose. This study aims to report a case of osteoma affecting the tongue in a 17-year-old female. The patient had a foreign body sensation and a progressively growing lesion for 3 years and underwent clinical examination and diagnostic procedures. A well-defined, smooth-surfaced, white mass was discovered in the posterior third of the tongue. The 1.5 × 1 × 0.4 cm mass was completely excised under local anesthesia and histopathologically confirmed as a benign lingual osteoma. The 2-month post-operative outcome was uneventful. The rarity of lingual osteoma, as well as the fact that it is often asymptomatic, makes diagnosis difficult. The diagnosis entails a proper clinical examination, imaging studies, and histopathological analysis. Surgical intervention, primarily aimed at complete excision while preserving tongue function, remains the primary treatment option. Successful excision entails educating healthcare professionals about this rare benign bony tumor to ensure the best possible patient outcomes.
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Affiliation(s)
- Abdulwahid M Salih
- Smart Health Tower, Sulaymaniyah, Kurdistan, Iraq
- College of Medicine, University of Sulaimani, Sulaymaniyah, Kurdistan, Iraq
| | | | | | | | | | - Rawa M Ali
- Smart Health Tower, Sulaymaniyah, Kurdistan, Iraq
| | | | - Ari M Abdullah
- Smart Health Tower, Sulaymaniyah, Kurdistan, Iraq
- Department of Pathology, Sulaymaniyah Teaching Hospital, Sulaymaniyah, Kurdistan, Iraq
| | | | - Aras J Qaradakhy
- Smart Health Tower, Sulaymaniyah, Kurdistan, Iraq
- Department of Radiology, Shorsh Teaching Hospital, Sulaymaniyah, Kurdistan, Iraq
| | - Fahmi H Kakamand
- Smart Health Tower, Sulaymaniyah, Kurdistan, Iraq
- College of Medicine, University of Sulaimani, Sulaymaniyah, Kurdistan, Iraq
- Kscien Organization, Sulaymaniyah, Kurdistan, Iraq
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4
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Shetty P, Prince J, Poojary D, P P, Suresh PK. Diagnostic conundrum in an ambiguous posterior mandibular osseous lesion: Case report and radiological review. Int J Surg Case Rep 2023; 106:108288. [PMID: 37148721 DOI: 10.1016/j.ijscr.2023.108288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 04/27/2023] [Accepted: 04/29/2023] [Indexed: 05/08/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Non-odontogenic osseous lesions of the mandible are relatively uncommon entities compared to odontogenic lesions. Although the posterior mandible is not a usual site, it is not rare either for these osseous lesions, making the diagnosis ambiguous, and if misdiagnosed leading to different treatment protocols. CASE PRESENTATION A 43-year-old female presented with a hard tissue lesion of the posterior mandible, misdiagnosed as a sialolith of the submandibular salivary gland in two other centers due to overlapping of symptoms, anatomic complexity, and inadequate investigations. The lesion was later diagnosed to be an osteoma of the posterior mandible with added investigations, and surgically excised. Histopathology confirmed the diagnosis. CLINICAL DISCUSSION A variety of hard tissue lesions are known to occur in the posterior mandible like Submandibular sialolith, Osteomas, Calcified Submandibular lymph nodes, Phlebolith, and Tonsillolith. However, due to the region's structural complexity, localization of a hard tissue lesion may not always be forthright, even with radiographs. Moreover, in cases with conflicting symptoms, as was in this case there are more chances of misdiagnosis. The reasons for such diagnostic challenges are deliberated with radiological review of posterior mandibular osseous lesions. Recommendations are also suggested for proper investigations, thereby management of these posterior mandibular osseous lesions. CONCLUSION Misdiagnosis of these posterior mandibular lesions may lead to the patient undergoing unnecessary surgical procedures as different lesions require different management. Differential diagnosis and adequate protocol for investigations are required.
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Affiliation(s)
- Premalatha Shetty
- Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 575001, India.
| | - Jefferson Prince
- Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 575001, India.
| | - Dharnappa Poojary
- Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 575001, India.
| | - Poorna P
- Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 575001, India
| | - Pooja K Suresh
- Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 575001, India
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Wolf-Grotto I, Nogueira LM, Milani B, Marchiori EC. Management of giant osteoma in the mandible associated with minor trauma: a case report. J Med Case Rep 2022; 16:8. [PMID: 34996519 PMCID: PMC8742411 DOI: 10.1186/s13256-021-03217-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Accepted: 11/27/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Osteoma is a benign tumor of the bones, which can be classified as central or peripheral. The occurrence in the jawbones is uncommon, but when it occurs, there is a greater prevalence of the mandible. The etiology is still unknown, and the hypothesis of its development is debated. CASE PRESENTATION A 35-year-old Caucasian man presenting a tumor lesion in the right jawbone that had been growing for 8 years sought medical service complaining of speaking impairment. According to the patient, the tumor appeared shortly after a minor trauma caused by tooth extraction. The diagnosis of the lesion was made through clinical, radiographic, and histological methods, and the surgical treatment was successful and satisfactory for the patient as well as the surgical team, despite a short follow-up. CONCLUSION Etiopathogenesis of osteoma is not determined in the majority of cases. In the present report, it was possible to hypothesize the association between a minor trauma and the development of the tumor, reinforcing the reactive theory of tumor development. The uncommon location of the osteoma, as well the possibility of identifying the possible cause of the lesion, makes this case particularly interesting.
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Affiliation(s)
- Isabela Wolf-Grotto
- Division of Oral and Maxillofacil Surgery, Municipal Hospital Dr. Fernando Mauro Pires da Rocha, Estrada de Itapecerica, 1661, Vila Maracanã, São Paulo, Zip Code 05835-005, Brazil.
| | - Lucas M Nogueira
- Division of Oral and Maxillofacil Surgery, Municipal Hospital Dr. Fernando Mauro Pires da Rocha, Estrada de Itapecerica, 1661, Vila Maracanã, São Paulo, Zip Code 05835-005, Brazil
| | - Basilio Milani
- Residence Program of Municipal Hospital Dr. Fernando Mauro Pires da Rocha, São Paulo, Brazil
| | - Erica C Marchiori
- Preceptor in Oral and Maxillofacial Surgery Residence Program of Municipal Hospital Dr, Fernando Mauro Pires da Rocha, São Paulo, Brazil
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Abstract
OBJECTIVE Osteoma is the most common benign tumor of the paranasal sinuses. The clinical characteristics and treatment of this disease remain controversial. The aim of this study is to determine the appropriate method of treatment approach according to the features of osteomas. METHODS Forty-one patients with paranasal sinus osteomas were included in the study. According to the location and the size of tumors, patients were followed up or operated. Surgical treatment was performed via external, endoscopic, or combined approaches for symptomatic patients. Routine physical and radiological evaluations were performed for follow-up in asymptomatic patients. RESULTS Paranasal sinus osteomas were found most common in frontal sinus (n = 26, 63.4%) followed by ethmoid sinus (n = 10, 24.3%), maxillary sinus (n = 4, 9.7%), and sphenoid sinus (n = 1, 2.4%). Of the patients with frontal sinus osteomas, the endoscopic approach was performed in 11 patients, external approach (osteoplastic flap) in 9, and combined (external + endoscopic) approach in 5 patients. Endoscopic approach was preferred in all patients with ethmoid osteoma. The combination of Caldwell-Luc procedure and endoscopic approach was performed in 1 patient with maxillary sinus osteoma. In 3 patients, who underwent osteoplastic flap technique, mucocele developed in the postoperative period. Partial loss of vision developed postoperatively in 1 patient with a giant ethmoid osteoma. There were no other complications and recurrence in an average of 29 months follow-up. CONCLUSION Paranasal sinus osteomas are rare, slow-growing benign lesions, with potentially serious complications. Main treatment option for sphenoid and ethmoid sinus and other symptomatic osteomas are surgical resection. Radiographic follow-up is necessary for asymptomatic lesions. Selection of surgical resection method depends on tumor location and size. Patients should be observed for recurrence with periodic examination and imaging techniques. Follow-up should be performed at least in 1-year intervals after the surgery. LEVEL OF EVIDENCE 1c.
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Bountaniotis F, Melakopoulos I, Tzerbos F. Solitary Peripheral Osteoma of the Hard Palate Case report and literature review. Sultan Qaboos Univ Med J 2017; 17:e234-e237. [PMID: 28690900 DOI: 10.18295/squmj.2016.17.02.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2016] [Revised: 11/15/2016] [Accepted: 12/15/2016] [Indexed: 11/16/2022] Open
Abstract
Osteomas are benign slow-growing osteogenic lesions of unknown aetiology which can be central, peripheral or extraskeletal. Peripheral osteomas of the maxilla are very uncommon. We report a 72-year-old female patient who presented to the Department of Oral & Maxillofacial Surgery, Dental School of Athens, Athens, Greece, in 2015 with swelling of the palate following a tooth extraction. Clinical and radiographical features were indicative of a solitary peripheral osteoma of the hard palate. An excisional biopsy and histological examination of the lesion confirmed the diagnosis. No complications occurred during the postoperative period and there was no evidence of recurrence at a one-year follow-up.
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Affiliation(s)
- Fotios Bountaniotis
- Department of Oral & Maxillofacial Surgery, Dental School of Athens, Athens, Greece
| | - Ioannis Melakopoulos
- Department of Oral & Maxillofacial Surgery, Dental School of Athens, Athens, Greece
| | - Fotios Tzerbos
- Department of Oral & Maxillofacial Surgery, Dental School of Athens, Athens, Greece
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8
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Khandelwal P, Dhupar V, Akkara F. Unusually Large Peripheral Osteoma of the Mandible - A Rare Case Report. J Clin Diagn Res 2016; 10:ZD11-ZD12. [PMID: 28050514 PMCID: PMC5198467 DOI: 10.7860/jcdr/2016/21399.8807] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Accepted: 08/24/2016] [Indexed: 11/24/2022]
Abstract
Osteoma is a benign tumor which is composed of mature compact or cancellous bone. Osteoma may be periosteal (arising from surface of the bone) or endosteal (develop in the medullary bone) or combination of both. Here, we present a case of unusually large osteoma present on the lingual surface of the mandible in a 40-year-old female patient. The lesion had grown slowly for 15 years and caused intra-oral swelling leading to difficulty in mastication, speech and tongue movements. Under general anesthesia, local complete surgical excision was performed.
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Affiliation(s)
- Pulkit Khandelwal
- Senior Lecturer, Department of Oral and Maxillofacial Surgery, Pacific Dental College and Hospital, Udaipur, Rajasthan, India
| | - Vikas Dhupar
- Professor and Head, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Goa, India
| | - Francis Akkara
- Professor, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Goa, India
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9
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Krisht KM, Palmer CA, Couldwell WT. Multiple osteomas of the falx cerebri and anterior skull base: case report. J Neurosurg 2015; 124:1339-42. [PMID: 26587651 DOI: 10.3171/2015.6.jns15865] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The authors describe a rare case of intracranial extraaxial parafalcine and anterior skull base osteomas in a 22-year-old woman presenting with bifrontal headaches. This case highlights the possible occurrence of such lesions along the anterior skull base and parafalcine region that, as such, should be considered as part of the differential diagnosis for extraaxial calcific lesions involving the anterior skull base. To the authors' knowledge, this is the first reported case of a patient who underwent complete successful resection of multiple extraaxial osteomas of the anterior skull base and parafalcine region.
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Affiliation(s)
- Khaled M Krisht
- Department of Neurosurgery, Clinical Neurosciences Center, and
| | - Cheryl A Palmer
- Department of Pathology, University of Utah, Salt Lake City, Utah
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10
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Sadeghi HM, Shamloo N, Taghavi N, Safi Y, Aghdashi F, Ismaeilnejad M. Giant Osteoma of Mandible Causing Dyspnea: A Rare Case Presentation and Review of the Literature. J Maxillofac Oral Surg 2015. [PMID: 26225085 DOI: 10.1007/s12663-014-0717-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Osteomas are benign slow growing tumors of bone. Tumors are usually asymptomatic until they attain remarkable size and cause asymmetry or dysfunction. In view of few reported cases of giant osteoma of mandible, this article presents a case of giant osteoma of left mandible in a 53-year old male causing dyspnea due to compression of air way space.
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Affiliation(s)
| | - Nafise Shamloo
- Oral and Maxillofacial Pathology Department, Shahid Beheshti Dental Faculty, Shahid Beheshti University of Medical Sciences, Evin Street, Tehran, Iran
| | - Nasim Taghavi
- Oral and Maxillofacial Pathology Department, Shahid Beheshti Dental Faculty, Shahid Beheshti University of Medical Sciences, Evin Street, Tehran, Iran
| | - Yaser Safi
- Oral and Maxillofacial Radiology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farzad Aghdashi
- Oral and Maxillofacial Surgery Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Ismaeilnejad
- Oral and Maxillofacial Surgery Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Ragupathy K, Priyadharsini I, Sanjay P, Yuvaraj V, Balaji TS. Peripheral Osteoma of the Body of Mandible: A Case Report. J Maxillofac Oral Surg 2014; 14:1004-8. [PMID: 26604477 DOI: 10.1007/s12663-014-0710-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 09/19/2014] [Indexed: 11/24/2022] Open
Abstract
Osteoma is a slow growing benign tumor consisting of well differentiated compact or cancellous bone that increases in size by continuous growth. It can be of a central, peripheral, or extraskeletal type. The peripheral type arises from the periosteum and is rarely seen in mandible. Although completely curable with adequate surgical treatment, osteomas precede the clinical radiographic evidence of colonic polyposis/Gardner's syndrome. Therefore they may be sensitive markers for the disease. Recurrence of peripheral osteoma after surgical excision is extremely rare. However it is appropriate to provide both clinical and radiographic follow up after surgical excision of peripheral osteoma. This article describes the case of a 45 year old male who presented with painless swelling of the right body of mandible and resultant cosmetic facial disfigurement and functional impairment.
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Affiliation(s)
- Karthik Ragupathy
- Department of Dentistry, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry, India
| | - Indira Priyadharsini
- Department of Dentistry, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry, India
| | - P Sanjay
- Department of Dentistry, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry, India
| | - V Yuvaraj
- Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Cudallore Main Road, Pillaiyarkuppam, Pondicherry, 607402 India
| | - T S Balaji
- Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Cudallore Main Road, Pillaiyarkuppam, Pondicherry, 607402 India
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12
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Peripheral osteoma on the buccal aspect of mandible angle: a review of radiopaque masses and differential diagnosis. J Craniofac Surg 2013; 24:1842-4. [PMID: 24163867 DOI: 10.1097/scs.0b013e318275ec28] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Osteomas are radiopaque osteogenic tumors composed of slow-growing, painless, mature bone tissue. On the basis of their origin, they can be classified as central, peripheral, or extraskeletal. Osteomas occur primarily in the craniofacial region, and peripheral osteomas are most prevalent in the paranasal sinuses. We describe a rare case of peripheral osteoma on the buccal aspect of the left mandibular angle that caused facial deformity in a 68-year-old woman. We also discuss its differentiation from other similar radiologically radiopaque masses.
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13
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Manjunatha BS, Das N, Sutariya R, Ahmed T. Peripheral osteoma of the body of mandible. BMJ Case Rep 2013; 2013:bcr-2013-009857. [PMID: 23929608 DOI: 10.1136/bcr-2013-009857] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Osteoma is a benign osteogenic neoplasm microscopically consisting of proliferation of cancellous or compact bone. Peripheral osteomas (PO) arise from the periosteum and are quite uncommon in the jaw bones. POs of mandible are considered as rare entity and very few cases have been reported in the literature. The pathogenesis of PO is unclear. Some investigators consider it a true neoplasm, while others believe it as a developmental anomaly, a reactive mechanism due to trauma or infection. The purpose of this article is to present the clinical, radiographic, surgical and histological features of a solitary peripheral osteoma of the mandible in a 43-year-old woman and to review the literature for PO located in the mandible.
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Affiliation(s)
- B S Manjunatha
- Department of Oral & Maxillofacial Pathology, KM Shah Dental College & Hospital, Vadodara, Gujarat, India.
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14
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Manjunatha BS, Das N, Sutariya R, Ahmed T. Peripheral osteoma of the body of mandible. BMJ Case Rep 2013. [PMID: 23929608 DOI: 10.1136/bcr-2013-009857.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Osteoma is a benign osteogenic neoplasm microscopically consisting of proliferation of cancellous or compact bone. Peripheral osteomas (PO) arise from the periosteum and are quite uncommon in the jaw bones. POs of mandible are considered as rare entity and very few cases have been reported in the literature. The pathogenesis of PO is unclear. Some investigators consider it a true neoplasm, while others believe it as a developmental anomaly, a reactive mechanism due to trauma or infection. The purpose of this article is to present the clinical, radiographic, surgical and histological features of a solitary peripheral osteoma of the mandible in a 43-year-old woman and to review the literature for PO located in the mandible.
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Affiliation(s)
- B S Manjunatha
- Department of Oral & Maxillofacial Pathology, KM Shah Dental College & Hospital, Vadodara, Gujarat, India.
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15
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Cheng KJ, Wang SQ, Lin L. Giant osteomas of the ethmoid and frontal sinuses: Clinical characteristics and review of the literature. Oncol Lett 2013; 5:1724-1730. [PMID: 23759920 PMCID: PMC3678544 DOI: 10.3892/ol.2013.1239] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2012] [Accepted: 02/20/2013] [Indexed: 11/08/2022] Open
Abstract
Giant osteomas of the ethmoid and frontal sinuses ary very rare, with only a few dozen cases reported in the literature. Given their rarity, the clinical characteristics and treatment of this disease remain controversial. In this study, the clinical presentation and surgical methods used to treat three patients with giant osteomas of the ethmoid and frontal sinuses are described, combined with a review of the literature from 1975 to 2011. In total, 45 patients with giant osteomas arising from the ethmoid and frontal sinuses (including the present cases) have been reported in 41 articles. Headache and ocular signs are the most common symptoms. This disease often leads to intracranial or intraorbital complications. The main treatment for giant osteoma is surgery via an external approach. The outcome of surgery for giant osteoma is good, with rare recurrence, no malignant transformation and few persistent symptoms.
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Affiliation(s)
- Ke-Jia Cheng
- Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China
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