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Lee KWA, Chan LKW, Hung LC, Wu R, Wong S, Siew TW, Wan J, Yi KH. Using dermal filler to camouflage forehead osteoma: A case report. J Cosmet Dermatol 2024. [PMID: 39017037 DOI: 10.1111/jocd.16471] [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: 03/21/2024] [Revised: 06/09/2024] [Accepted: 07/08/2024] [Indexed: 07/18/2024]
Abstract
AbstractObjectiveTo review the technique and outcomes of using dermal filler to camouflage forehead osteoma, providing a minimally invasive alternative to surgical excision.BackgroundForehead osteoma, commonly known as a forehead bump or bone spur, can be a cosmetic concern. Surgical excision, while effective, carries risks of scarring and postoperative complications. An innovative approach using dermal filler offers a potential solution.MethodsA hyaluronic acid‐based filler is injected into the deep subcutaneous plane over the bony prominence using a cannula. The fanning technique ensures even distribution of the filler. The procedure's safety, patient selection, and communication between the injector and patient are emphasized to achieve optimal results.ResultsThe technique provides immediate aesthetic improvement with results that can last up to 12 months, depending on the filler used. While generally safe, potential complications include infections, swelling, asymmetry, and lumpiness. Proper technique, patient selection, and good communication between the injector and patient are critical to achieving optimal outcomes.ConclusionUsing dermal filler to camouflage forehead osteoma is a minimally invasive alternative to surgical excision, offering immediate and long‐lasting results with minimal downtime and fewer risks. Further studies are needed to refine the technique and optimize outcomes.
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Affiliation(s)
| | | | | | - Raymond Wu
- Asia-Pacific Aesthetic Academy, Hong Kong, Hong Kong
| | - Sky Wong
- Leciel Medical Centre, Hong Kong, Hong Kong
| | | | - Jovian Wan
- Asia-Pacific Aesthetic Academy, Hong Kong, Hong Kong
| | - Kyu-Ho Yi
- Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea
- Maylin Clinic (Apgujeong), Seoul, Korea
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Tawashi Y, Tawashi K, Ahmad O, Hamada A, Alhakeem K. Huge osteoma in the frontoparietal bone caused by trauma from 18 years ago: a case report. J Med Case Rep 2024; 18:48. [PMID: 38331951 PMCID: PMC10854144 DOI: 10.1186/s13256-024-04373-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 01/11/2024] [Indexed: 02/10/2024] Open
Abstract
BACKGROUND Osteomas are asymptomatic, benign tumors and are diagnosed accidentally by radiological investigations conducted for other reasons. In some cases, they may cause aesthetic or functional symptoms by affecting nearby organs. The cause of osteoma is still dialectical. Many theories suggest that inflammation, trauma, or congenital causes are behind its formation. In our case, the patient presented with a symptomatic and huge osteoma in the frontoparietal bone caused by trauma from 18 years ago. CASE PRESENTATION A 24-year-old Syrian woman came to our hospital complaining of headaches, syncope episodes, blurred vision, and tumor formation in the frontoparietal region. The medical and surgical histories of the patient revealed appendectomy and head trauma when she was 6 years old in a traffic accident. Radiological investigations showed thickness in the space between the two bone plates in the left frontoparietal region, which reached the orbital roof without cortical destruction or periosteum reaction; the tumor size was 5 cm × 5 cm. A surgical excision was indicated. Under general anesthesia, the surgery was done for the tumor excision. The histopathology examination emphasized the diagnosis of osteoma. The follow-up for 7 months was uneventful. CONCLUSION This paper highlights the importance of focusing on the medical history of patients with osteoma in an attempt to explain the reasons for its occurrence. It stresses the need to put osteoma within the differential diagnoses of skull tumors.
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Affiliation(s)
| | | | - Osama Ahmad
- Faculty of Medicine, Hama University, Hama, Syria
| | - Aref Hamada
- Faculty of Medicine, Hama University, Hama, Syria
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Tarsitano A, Ricotta F, Spinnato P, Chiesa AM, Di Carlo M, Parmeggiani A, Miceli M, Facchini G. Craniofacial Osteomas: From Diagnosis to Therapy. J Clin Med 2021; 10:jcm10235584. [PMID: 34884284 PMCID: PMC8658100 DOI: 10.3390/jcm10235584] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 11/19/2021] [Accepted: 11/24/2021] [Indexed: 12/18/2022] Open
Abstract
An osteoma is a benign bone lesion with no clear pathogenesis, almost exclusive to the craniofacial area. Osteomas show very slow continuous growth, even in adulthood, unlike other bony lesions. Since these lesions are frequently asymptomatic, the diagnosis is usually made by plain radiography or by a computed tomography (CT) scan performed for other reasons. Rarely, the extensive growth could determine aesthetic or functional problems that vary according to different locations. Radiographically, osteomas appear as radiopaque lesions similar to bone cortex, and may determine bone expansion. Cone beam CT is the optimal imaging modality for assessing the relationship between osteomas and adjacent structures, and for surgical planning. The differential diagnosis includes several inflammatory and tumoral pathologies, but the typical craniofacial location may aid in the diagnosis. Due to the benign nature of osteomas, surgical treatment is limited to symptomatic lesions. Radical surgical resection is the gold standard therapy; it is based on a minimally invasive surgical approach with the aim of achieving an optimal cosmetic result. Reconstructive surgery for an osteoma is quite infrequent and reserved for patients with large central osteomas, such as big mandibular or maxillary lesions. In this regard, computer-assisted surgery guarantees better outcomes, providing the possibility of preoperative simulation of demolitive and reconstructive surgery.
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Affiliation(s)
- Achille Tarsitano
- Maxillofacial Surgery Unit, IRCCS Policlinico di S. Orsola, 40138 Bologna, Italy; (A.T.); (F.R.)
| | - Francesco Ricotta
- Maxillofacial Surgery Unit, IRCCS Policlinico di S. Orsola, 40138 Bologna, Italy; (A.T.); (F.R.)
| | - Paolo Spinnato
- Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; (P.S.); (A.M.C.); (M.D.C.); (M.M.); (G.F.)
| | - Anna Maria Chiesa
- Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; (P.S.); (A.M.C.); (M.D.C.); (M.M.); (G.F.)
| | - Maddalena Di Carlo
- Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; (P.S.); (A.M.C.); (M.D.C.); (M.M.); (G.F.)
| | - Anna Parmeggiani
- Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; (P.S.); (A.M.C.); (M.D.C.); (M.M.); (G.F.)
- Correspondence: ; Tel.: +0039-05163-66273
| | - Marco Miceli
- Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; (P.S.); (A.M.C.); (M.D.C.); (M.M.); (G.F.)
| | - Giancarlo Facchini
- Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; (P.S.); (A.M.C.); (M.D.C.); (M.M.); (G.F.)
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Abstract
Benign bone-forming tumors comprise osteomas, osteoid osteomas, and osteoblastomas. Osteomas affect a wide age range and are usually discovered incidentally. They occur predominantly in the craniofacial skeleton and are classically composed of compact bone. Osteoid osteomas and osteoblastomas are painful lesions occurring in young patients. They are morphologically similar and characterized by FOS gene rearrangement and c-FOS expression at a protein level. Osteoid osteomas are usually smaller than 2 cm in maximum dimension with limited growth potential; osteoblastomas are larger than 2 cm and may be locally aggressive. Histologically both are composed of anastomosing trabeculae of woven bone.
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Affiliation(s)
- Fernanda Amary
- Histopathology Department, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Greater London HA7 4LP, UK; Cancer Institute, University College London, 72 Huntley Street, London WC1E 6DD, UK.
| | - Adrienne M Flanagan
- Histopathology Department, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Greater London HA7 4LP, UK; Cancer Institute, University College London, 72 Huntley Street, London WC1E 6DD, UK
| | - Paul O'Donnell
- Cancer Institute, University College London, 72 Huntley Street, London WC1E 6DD, UK; Radiology Department, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Greater London HA7 4LP, UK
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Antohi C, Haba D, Caba L, Ciofu ML, Drug VL, Bărboi OB, Dobrovăț BI, Pânzaru MC, Gorduza NC, Lupu VV, Dimofte D, Gug C, Gorduza EV. Novel Mutation in APC Gene Associated with Multiple Osteomas in a Family and Review of Genotype-Phenotype Correlations of Extracolonic Manifestations in Gardner Syndrome. Diagnostics (Basel) 2021; 11:1560. [PMID: 34573902 PMCID: PMC8466590 DOI: 10.3390/diagnostics11091560] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 08/25/2021] [Accepted: 08/25/2021] [Indexed: 12/24/2022] Open
Abstract
Gardner syndrome is a neoplasic disease that associates intestinal polyposis and colorectal adenocarcinoma with osteomas and soft tissue tumors determined by germline mutations in the APC gene. The early diagnosis and identification of high-risk individuals are important because patients have a 100% risk of colon cancer. We present the case of a family with Gardner syndrome. Cephalometric, panoramic X-rays and CBCT of the proband and her brother showed multiple osteomas affecting the skull bones, mandible and paranasal sinuses. The detailed family history showed an autosomal dominant transmission with the presence of the disease in the mother and maternal grandfather of the proband. Both had the typical signs of disease and died in the fourth decade of life. Based on these aspects the clinical diagnosis was Gardner syndrome. By gene sequencing, a novel pathogenic variant c.4609dup (p.Thr1537Asnfs*7) in heterozygous status was identified in the APC gene in both siblings. We reviewed literature data concerning the correlation between the localization of mutations in the APC gene and the extracolonic manifestations of familial adenomatous polyposis as well as their importance in early diagnosis and adequate oncological survey of patients and families based on abnormal genomic variants.
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Affiliation(s)
- Cristina Antohi
- Odontology-Periodontology-Fixed Prosthetics Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania;
| | - Danisia Haba
- Oral and Maxillofacial Surgery Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iaşi, Romania; (D.H.); (B.I.D.)
| | - Lavinia Caba
- Medicine of Mother and Child Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania; (M.-C.P.); (V.V.L.); (E.V.G.)
| | - Mihai Liviu Ciofu
- Oral and Maxillofacial Surgery Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iaşi, Romania; (D.H.); (B.I.D.)
| | - Vasile-Liviu Drug
- Medical I Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania; (V.-L.D.); (O.-B.B.)
| | - Oana-Bogdana Bărboi
- Medical I Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania; (V.-L.D.); (O.-B.B.)
| | - Bogdan Ionuț Dobrovăț
- Oral and Maxillofacial Surgery Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iaşi, Romania; (D.H.); (B.I.D.)
| | - Monica-Cristina Pânzaru
- Medicine of Mother and Child Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania; (M.-C.P.); (V.V.L.); (E.V.G.)
| | | | - Vasile Valeriu Lupu
- Medicine of Mother and Child Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania; (M.-C.P.); (V.V.L.); (E.V.G.)
| | | | - Cristina Gug
- Microscopic Morphology Department, “Victor Babes” University of Medicine and Pharmacy, 300041 Timișoara, Romania;
| | - Eusebiu Vlad Gorduza
- Medicine of Mother and Child Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania; (M.-C.P.); (V.V.L.); (E.V.G.)
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Karpishchenko SA, Bolozneva EV, Vereshchagina OE, Faizova AR, Karpishchenko ES, Askarov MA. [Inferior turbinate neoplasms]. Vestn Otorinolaringol 2021; 85:111-115. [PMID: 33474928 DOI: 10.17116/otorino202085061111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The main aim of the work was to describe a rare clinical case of osteoma of inferior turbinate. The interest of the case is that such tumors are extremely rare. RESULTS A female patient of 63 years old attended an ENT clinic. She complained on absence of nasal breath at the right side and headache. After a full ENT-examination, anamnesis, and a thorough analysis of the radiation examination results (computed tomography data), a decision was made to surgical treatment. Under general anesthesia, controlled hypotension surgery was done. First step was septoplasty, then the dense bone tumor was reduced and removed. At the control examination in 3 months, the complete removal of the formation of the inferior turbinate on the right is determined. There were no signs of continued or recurrent tumor growth. CONCLUSION Neoplasms of the nasal cavity, in particular the inferior turbinate, are extremely rare pathologies. They are mainly detected when performing anterior rhinoscopy, endoscopic examination of the nasal cavity. The result of histological examination is compact osteoma. The gigantic size of the inferior turbinate osteoma in our case is probably due to the patient's failure to consult a specialist (otorhinolaryngologist) for a long time. Surgical treatment of this pathology should consist in an endoscopic endonasal approach: this approach allows the most complete and minimally traumatic removal of the tumor.
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Affiliation(s)
- S A Karpishchenko
- Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint-Petersburg, Russia
| | - E V Bolozneva
- Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia
| | - O E Vereshchagina
- Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia
| | - A R Faizova
- Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia
| | - E S Karpishchenko
- Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint-Petersburg, Russia
| | - M A Askarov
- Tashkent State Dental Institute, Tashkent, Uzbekistan
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7
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Chen YH, Tsai YJ. Giant craniofacial osteoma with orbital invasion. Taiwan J Ophthalmol 2020; 10:144-146. [PMID: 32874847 PMCID: PMC7442102 DOI: 10.4103/tjo.tjo_74_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Accepted: 10/21/2019] [Indexed: 11/20/2022] Open
Abstract
Craniofacial osteomas, which involve orbits, can cause several problems, such as displacement of the globe, diplopia, and refractive changes. We report the case of a young man with diplopia and blurred vision, with a giant osteoma occupying right frontal and ethmoid sinuses, encroaching into his right orbit. The symptoms resolved 3 months after surgery. Our case highlights the successful surgery for a symptomatic craniofacial osteoma with orbital invasion.
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Affiliation(s)
- Yi-Hua Chen
- Department of Ophthalmology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.,School of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Yueh-Ju Tsai
- Department of Ophthalmology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.,School of Medicine, Chang Gung University, Taoyuan, Taiwan
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8
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Hemihypertrophy With Multiple Facial and Cranial Osteomas Causing External Auditory Canal Obliteration. Otol Neurotol 2020; 41:e763-e764. [PMID: 32282783 DOI: 10.1097/mao.0000000000002647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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9
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Saxena S, Ashwin VG, Rajinikanth D. A Sizeable Solitary Pedunculated Peripheral Osteoma of the Hard Palate: A Case Report. Indian J Otolaryngol Head Neck Surg 2019; 71:813-815. [PMID: 31742070 DOI: 10.1007/s12070-018-1561-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Accepted: 12/11/2018] [Indexed: 10/27/2022] Open
Abstract
Osteomas are benign, slow growing, usually sessile osteogenic tumors of unknown etiology. They arise from proliferation of either cancellous or compact bone. They can be central, peripheral or extra-skeletal based on their origin from endosteum, periosteum or extra-skeletal soft tissue respectively. They are commonly found in the skull and facial bones, the most common site in the maxillofacial region being paranasal sinuses. Among the jaw bones the most common site is the mandible. The hard palate is a rare site for such osteomas with a very few cases reported in literature. We report a case of large pedunculated peripheral osteoma of the hard palate in a 38 year old male. The tumor was excised with no recurrence after 3 years followup.
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Affiliation(s)
| | - V G Ashwin
- 2Department of ENT, Madras Medical College, Chennai, India
| | - D Rajinikanth
- 1Sir Ivan Stedeford Hospital, Ambattur, Chennai, India
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Giuffra V, Minozzi S, Riccomi G, Naccarato AG, Castagna M, Lencioni R, Chericoni S, Mongelli V, Felici C. Multiple osteomata from medieval Tuscany, Italy (ca. 10 th-12 th AD). INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2019; 25:56-61. [PMID: 31071624 DOI: 10.1016/j.ijpp.2019.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 04/15/2019] [Accepted: 04/29/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To explore the possible etiology of multiple osteomata on a skull and long bones from an individual from a medieval site in Tuscany, Italy. MATERIALS Human skeletal remains dating to the 10th-12th century AD from the parish church of S. Pietro in Pava, in the province of Siena (Tuscany, Central Italy). METHODS Macroscopic and imaging analyses (Cone Beam Computed Tomography). RESULTS Nine round-shaped new bone formations are observed on a female individual aged 40-50 years. The lesions have a smooth surface and range from 2.2-6 mm in diameter. CONCLUSIONS Cone Beam Computed Tomography confirmed that the lesions were composed of compact bone. Macroscopic and radiological features suggest the presence of nonsyndromic multiple osteomata. SIGNIFICANCE Single cranial osteomata are commonly observed in osteoarchaeological remains, but multiple osteomata are rare and might assist in our understanding of neoplastic conditions in the past. LIMITATIONS The lack of soft tissues prevents the diagnosis of complex disorders, such as the Gardner syndrome, which is characterised by multiple osteomata and polyposis of the colon. SUGGESTIONS FOR FURTHER RESEARCH Careful investigation and reporting of all neoplastic lesions in ancient human remains in order to increase our knowledge about the etiology in past human populations.
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Affiliation(s)
- Valentina Giuffra
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy.
| | - Simona Minozzi
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy
| | - Giulia Riccomi
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy
| | - Antonio Giuseppe Naccarato
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy
| | - Maura Castagna
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy
| | - Riccardo Lencioni
- Division of Diagnostic Radiology 1, Department of Surgical, Medical and Molecular Pathology and Critical Care, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy
| | - Silvio Chericoni
- Department of Surgical, Medical and Molecular Pathology and Critical Care, University of Pisa, via Roma 55, 56126 Pisa, Italy
| | - Valeria Mongelli
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy
| | - Cristina Felici
- Department of History and Cultural Heritage, Via Roma 56, 53100 Siena, Italy
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Tempaku A. Multiple skull osteomas in a 24-year-old woman. J Gen Fam Med 2017; 18:468-469. [PMID: 29264095 PMCID: PMC5729365 DOI: 10.1002/jgf2.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Accepted: 05/05/2017] [Indexed: 11/27/2022] Open
Affiliation(s)
- Akira Tempaku
- Department of Neurosurgery; Hokuto Hospital; Obihiro Japan
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12
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Palazzolo V, Tronchet A, Valsecchi S, Bellocchi S, Gervasoni C, Spotti S, Francesco AD, Colombo L, Riccio S, Ronchi P. Removal of a Frontal Sinus Osteoma and Reconstruction by a Custom-Made Implant with Neuronavigation Assistance. Craniomaxillofac Trauma Reconstr 2017; 11:305-313. [PMID: 30574275 DOI: 10.1055/s-0037-1607066] [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: 01/11/2017] [Accepted: 07/02/2017] [Indexed: 10/18/2022] Open
Abstract
The authors report the surgical treatment of an extensive right frontal sinus osteoma assisted by neuronavigation and reconstruction by a hydroxyapatite custom-made implant. The patient presents with ptosis, hypoglobus, and proptosis of the right eye, without any visual impairment. Computed tomographic (CT) scan showed a very large bony mass involving right frontal sinus and displacing the orbital roof. A stereolithographic model-guided planning was carried out to obtain a practical simulation of the surgical operation and it was submitted to a new CT scan to acquire the reference point to realize the neuronavigation assistance, and to achieve the template to realize the hydroxyapatite custom-made implant. Intraoperatively, with the help of neuronavigation assistance, osteotomies were performed by piezoelectric device. The reconstruction was made using a hydroxyapatite custom-made implant. The procedure was damage free, the bony mass was excised, and the orbital roof was repaired without any adverse effects. Postsurgical CT scan and scintigraphy showed a good reconstruction and a good-quality osteoblasts activity on the borders of the implant. Osteoma is a benign slow-growing bone tumor, usually involving the frontal sinus. Navigational assistance offers a very important help to perform safe osteotomies. Hydroxyapatite custom-made implant seems to be an excellent reconstructive method.
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Affiliation(s)
- Vincenzo Palazzolo
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Anita Tronchet
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Stefano Valsecchi
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Silvio Bellocchi
- Department of Neurosurgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Carlo Gervasoni
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Stefano Spotti
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Andrea Di Francesco
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Luigi Colombo
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Stefano Riccio
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
| | - Paolo Ronchi
- Department of Maxillofacial Surgery, Sant'Anna Hospital, San Fermo Della Battaglia, Como, Italy
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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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Abstract
Osteomas are the most common benign osteoclastic tumours of the paranasal sinuses. However, nasal cavity and turbinate osteomas are extremely rare. Only nine middle turbinate, three inferior turbinate and one inferior turbinate osteoma cases have been reported to date. The present case report describes the management and follow-up of symptomatic bilateral inferior turbinate osteoma.A 60-year-old female presented with symptoms of bilateral nasal obstruction and right-sided epiphora. Radiological investigation found hypertrophic bony changes involving both inferior turbinates. The patient was managed successfully by endoscopic inferior turbinectomies in order to achieve a patent airway, with no further recurrence of tumour after 3 months postoperatively.To the best of our knowledge, this is the first reported case of bilateral inferior turbinate osteoma. We describe a safe and minimally invasive method of tumour resection, which has a better cosmetic outcome compared with other approaches.
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Affiliation(s)
- R Sahemey
- ENT-University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Birmingham, UK
| | - A T Warfield
- Pathology-University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Birmingham, UK
| | - S Ahmed
- ENT-University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Birmingham, UK
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Kakkar A, Nambirajan A, Suri V, Sarkar C, Kale SS, Singh M, Sharma MC. Primary Bone Tumors of the Skull: Spectrum of 125 Cases, with Review of Literature. J Neurol Surg B Skull Base 2016; 77:319-25. [PMID: 27441157 DOI: 10.1055/s-0035-1570347] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Accepted: 10/31/2015] [Indexed: 10/22/2022] Open
Abstract
AIMS Primary skull bone tumors, benign or malignant, are rare, and include a vast repertoire of lesions. These tumors are not reported systematically in the literature, with most studies being on individual entities or as single case reports. METHODS Primary bone tumors diagnosed over a period of 12 years were retrieved, histological diagnoses reviewed, and clinical parameters noted. RESULTS We identified 125 primary skull bone tumors. The mean age at diagnosis was 32 years (range: 2-65 years). Majority of patients were adults (82.4%); male preponderance was noted (72.8%). Malignant tumors were more frequent than benign tumors. Most common malignant tumor was chordoma (n = 37), while most common benign tumor was osteoma (n = 7). Tumors were most frequently located at the skull base, of which clivus was most common location. Chordomas accounted for majority of clival tumors, while chondrosarcoma predominated at other skull base locations. Benign tumors were extremely rare in skull base. Tumors of the vault bones were infrequent; with chondrosarcoma and osteoma being the most common malignant and benign tumors, respectively. CONCLUSIONS This is the largest series of primary skull bone tumors from India. Documentation of such a series will aid in approaching differential diagnosis of skull tumors in a systematic manner.
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Affiliation(s)
- Aanchal Kakkar
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Aruna Nambirajan
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Vaishali Suri
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Chitra Sarkar
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Shashank S Kale
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
| | - Manmohan Singh
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
| | - Mehar Chand Sharma
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
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Solitary Peripheral Osteoma of the Angle of the Mandible. Case Rep Dent 2015; 2015:430619. [PMID: 26421198 PMCID: PMC4569790 DOI: 10.1155/2015/430619] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Revised: 08/06/2015] [Accepted: 08/20/2015] [Indexed: 11/18/2022] Open
Abstract
Solitary peripheral osteoma is a benign, slow-growing osteogenic tumor arising from craniofacial bones such as the sinus, temporal, or jaw bones but rarely originating from the mandible. Osteoma consists of compact or cancellous bone that may be of peripheral, central, or extraskeletal type. Peripheral osteoma arises from the periosteum and is commonly a unilateral, pedunculated mushroom-like mass. Solitary peripheral osteomas are characterized by well-defined, rounded, or oval radiopaque mass in the computed tomography. Although multiple osteomas of the jaws are a hallmark of Gardner's syndrome (familial adenomatous polyposis), nonsyndromic cases are typically solitary. Herein, we report a rare case of solitary peripheral osteoma of the angle of the mandible in a 27-year-old female with clinical, radiologic, and histopathologic findings.
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