A Study on Peri P Heral Osteomas of the Maxillofacial Region

Abstract

. The clinical presentation and outcomes of the surgical management were analyzed. RESULTS: The 8 patients ranged in age from 16 to 48 years, with a mean age of 28.75 years. The lesion showed a male predilection with a male to female ratio, 3:1. Out of the eight cases 5 were located in mandible (62.5%) and 3 were present in maxilla (37.5%).

Solitary Peripheral Osteoma of the Hard Palate: Case report and literature review

“…Although asymptomatic osteomas are treated conservatively with regular follow-up, surgical excision is necessary if the lesion becomes symptomatic, grows too large or is indicated for cosmetic reasons. 3 The surgical removal of osteomas is usually performed with a chisel and mallet, as in the present case, although rotary instruments can also be used. Following the surgery, recurrence of the lesion is extremely uncommon and malignant transformation has not been reported to date.…”

“…8,11 Solitary peripheral osteomas of the jaw bones are very uncommon and generally involve the mandible more often than the maxilla. [1][2][3]12 Clinical symptoms of an osteoma depend on the location, size and direction of tumour growth; generally, osteomas of the maxillofacial bones remain asymptomatic until they grow large enough to cause disfigurement or compression of the adjacent structures. [1][2][3] Neurological symptoms caused by nerve compression may also occur.…”

“…[1][2][3]12 Clinical symptoms of an osteoma depend on the location, size and direction of tumour growth; generally, osteomas of the maxillofacial bones remain asymptomatic until they grow large enough to cause disfigurement or compression of the adjacent structures. [1][2][3] Neurological symptoms caused by nerve compression may also occur. 3,13 On histology, osteomas may be either compact or cancellous masses.…”

“…[1][2][3] Neurological symptoms caused by nerve compression may also occur. 3,13 On histology, osteomas may be either compact or cancellous masses. Compact osteomas usually have a sessile base with normal-appearing dense bone, while cancellous osteomas are generally pedunculated and resemble the bone of origin.…”

“…Following the surgery, recurrence of the lesion is extremely uncommon and malignant transformation has not been reported to date. 3,11 The appearance of an osteoma in the maxillofacial region should raise suspicions of Gardner's syndrome; this conditions consists of multiple peripheral and/or central osteomas in any bone-most frequently those in the craniomaxillofacial area-as well as cutaneous sebaceous cysts, desmoid tumours, multiple supernumerary teeth and colorectal polyposis. 5,7,8 Symptoms may also include rectal bleeding, diarrhoea and abdominal pain.…”