Diagnosis and Management of Craniofacial Osteomas

Abstract

Importance: Osteoid osteomas are benign bony overgrowths that can occur in any region of the body. However, they have a predilection to occur in the craniofacial region. Because of the rarity of this entity, there is a lack of literature detailing the management and prognosis of craniofacial osteoid osteomas. Observations: Craniofacial osteomas have a predilection to involve the paranasal sinuses, but can also be found within the jaw, skull base, and facial bones. Because of their slow-growing nature, craniofacial osteomas are often incidentally discovered on routine imaging or after they compress nearby structures or distort nearby anatomy. Osteoid osteomas of the face can be treated with resection via various approaches. Recent advancements describe minimally invasive endoscopic techniques and adjuvant therapy with radiofrequency ablation guided by cone biopsy computed tomography. Osteoid osteomas have an excellent prognosis with complete resection. They demonstrate a low incidence of recurrence when compared with other osteoblastic lesions of the craniofacial structures. Conclusions and Relevance: Craniofacial osteoid osteomas remain a developing topic within the field of craniofacial surgery. Their removal may be trending toward minimally invasive techniques. However, all treatment modalities appear to result in improved cosmetic outcomes and low recurrence rates.

Isolated Fibrous Dysplasia of the Bilateral Nasal Bones: Complex Management of the Bony Vault

“…When encountering mass lesions of the bony pyramid, surgeons should consider osteoblastoma, chondroblastoma, chondroma, ossifying fibroma, Paget disease, and fibrous dysplasia. 6 Although tissue biopsy is the gold standard for the diagnosis of any mass lesion, radiographic imaging can be used to demonstrate characteristics that are suggestive of FD. In patients who are asymptomatic or who have incidental lesions discovered, radiographic diagnosis is usually sufficient.…”

Endoscopic Excision of Rare Large Maxillary Sinus Osteoma: A Case Report and Literature Review

“…Although osteomas are the most commonly seen benign tumors of the paranasal sinuses, they are still rare, and we are facing a lack of literature detailing the management and prognosis of craniofacial osteoid osteomas. However, they represent tumors with a slow growth rate and potential complications and have a predilection to occur in the craniofacial region [10][11][12]. Due to the rarity of giant osteomas of the paranasal sinuses, only a few case reports exist in the literature; in addition, the clinical presentation and treatment options are unclear [13].…”

“…The treatment of paranasal sinus osteomas is controversial [4]. The removal of these lesions trends toward minimally invasive techniques and remains a developing topic within the field of craniofacial surgery [12]. There are two options for its management: clinical observation and surgery.…”