Intrabuccal Surgical Management of a Peripheral Mandibular Osteoma

Torres, Luiz Henrique Soares; Filho, João Roberto Trindade Costa; Uchôa, Caio Pimenteira; Neto, Renato Torres Augusto; Santos, Déborah Laurindo Pereira; Filho, Valfrido Antônio Pereira

doi:10.1097/scs.0000000000007229

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…In rare incidences where the osteoma arises closer to the mandibular condyle, tinnitus, and hearing loss can occur due to compression of the cochleovestibular nerve and conductive structures of the inner ear. If the osteoma arises within the posterior mandible, facial swelling [57][58][59][60] and airway deviation may precipitate. 58 Large osteomas can also lead to asymmetry of the facial bones.…”

Section: Clinical Presentationmentioning

confidence: 99%

Diagnosis and Management of Craniofacial Osteomas

Langlie

Hullfish

Jabori

et al. 2023

Journal of Craniofacial Surgery

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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.

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Section: Clinical Presentationmentioning

confidence: 99%

Diagnosis and Management of Craniofacial Osteomas

Langlie

Hullfish

Jabori

et al. 2023

Journal of Craniofacial Surgery

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Surgical treatment of extensive peripheral osteoma in the mandibular ramus: Case report

Costa

Santos

Simon

et al. 2021

RSD

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Osteomas are benign osteogenic tumors, which clinically manifest as well-defined and asymptomatic lesions. This article aims to report a case of extensive osteoma in the mandibular branch, addressing the main tools used for diagnosis and treatment modalities. Patient L.M.S, 55 years old, male, sought the service of Maxillofacial Surgery, reporting the appearance of a nodule on the face with evolution of 2 years. On physical examination, a significant volumetric increase was observed in the pre-auricular region on the left side, asymptomatic on palpation and non-bleeding. Computed tomography was requested, which showed a hyperdense bone lesion in the mandibular ramus region. The planned surgical proposal was for extra-oral access in the pre-auricular region on the left side, excision of the lesion by osteotomy followed by osteoplasty for the regularization of the remaining bone tissue and suture by planes. Subsequently, the piece was sent for histopathological analysis that identified the lesion as a compact osteoma. The patient was followed up for 1 and a half years, through clinical and radiographic evaluation, through which an excellent bone repair was observed, with no signs of recurrence. Carrying out the clink exam is essential for the diagnosis of osteoma, as it is an asymptomatic pathology. Due to the fact that it has a low probability of recurrence and does not present malignancy, a conservative approach can be performed with the appropriate postoperative follow-up. Therefore, it is concluded that the performance of a thorough clinical examination associated with the imaging and microscopic information are essential for a good clinical management of this pathology.

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Craniofacial Osteomas: From Diagnosis to Therapy

Tarsitano

Ricotta

Spinnato

et al. 2021

JCM

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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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Intrabuccal Surgical Management of a Peripheral Mandibular Osteoma

Cited by 3 publications

References 9 publications

Diagnosis and Management of Craniofacial Osteomas

Diagnosis and Management of Craniofacial Osteomas

Surgical treatment of extensive peripheral osteoma in the mandibular ramus: Case report

Craniofacial Osteomas: From Diagnosis to Therapy

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