Miliary osteoma cutis of the face: Treatment with the needle microincision‐extirpation method

Abstract

Multiple miliary osteoma cutis of the face represents primary extra-skeletal bone formation that arises within the skin of the face. Multiple miliary osteoma cutis of the face is a rare complication of chronic inflammatory acne vulgaris and has invasive and non-invasive treatment alternatives different from acne vulgaris. Invasive techniques should be simple, easy, and inexpensive, with minimal risk of scarring and pigmentation. We used a needle microincision-extirpation technique in a patient with multiple miliary osteoma cutis unresponsive to non-invasive treatment modalities. Skin overlying the papules was incised with a needle and then the calcificated papules were extirpated by using a small curettage device. Lesions were left to secondary healing. Results were quite good and cosmetically acceptable.

Osteoma Cutis of the Face in CBCT Images

“…As for management of the cutaneous nodules, it is controversial and varies from no treatment to surgical excision that is usually curative without recurrence [13, 16]. Other management options include topical tretinoin, dermabrasion, needle microincision and extirpation, and resurfacing using YAG laser or CO 2 laser [2, 16, 17, 25–27]. …”

Miliary Osteoma Cutis: A Case Report

“…There are several forms of treatment reported in the literature [3, 5, 6], including the use of retinoic acid at 0.1% [7], which is the option used by our patient, but the best results are obtained with surgical techniques, such as curettage [3] and needle excision [5], which are considered the treatment of choice.…”

White papules on forehead and décolleté

“…Da die Erkrankung selten ist, wird die Diagnose oft erst histologisch gestellt. Neben einer lokalen Retinoidbehandlung bei sehr oberflächlichen Osteomen werden vor allem chirurgische Interventionen mit Stanzen, Nadelinzisionen und mikrochirugischem scharfen Löffel empfohlen [9,10]. Pathogenetisch wird eine Metaplasie von mesenchymalen Zellen zu Osteoblasten vermutet [8].…”