“…The origin of the osteoma in our patient, as well as that reported by Yamasoba et al [3] and the second patient of Silver et al [2], may have been an inflammatory reaction of the periosteum [4], However, another case described in the literature [5] presented no history of otitis media. The fact that familial cases have been reported [6] and the increased frequency of onset in those regions that, not being covered by mucosa, are not susceptible to infections (temporal squama, the internal auditory canal, the pe trous apex and the styloid process), but are susceptible to injury, seems to indicate that there must be more than one cause for the development of osteomas.…”