FIGURE 3 - uploaded by Manisha Gaikwad
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Source publication
Osteomas are most common among all primary bone tumors of skull bones. They are usually asymptomatic
due to their small size and slow growth. They are found incidentally on imaging studies for other neurologic
symptoms. Osteoma may be single or multiple when present. They should be differentiated from
meningiomas, chordomas, schwannomas, and parost...
Contexts in source publication
Context 1
... lamellated bony trabeculae and the intertrabecular spaces were occupied by a scanty amount of loose fibrovascular tissue. Figures 3a, 3b showed the unstained (left) and stained (right) slides of decalcified bones at 10x magnification. ...
Citations
... Rare cases of four to five distinctive frontal osteomas in one patient have been previously reported [14]. Multiple intracranial osteomas have been reported as forms of multifocal cavernous hemangiomas, or subarachnoid osteomas [15][16][17]. tumors [11]. Our patient was confirmed to have no specific findings on esophagogastroduodenoscopy and colonoscopy had been performed during a regular checkup a year prior. ...
... Our patient was confirmed to have no specific findings on esophagogastroduodenoscopy and colonoscopy had been performed during a regular checkup a year prior. There have been no reports of non-syndromic disseminated multiple osteomas without other gastrointestinal lesions [11][12][13][14][15][16][17], and our case is noteworthy in that the widely inoculated osteoma was unrelated to Gardener's syndrome and had an indistinct morphological demarcation. A differential diagnosis is required for a firmly palpated forehead mass. ...
BACKGROUND
Forehead osteoma is a commonly encountered benign facial bone tumor. Endoscopic excision of benign forehead masses is widely performed. Here, we report a rare case of recurrent forehead osteoma that disseminated after a previous osteoma excision.
CASE SUMMARY
A 54-year-old female patient had previously undergone endoscopic removal of a single forehead osteoma at 30 years of age. However, she had a recurrent osteoma around the same site and underwent another endoscopic resection at 40 years of age. During her first visit to our outpatient clinic, she presented with a cobblestone-like irregular surface on the forehead and a 3D facial bone computed tomography scan revealed a widely ragged surface of the inoculated osteoma on the outer table of the frontal bone. Under general anesthesia, we performed a radical complete excision of the disseminated osteoma through a bicoronal incision using an osteotome, chisel, mallet, and rasping. We hypothesized that the recurrence may have been caused by the inoculation of residual osteoma remnants from the previous procedure. Craniofacial surgeons should be cautious when removing osteoma particles, particularly when using an endoscopic approach.
CONCLUSION
To prevent recurrence, it is essential to conduct additional meticulous burring and a thorough inspection of the surface after copious irrigation.
