Case Report of Recurrent Osteoma at the Grafted Bone

이식된 뼈에서 재발한 뼈종의 치험례

  • Joo, Chun Seung (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Lee, Yoon Ho (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 주춘승 (서울대학교 의과대학 성형외과학교실) ;
  • 이윤호 (서울대학교 의과대학 성형외과학교실)
  • Received : 2005.12.30
  • Published : 2006.05.10

Abstract

Surgical curettage or en bloc excision are the usual choice of treatment for osteoma. Local recurrence of osteoma after surgical treatment is not very common. We report a case of osteoma recurred at the grafted bone. A $5{\times}8cm$ sized osteoma of frontal bone was excised and then the defect was covered with calvarian bone and rib bone. Six years after reconstruction, recurrence from grafted area was noted. We completely removed the osteoma with enough normal tissue around it, after checking that the grafted bone has changed into an osteoma through a bicoronal incision. Then we covered the defect with a rib bone. The tissue was confirmed histologically as an osteoma. The recurrence of the tumor at the bone grafted site after osteoma excision is probably due to the fact that we covered grafted bone with periosteum left over osteoma. Therefore, we can learn that when we excise osteoma, galea should be carefully separated from the periphery of the tumor and that the periosteum should be completely removed, to prevent the osteoma from recurrence.

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References

  1. Dunlop JA, Morton KS, Eliott GB: Recurrent osteoid osteoma: report of a case with a review of the literature. J Bone Joint Surg Br 52: 128, 1970 https://doi.org/10.2106/00004623-197052010-00012
  2. Regan MW, Galey JP, Oakeshott RD: Recurrent osteoid osteoma: case report with a ten-year asymptomatic interval. Clin Orthop Relat Res 253: 221, 1990
  3. Worland RL, Ryder CT, Johnston AD: Recurrent osteoidosteoma: report of a case. J Bone Joint Surg Am 57: 277, 1975 https://doi.org/10.2106/00004623-197557020-00028
  4. Norman A: Persistence or recurrence of pain: a sign of surgical failure in osteoid-osteoma. Clin Orthop Relat Res 130: 263, 1978
  5. Clerico DM, Jahn AF, Fontanella S: Osteoma of the internal auditory canal: case report and literature review. Ann Otol Rhinol Laryngol 103: 619, 1994 https://doi.org/10.1177/000348949410300807
  6. Vonofakos DA, Karakoulakis E: Recurrent osteoma overlying cranioplasty: case report. J Neurosurg 55: 845, 1981 https://doi.org/10.3171/jns.1981.55.5.0845