Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Frontal peripheral osteomas: a retrospective study

  • Geon Hwi Kim (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine) ;
  • Young Soo Yoon (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine) ;
  • Eun Kyung Kim (Department of Pathology, Nowon Eulji Medical Center, Eulji University School of Medicine) ;
  • Kyung Hee Min (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine)
  • Received : 2022.10.24
  • Accepted : 2023.02.20
  • Published : 2023.02.20
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Abstract

Background: Osteomas are benign, slow-growing bone tumors that can be classified as central, peripheral, or extraskeletal. Central osteomas arise from the endosteum, peripheral osteomas from the periosteum, and extraskeletal osteomas within the muscle. Frontal peripheral osteomas are mainly encountered in plastic surgery. In this study, we retrospectively analyzed the clinical data of patients with frontal peripheral osteomas. Methods: We retrospectively reviewed the medical records of patients who visited our hospital with frontal peripheral osteomas between January 2014 and June 2022. We analyzed the following variables: age, sex, tumor type (sessile or pedunculated), single or multiple, size, history of head trauma, operation, and recurrence. Results: A total of 39 patients and 41 osteomas were analyzed, of which 29 osteomas (71%) were sessile and 12 osteomas (29%) were pedunculated. The size of the osteomas ranged from 4 to 30 mm, with an average size of 10 mm. The age of patients ranged from 4 to 78 years with a mean age of 52 years. There were seven men (18%) and 32 women (82%), and the man-to-woman ratio was 1:4.6. Two patients (5%) had multiple masses, with two osteomas in each, while only two patients (5%) had a history of head trauma. Twenty-nine patients (74%) underwent ostectomy by a direct approach, and none of the patients experienced recurrence. Conclusion: The epidemiologic data of our study will help plastic surgeons encounter frontal peripheral osteomas in the field to provide proper management for their patients.

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References

  1. Kim JH, Choi J, Kim BK. Peripheral osteoma of the zygoma. J Craniofac Surg 2022;33:e387-8. https://doi.org/10.1097/SCS.0000000000008223
  2. Patel TR, Borah GL. Frontal bone periosteal osteomas. Plast Reconstr Surg 2004;114:648-51. https://doi.org/10.1097/01.PRS.0000130935.83413.6B
  3. Roh SG, Kim YS, Kim JL, Shin JY, Lee NH. Soft-tissue osteoma of the temple. Arch Craniofac Surg 2021;22:276-9. https://doi.org/10.7181/acfs.2021.00388
  4. Haddad FS, Haddad GF, Zaatari G. Cranial osteomas: their classification and management. Report on a giant osteoma and review of the literature. Surg Neurol 1997;48:143-7. https://doi.org/10.1016/S0090-3019(96)00485-5
  5. Ziccardi VB, Smith JA, Braun TW. Osteoma of the maxillary antrum. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:378-9. https://doi.org/10.1016/S1079-2104(05)80323-3
  6. Raponi I, Giovannetti F, Cacciatore F, Di Carlo D, Valentini V. Endoscopic forehead approach for minimally invasive frontal osteoma excision. J Craniofac Surg 2020;31:e767-9. https://doi.org/10.1097/SCS.0000000000006715
  7. Rodriguez Y Baena R, Rizzo S, Fiandrino G, Lupi S, Galioto S. Mandibular traumatic peripheral osteoma: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:e44-8. https://doi.org/10.1016/j.tripleo.2011.05.006
  8. Green AE, Bowerman JE. An osteoma of the mandible. Br J Oral Surg 1974;12:225-8. https://doi.org/10.1016/0007-117X(74)90129-2
  9. Richards HE, Strider JW Jr, Short SG, Theisen FC, Larson WJ. Large peripheral osteoma arising from the genial tubercle area. Oral Surg Oral Med Oral Pathol 1986;61:268-71. https://doi.org/10.1016/0030-4220(86)90373-7
  10. Regezi JA, Sciubba J. Oral pathology. 2nd ed. Saunders; 1993.
  11. Yuasa K, Yonetsu K, Kanda S, Takeuchi T, Abe K, Takenoshita Y. Computed tomography of the jaws in familial adenomatosis coli. Oral Surg Oral Med Oral Pathol 1993;76:251-5. https://doi.org/10.1016/0030-4220(93)90213-N
  12. DelBalso AM, Werning JT. The role of computed tomography in the evaluation of cemento-osseous lesions. Oral Surg Oral Med Oral Pathol 1986;62:354-7. https://doi.org/10.1016/0030-4220(86)90021-6
  13. Kim HS, Kim WS, Kim HK, Bae TH. Removal of intraosseous hemangioma in frontal bone under direct vision through a small incision. Arch Craniofac Surg 2021;22:52-5. https://doi.org/10.7181/acfs.2020.00661
  14. Mun GH, Jung ES, Lim SY, Hyon WS, Bang SI, Oh KS. Excision of forehead osteomas: experience with 12 patients with use of an endoscopic technique. J Craniofac Surg 2006;17:426- 30. https://doi.org/10.1097/00001665-200605000-00007
  15. Yoo H, Doh G, Kim BK. Treatment of multiple craniofacial osteomas by endoscopic approach. Arch Craniofac Surg 2020;21: 261-3. https://doi.org/10.7181/acfs.2020.00402