Khosla VM. 2013 Mar;24(2):e141-2. Solitary peripheral osteoma of the jaws: Report of case and review of literature. They occur predominantly on the left side of the posterior mandible and are associated with pain, tenderness and discomfort. They are referred to developmental anomalies, true neoplasms, or reactive lesions triggered by trauma, muscle traction, or infection [ 1 - 3, 5 ]. A segmental resection of mandible was performed from left parasymphyseal region of mandible to the right mid rami. Osteoma is a benign osteogenic neoplasm microscopically consisting of proliferation of cancellous or compact bone. A 38year old healthy female reported to our institute with a chief complaint of a progressively enlarging asymptomatic hard growth in lower front tooth region towards the tongue since last 1year. Osteoma is a benign neoplasm in which apposition of newly formed bone creates a tumor mass [1]. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. PMC measuring 10x8x10 mm in size and located in the government site. Bethesda, MD 20894, Web Policies Peripheral osteoma of the mandible: case report and review of the literature. Ten-year developmental-evolution of a solitary osteoma of the mandibular ramus: Report of a case and short review. The https:// ensures that you are connecting to the [2], Although trauma, inflammatory or infectious processes are the causes commonly cited in literature, no etiological factor can be associated with this case.[4]. In the most frequent site affected in upper jaw was the alveolar process followed by hard palate. Received 2007 Sep 16; Accepted 2007 Dec 19. Peripheral osteoma which is known to arise from the periosteum is a rare entity in the mandible. [5,7,9] Some investigators classified it as a reactive condition triggered by trauma, because peripheral osteomas are generally located on the lower border or buccal aspect of the mandible which are traumatized areas. The clinicopathological correlation in the present case supports a traumatic origin. Unauthorized use of these marks is strictly prohibited. They can be either peripheral, central or extraskeletal. Odontomas also may present as densely radiopaque mass with well defined borders in tooth bearing areas of jaws. These radiopaque lesions of jaws require proper clinical, radiological and histopathological evaluation for proper diagnosis and treatment planning. The histopathological examination of the lesion that or molar area (13). Accessibility Before Onset occurs in the second decade, with malignant transformation of the colorectal polyps approaching 100% by age 40. The patient underwent an operation in the Kaplan I, Calderon S, Buchner A. Therefore the patient with a diagnosis of mandibular osteoma, suspected to have Gardener's syndrome, should be further evaluated to rule out colorectal carcinoma . Treatment of osteomas located between the anterior cranial base and the face. government site. Extra-oral examination showed unilateral Giant cell osteoma of mandible: case report . As a library, NLM provides access to scientific literature. Rattan V, Gautam R. Peripheral osteoma of mandible arising from anterior lingual alveolar plate-A case report. The https:// ensures that you are connecting to the Solitary Peripheral Osteoma of the Hard Palate Case report and literature review. In the present case, the lesion was The patient was subjected to routine hematological and radiographical examination. 8600 Rockville Pike Aline et al. Epub 2011 Aug 7. government site. present case were consistent with those in compact Multiple osteomas may be associated with Please enable it to take advantage of the complete set of features! It is reported that it is more predominant in females by a ratio of 3:1. There is marked osteoblastic His past medical and dental history were unremarkable. The cortical plate of the body of the mandible was smoothened with a vulcanite bur under copious saline irrigation and the specimen sent for microscopic examination. In contrast osteoid osteomas is a lesion of rapid growth, frequently painful and microscopically features highly vascular cellular tissue containing osteoid tissue [4, 5]. Central ossifying Fibroma an analysis of 20 cases and review of literature. Clinical and radiographic characteristics of the cases from the literature and the three new cases, RO radiopaque, WD well defined, NI unavailable information, Differential diagnoses central radiopaque lesion of the jaws, RL radiolucent, RO radiopaque, WD well defined borders. Careers, Unable to load your collection due to an error. peripheral osteomas appear as an oval-shaped 2023 Jan 6;15(1):e33437. Multiple osteomas may be associated with Gardner's Syndrome. 2019. Uncommon peripheral osteoma of the mandible: report of two cases. Indian Journal of Otolaryngology and Head & Neck Surgery, Pain burning spontaneous fasciculation of lip, Deviation of tongue & mild airway obstruction, Thickened trabeculae reduced marrow fibrovascular spaces, Cellular fibrous tissue bone and cementum. growing on a broad base or a stalk on the cortex. Careers, Unable to load your collection due to an error. The mass was around 3 1.5cm2 in size with extension from lower left side premolar area to right side lower molar region. The most common sites are the angle and the lower border of the body. 1. Peripheral osteoma of craniofacial region occurs most frequently in the paranasal sinuses. Posterior region of the mandible was more commonly involved. Mandibular cases occur in the angle or condyle, followed by the molar area of the mandibular body and ascending ramus. Intraoral view of 34-year-old female shows lingually tilted tooth 35 and periodontal pocket in relation to teeth 37 and 38. However, present case did not Post surgical follow up is being carried out periodically. official website and that any information you provide is encrypted National Library of Medicine This case report emphasizes on the extraoral approach used for surgical excision of peripheral osteoma of the mandible. Solitary peripheral osteoma is a benign, slow-growing osteogenic tumor arising from craniofacial bones such as the sinus, temporal, or jaw bones but rarely originating from the mandible. Careers, Unable to load your collection due to an error. Lingual cortical expansion was present the lesion was approximately 6 3cm2 in size extending from left canine region to the right ascending ramal region of mandible. In addition, the presence of A 24-year-old male patient presented to our clinic Unable to load your collection due to an error, Unable to load your delegates due to an error. Surgical excision is the ideal treatment for The patient recovered well and the histopathological analysis confirmed the diagnosis of osteoma. 2021 Jul-Dec;11(2):333-335. doi: 10.4103/ams.ams_359_20. 2000;58:9113. the contents by NLM or the National Institutes of Health. Peripheral osteoma of the mandible: a case report. from other bony exostoses, and this pattern signifies During intra-oral examination, a round and immobile Overlying skin appeared to be normal. She also complained of a swelling over her left cheek since the last ten years. government site. established based on the clinical, radiological, and 2015 Jan 31;49(1):47-50. doi: 10.17096/jiufd.31476. J Clin Diagn Res. The peripheral osteoma arises from surface of the bone (periosteal) whereas the central osteoma arises from the bone medullary (endosteal) and the extra-skeletal soft tissue osteoma usually develops within the muscle. lesion. Microscopically it is composed of trabaculae of woven bone with osteoblast and osteoclast [5]. Wijn MA, Keller JJ, Brand HS. doi: 10.18295/squmj.2016.17.02.018. Complex odontomas may present as a relatively uniform solid radiodentisty, and therefore only these cases could be considered in the differential diagnosis of central osteomas. On palpation the lesion was stony hard, non-tender, firmly adherent to the underlying lingual aspect of the mandible. Patient with a clinical diagnosis of peripheral osteoma. Some investigators consider it a true neoplasm, while others believe it as a developmental anomaly, a reactive mechanism due to trauma or infection. A 60years old male presented to our institute with a chief complaint of swelling in the right side of the jaw since 1year with mild pain over swelling since 2months. A CT head and neck was advised as a screening prior to surgery and to further evaluate the bony lesion. Before Pierce ER, Weisbord T, McKusick VA. Gardners syndrome: formal genetics and statistical analysis of a large canadian kindred. Sayan NB, Ucok C, Karasu HA, Gnhan Omer. Peripheral osteomas are more frequent in the mandible than the maxilla and the cancellous type was most frequent; males and females are equally affected in the mandible; the age range was 9-85 years. MeSH They are slow-growing and commonly occur in the craniofacial bones such as the paranasal sinuses, orbital wall, temporal bone, pterygoid processes, and external auditory canal [2]. Clipboard, Search History, and several other advanced features are temporarily unavailable. Shiradhonkar A, Jangid M, Tito V Kurien V, Humne R, Khan S. Cureus. Choristoma is a more accepted term and it is used first time from Krolls et al.[10]. The patient did not report pain, but he Woldenberg Y, Nash M, Bodner L. Peripheral osteoma of the maxillofacial region.Diagnosis and management: A study of 14 cases. Journal of Istanbul University Faculty of Dentistry, https://creativecommons.org/licenses/by-nc-nd/4.0/. They can be central or peripheral, solitary or multiple. Krolls SO, Jacoway JR, Alexander WN. sharing sensitive information, make sure youre on a federal There was gross deviation of the tongue to the contralateral side with restricted movement. range (965) for the anterior region. FOIA Shekya H. Peripheral osteoma of the mandible. The .gov means its official. Keywords: Osteoma is a benign neoplasm consisting of well-differentiated compact or cancellous bone that increases in size by continuous osseous growth. Due to the comparatively non-specific symptoms when occurring in the hand, OO is often misdiagnosed at first presentation, posing a diagnostic challenge. de Franca TR, Gueiros LA, de Castro JF, Catunda I, Leo JC, da Cruz Perez DE. Since osteomas of the skull can be part of Gardners syndrome, this possibility has to be excluded. Please enable it to take advantage of the complete set of features! bone tissue (16). A Sizeable Solitary Pedunculated Peripheral Osteoma of the Hard Palate: A Case Report. Int J Oral Maxillofac Surg. Sayan NB, Cook C, Karasu HA, Gunhau O. The https:// ensures that you are connecting to the Would you like email updates of new search results? It is seen in young adults and usually remains less than two cm in size after years of slow enlargement. CT view revealed a well-defined radio-dense area attached to the left medial aspect of lower border of mandible of 34-year-old female. occur in the mandible (13). A provisional diagnosis of osteoma was made and the patient prepared for surgery. doi: 10.18295/squmj.2016.17.02.018. Neville BW, Damm DD, Allen JE, Bouquot JE. Microscopical examination revealed stromas of woven lamellar bone in a heavily collagenized stroma [23]. At the time the case was submitted for publication Varun Babu had no recorded disclosures. Two variants of osteoma are recognized which differ in the origin in relation to cortical plates: Peripheral (periosteal) osteomas develop as masses attached to cortical plates and central osteoms arise from endosteal bone surface [1, 2]. Bookshelf with the swelling. We describe a rare case of symptomatic peripheral osteoma of mandible in a middle-aged female patient. The etiopathogenesis of osteoma is not completely elucidated, and 3 theories are more accepted: developmental defect, neoplastic nature, and reactive lesion owing to trauma or local infection. absence of proliferative fibrous components were Solitary central osteomas of the jaws seems to be very rare with only six such cases reported in English language literature since 1955 [814]. Histologically osteomas may be of two types: (1) Compact or ivory and (2) Cancellous, trabecular or spongy. Clinical photographs (lateral and frontal, Clinical photographs (lateral and frontal views) showing the swelling in the mandibular body, Orthopantomograph showing a round to oval-shaped radiopaque mass seen between left mandibular first, CT shows a pedunculated, cauliflower-like, CT shows a pedunculated, cauliflower-like growth and a lobulated bony growth in the. Shafer WG, Hine MK, Levy BM. On the basis of history and clinical examination, provisional diagnosis of osteoma of left body of mandible was given. These lesions are usually painless and recurrence is uncommon after local excision. Pathol Res Pract. not have any gastrointestinal complaints or dental Clinically, peripheral osteoma appears as a unilateral, sessile or pedunculated, well circumscribed, mushroom like mass larger from 10 to 40mm in diameter. PMC occur at any age. Review of 106 cases. Peripheral Solitary Osteoma of the Zygomatic Arch: A Case Report and Literature Review. The overlying skin was normal in color and was not attached to underlying structure. (1973) Oral surgery, oral medicine, and oral pathology. Mandibular osteomas may be a genetic marker for the development of colorectal carcinoma [8]. A 35year old female (Fig. Epub 2011 Aug 7. Epub 2017 Jun 20. Bethesda, MD 20894, Web Policies As a library, NLM provides access to scientific literature. An incomplete cleft between the lesion and adjacent cortex is occasionally present. Recurrence of peripheral osteoma after surgical excision is extremely rare. It has been two years after the onset of his initial All four cases occurred on the left side and in . Some investigators consider it as a true neoplasm, while others classify it as a developmental anomaly [3]. osteomas are often located in the mandibular condyle present case was also a male patient in the second HHS Vulnerability Disclosure, Help Disclaimer. finding suggestive of Gardners syndrome. One of the study conducted with familial adenomatous polyposis syndromes reported percentage of osteoma ranging from 57 to 82% [21]. A case of peripheral osteoma occurring in the mandibular ramus in a 26-year-old man is reported. Turkey, 3Department of Oral Pathology, Faculty of Dentistry, Gazi University, sharing sensitive information, make sure youre on a federal bone should include fibrous dysplasia, central ossified Tilaveridis I, Karakostas P, Tilaveridis V, Tilaveridis S. J Clin Imaging Sci. Peripheral type of osteoma is most common in the lower jaws, which occurs at the surface of the cortical bone and is sessile or pedicled. Osteomas are benign osteogenic tumors which Before a diameter between 1.5 and 4 cm (14). masses with or without a stalk, and with Kaplan I, Nicolaou Z, et al. A giant osteoma of the mandible: case report. Peripheral osteoma of the mandible: case report and review of the literature. Fritz GW, Despande V, Gordon SE. Peripheral Osteoma, Mandible, Surgical management. Plain radiograph (panoramic radiograph, Water's view) or computed tomographic (CT) scan is used for imaging. HHS Vulnerability Disclosure, Help Histopathological examination revealed features compatible with osteoma, such as vital compact and mature medullary bone tissue, showing osteocytes and medullary spaces containing a loose connective tissue with capillaries. are classified as central, peripheral, and extraskeletal, Therefore the patient with a diagnosis of mandibular osteoma, suspected to have Gardener's syndrome, should be further evaluated to rule out colorectal carcinoma [9]. Int J Oral Maxillofac Surg. Osteomas are benign osteogenic lesions that result from the proliferation of mature bone. Before The etiology is still unknown, and the hypothesis of its development is debated. doi: 10.1136/bcr-2013-009857. temporal bone, and pterygoid processes are other sites Masuki Y. Department of Oral and Maxillofacial Surgery and The orthopantamograph of 34-year-old female view revealed a well-defined radiopaque mass in relation to left lower border of mandible. Radiographic follow-up on a six month schedule is recommended for two to three years, with two additional annual films thereafter. computed tomography shows the dense appearance of the Other locations include external auditory canal, orbits, temporal bone and pterygoid process [ 3, 4 ]. They can cause displacement, expansion and delayed eruption. 8600 Rockville Pike A CT scan was advised which reported a non-enhancing well marginated oval shaped lesion with no bony invasion or soft tissue destruction. Longo F, Califano L, Maria G, Ciccarelli R. Solitary osteoma of the mandibular ramus: report of a case. A 34-year-old female patient with a swelling on the left side of the face. Indian J Otolaryngol Head Neck Surg. Radiographic superimposition and mandibular peripheral osteoma: the importance of clinical and CT findings. involvement, well-defined margins, and mushroomshaped official website and that any information you provide is encrypted 3) mandible showed a well defined bony lesion consisting of compact bone with no trabecular pattern arising from inner aspect of right side of mandible with no soft tissue component and causing mild displacement of great vessels of neck. Of colorectal carcinoma [ 8 ] a true neoplasm, while others classify as! Years, with malignant transformation of the colorectal polyps approaching 100 % by age 40 or... Of osteoma was made and the patient was subjected to routine hematological and radiographical examination F Califano... Krolls et al. [ 10 ] the angle or condyle, followed by molar... Nb, Ucok C, Karasu HA, Gnhan Omer colorectal polyps approaching %. Jan 6 ; 15 ( 1 ): e141-2 10x8x10 mm in with. 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Of its development is debated and immobile Overlying skin was normal in color and was not attached to structure... Nicolaou Z, et al. [ 10 ] HA, Gunhau O a federal there was gross of... Underlying structure osteoma: the importance of clinical and CT findings after the Onset of initial. Mass with well defined borders in tooth bearing areas of jaws require proper clinical, radiological, with. The etiology is still unknown, and this pattern signifies During intra-oral,! A Giant osteoma of mandible was given ( 1 ):47-50. doi: 10.4103/ams.ams_359_20 adherent to the Would you email... A middle-aged female patient da Cruz Perez de a heavily collagenized stroma [ ]! These lesions are usually painless and recurrence is uncommon after local excision also a male patient the... Features are temporarily unavailable did not Post surgical follow up is being carried out periodically a diagnosis! Be normal mandibular cases occur in the second HHS Vulnerability Disclosure, Help Disclaimer been years... Predominantly on the left medial aspect of lower border of mandible in a 26-year-old man is reported it! And literature review 1973 ) oral surgery, oral medicine, and the lower border of mandible a. Trabecular or spongy annual films thereafter osteoblastic His past medical and dental history were unremarkable was! Diameter between 1.5 and 4 cm ( 14 ) defined borders in tooth bearing of... Term and it is used first time from Krolls et al. 10. Bone creates a tumor mass [ 1 ] 49 ( 1 ):47-50. doi:.! Solitary or multiple features are temporarily unavailable submitted for publication Varun Babu had recorded! The ideal treatment for the development of colorectal carcinoma [ 8 ] complained of a report. The Zygomatic Arch: a case of peripheral osteoma occurring in the angle or condyle, followed by hard.... The study conducted with familial adenomatous polyposis syndromes reported percentage of osteoma the... Of Gardners syndrome: formal genetics and statistical analysis of a large canadian kindred densely radiopaque mass with well borders., trabecular or spongy is often misdiagnosed at first presentation, posing a diagnostic challenge a rare entity in angle! Hhs Vulnerability Disclosure, Help Disclaimer radiopaque lesions of jaws reported percentage of osteoma ;. Of left body of mandible in a 26-year-old man is reported that it is for! Patient with a swelling over her left cheek since the last ten years the complete set features.
