Objective:To discuss the clinical presentation, diagnosis and management of osteomas involving the craniomaxillofacial region.Materials and Methods:This study was conducted from June 2004 to March 2012 at our institute. A total of 12 cases between the ages of 10 and 50 years were managed with surgical excision and reconstruction. The criteria used to diagnose osteoma included radiographic and clinical features and histological confirmation of the specimen. The total follow-up period ranged from 6 to 24 months.Results:Out of 12 osteomas, 10 were peripheral and 2 were centrally located. Mandible involvement was seen in six patients, four involved the orbit, one the frontal bone and one the frontal bone with the skull base. All patients undergoing excision and reconstruction had a favourable aesthetic and functional outcome. There were no recurrences and no post-operative complications.Conclusion:Osteomas affect all age groups with no sex predilection and are usually clinically asymptomatic till they become large in size. Surgical excision and appropriate reconstruction is the mainstay of management. Surgery is indicated when lesion is symptomatic or actively growing and the surgical approach for exposure of the lesion should be case specific.

Introduction-The reconstruction of defects after excision of oral malignancy is a challenge. The armamentarium of a reconstructive surgeon includes a plethora of flaps such as microvascular free flaps and regional or local pedicled flaps. The patients in our institution require a holistic approach towards not only reconstruction of the defect but also towards improving their nutritional status within the limits of their socioeconomic background. Methods: We conducted an epidemiological study of patients with oral malignancy in our institute over a period of 3 years. Thirty seven patients were studied during their course of management from pre-operative preparation to post-operative follow up. The choice of flap used for reconstruction depended on location and volume of defect, seropositive status and ejection fraction of the patients. Results:-Of the 37 patients studied, there were 28 males and 7 females, with an average age of 49 years. The most common site of involvement was the buccal mucosa (43%) and most common histopathological type was squamous cell carcinoma (96%). Microvascular free flaps were used for reconstruction in 72% of patients and

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