A comparison of percutaneous trephine excision and open surgery in the treatment of osteoid osteoma

Alemdar, Celil; Çaçan, Mehmet Akif; Duşak, Abdurrahim; Özkul, Emin; Atiç, Ramazan; Kapukaya, Ahmet

doi:10.1007/s00264-015-3044-8

Cited by 10 publications

(10 citation statements)

References 23 publications

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“…Thus during operation only minimal cortical bone had to be removed to allow total excision of the nidus after localizing the site & its surrounding a multiple drill holes using 3.5 drill pit was done to facilitate total resection by hummer &osteotom. .We do not use any other methods of localizing nidus such as pre-operative injection of technetium 99 methylene diphosphonate and intra-operativeprobing, or injecting tetracycline pre-operatively and examining the specimen under ultraviolet light are necessary (14,15) .Xiaoning et al(N=14) (16) had concluded that conventional excision surgery of ostoidosteoma was effective and safe treatment, associated with a low local recurrence and complication rate.This is also confirm by Lin et al (N=14) who had concluded that the niduses of osteoid osteomas can be eradicated by open surgery with 3-D C-arm scan under the guidance of computer navigation with minimal damage to bone structure and a high rate of pathologically confirmed diagnoses. (17) Al qurashi et al (N=12).…”

Section: Discussionmentioning

confidence: 99%

Outcome of En Bloc Resection of Osteoidosteoma

Alshahwani¹

2020

Al-Kindy Col. Med. J

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Background: Osteoid osteomaa benign tumor is unusual before the age of 5 or after age 30 and is more prevalent in men. The main symptom is pain, which is typically severe and responsible for nocturnal awakenings. The conditons usually diagnosed through radiological imagine and confirmed by Histopathology.Objectives: To assess the effectiveness and the complications that had been risen during the surgical procedure of osteoid osteoma using en bloc resection.Methods: (10) Patients diagnosed with osteoid osteomawere treated with enbloc surgical reseaction were included in this study.the study took place at Al Yarmouk teaching hospital.the from April 2017-october 2018 and included 10 patients..(7) male, (3) females.The mean age of the sample was 18±4 years. descriptive and inferential statistical sanalysis was fulfill the study objectives..Results: There was significant decrease in their median pain scores after 8 weeks of treatment (t test , P <0 .05).Total pain resolution and cessation of analgesics were achieved in 9 of 10 patients after 8 weeks post-operatively. P value was set at 0.05 or less.SPSS software version 20 was used for data entry and statistical calculationsConclusions: En bloc resection of osteoidosteoma is very safe and effective procedure with a very low complications rates.

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Section: Discussionmentioning

confidence: 99%

Outcome of En Bloc Resection of Osteoidosteoma

Alshahwani¹

2020

Al-Kindy Col. Med. J

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“…Traditionally, surgical resection has been the next step and was the definitive treatment for a long time. 15 But open surgery may result in procedure-related complications and a long hospital stay. 16 Recently, RFA has been applied more diffusely in the treatment of osteoid osteoma owing to fewer complications and shorter length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency ablation of osteoid osteoma in the atlas: A case report

Yang

Yin

et al. 2017

Interv Neuroradiol

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Osteoid osteoma of the atlas has previously been reported very rarely in the published literature. The traditional standard treatment has been a surgical resection of the nidus. Recently, computed tomography (CT)-guided radiofrequency ablation (RFA) has gained favor as a more precise alternative treatment. Here, we present a case of osteoid osteoma of the C1 lateral mass treated successfully using CT-guided RFA. A 30-year-old woman who presented with a four-month history of occipital and suboccipital pain was treated by CT-guided RFA. The visual analog scale (VAS) assessed the pain before and after RFA. The patient reported significant pain relief and normal activities. The VAS score reduced from 8/7 to 1/0 after the procedure. Therefore CT-guided percutaneous RFA of C1 vertebral osteoid osteoma is a safe and effective method. The technique might be contraindicated when the nidus is less than 2 mm away from the neural structures.

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“…Currently, the main treatments for osteoid osteoma are conventional open surgery, CT‐guided radiofrequency ablation and computer navigation‐guided open surgery. Compared with open surgery, CT‐guided radiofrequency ablation has the advantages of less operative trauma and more accurate localization of the nidus. However, its drawbacks include difficulty in precise control of the radiofrequency dosage and inability to detect damage intra‐operatively, which leads to failure to relieve symptoms in some patients.…”

Section: Discussionmentioning

confidence: 99%