Experience with three-dimensional exoscope-assisted surgery of giant mastoid process osteoma

Remacha, Joan; Navarro-Díaz, Marta; Larrosa, Francisco

doi:10.1017/s0022215121004588

Cited by 3 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It consists of an on-demand postauricular approach to expose the lesion and cleavage of the tumor from unaffected cortical tissue, by a bone chisel, curette, or drilling, depending on the features of the osteoma [ 1 , 7 , 16 , 17 ]. There is only one reported case of three-dimensional exoscope-assisted surgery of a giant lesion [ 19 ]. Craniotomy and cranioplasty may be considered for greater tumors.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Surgical Results of Cortical Mastoid Bone Osteomas

Donati

Zinis

2022

Audiology Research

View full text Add to dashboard Cite

Background: Though osteomas can commonly arise in the cranial bones, an extra canalicular mastoid bone location is a rare entity with less than 200 cases described to date. We present three cases of cortical mastoid bone osteomas and compare them with cases presented in the literature. Methods: In this study, we used a retrospective chart analysis. Results: All three patients presented after years of progressively increasing postauricular swelling without symptoms. Temporal bone non-contrast CT allowed accurate preoperative diagnosis. Surgical treatment was performed for cosmetic issues with minimal postoperative morbidity. Complete excision was achieved in all cases, and to date, there is no evidence of recurrence. Conclusions: Mastoid osteomas are rare benign slow-growing tumors. They usually present as a painless cosmetic disfigurement and are otherwise asymptomatic. Surgical excision is the treatment of choice when they cause esthetic discomfort or are symptomatic. Recurrences are infrequently reported.

show abstract

Section: Discussionmentioning

confidence: 99%

Long-Term Surgical Results of Cortical Mastoid Bone Osteomas

Donati

Zinis

2022

Audiology Research

View full text Add to dashboard Cite

show abstract

“…The utilization of the 3D 4K exoscope has found notable application within various facets of adult otorhinolaryngology (ORL) and head and neck surgery. Notably, in the domain of ear surgery, its implementation has encompassed stapedotomy [4], mastoid surgery [5], tympanoplasty [6], and, significantly, the facilitation of cochlear implantation [7]. Case series have surfaced that have detailed exoscope-assisted procedures, such as temporal bone resection [8] and diverse skull base surgeries, spanning both anterior approaches [9] and lateral interventions [10].…”

Section: Introductionmentioning

confidence: 99%

High-Definition 3D Exoscope in Pediatric Otorhinolaryngology: A Systematic Literature Review

Gaffuri,

di Lullo,

Trecca

et al. 2023

JCM

View full text Add to dashboard Cite

This PRISMA-compliant systematic review aimed to investigate the use of and the most common procedures performed with the novel 3D 4K exoscope in surgical pediatric head and neck settings. Methods: Search criteria were applied to PubMed, EMBASE and the Cochrane Review databases and included all studies published up to January 2023 reporting 3D 4K exoscope-assisted surgeries in pediatric patients. After the removal of duplicates, selection of abstracts and full-text articles, and quality assessment, we reviewed eligible articles for number of patients treated, age, surgical procedures, and outcomes. Results: Among 54 potentially relevant records, 5 studies were considered eligible and included in this systematic review, with reported treatment data for 182 patients. The surgical procedures belong to the otologic field (121 cases), head and neck surgery (25 cases) and transoral surgery (36 cases). Exoscopy allowed high quality visualization of anatomical structures during cochlear implantation and during reconstruction in head and neck surgery; moreover, it improved the surgical view of surgeons, spectators and ENT students. Conclusions: The use of 3D 4K exoscopy has shown promising potential as a valuable tool in pediatric ORL-head and neck surgery; nevertheless, further validation of these encouraging outcomes is necessary through larger-scale studies specifically focused on pediatric patients.

show abstract

Osteoma of the temporal bone squama: a case report and review of literature

Varghese,

Kumar,

Paul

et al. 2023

Egypt J Otolaryngol

View full text Add to dashboard Cite

Background Osteomas are benign slow-growing tumors, which typically arise on the surface of the bone. They rarely arise from the temporal bone, accounting for 0.1–1% of all benign tumors of the skull. The external auditory canal (EAC) is the most common site for osteomas in the temporal bone. Other extra-canalicular osteomas of the temporal bone are uncommon and infrequently reported. In this case report, we discuss the clinical presentation and surgical management of osteoma of the squamous part of the temporal bone. A limited review of literature is also presented. Case presentation A 20-year-old male presented to the outpatient department (OPD) with a chief complaint of a hard swelling above his left ear, for 4 years. He had no other complaints other than cosmetic concern. On examination, there was a solitary, smooth, bony hard swelling just antero-superior to the left pinna, and the overlying skin was unremarkable. The left EAC and tympanic membrane were normal. A non-contrast computed tomography (CT) scan of the head and face with 3-D reconstruction showed a16 × 18 mm exophytic, pedunculated bony lesion arising from the squamous part of the temporal bone suggestive of an osteoma. The patient was taken up for surgical excision under general anesthesia. The bony lesion was removed from its attachment to the skull using a gouge and a mallet. The base of the tumor was drilled using a polishing burr to ensure complete removal and prevent recurrence. The histopathology was confirmatory of compact osteoma. Postoperative period was uneventful, and follow-up at 18-month post-surgery did not reveal any recurrence clinically. Conclusion Osteoma of the temporal squama is rarely reported, and surgical excision is the definitive treatment if symptomatic. This case report highlights the surgical management of this rare tumor. A limited review of literature suggests that squamous part of the temporal bone is an unusual site for extra-canalicular osteomas, and the prognosis is good after surgery.

show abstract

Experience with three-dimensional exoscope-assisted surgery of giant mastoid process osteoma

Cited by 3 publications

References 4 publications

Long-Term Surgical Results of Cortical Mastoid Bone Osteomas

Long-Term Surgical Results of Cortical Mastoid Bone Osteomas

High-Definition 3D Exoscope in Pediatric Otorhinolaryngology: A Systematic Literature Review

Osteoma of the temporal bone squama: a case report and review of literature

Contact Info

Product

Resources

About