Frontal Osteoma‐Induced Headache Revealed by Conventional Radiography With a False Negative MRI: Röntgen Strikes Back

Voicu, Ioan Paul; Bartalena, Tommaso

doi:10.1111/head.13762

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…The most common location for an osteoma to arise in the paranasal sinuses is the frontal sinus, which accounts for over 80% of paranasal sinus osteomas 53,66 . Due to interruption of mucus outflow, osteomas can present similarly to sinus infections with rhinosinusitis, 67,68 headache, 69 epistaxis, 70 parosmia, 71 facial swelling, 24,72,73 transient motor aphasia of the facial musculature, 69 nasal obstruction, and pain 19,74 . If untreated, obstructed sinuses can progress to abscess formation within the region of impaired outflow.…”

Section: Clinical Presentationmentioning

confidence: 99%

Diagnosis and Management of Craniofacial Osteomas

Langlie

Hullfish

Jabori

et al. 2023

Journal of Craniofacial Surgery

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Importance: Osteoid osteomas are benign bony overgrowths that can occur in any region of the body. However, they have a predilection to occur in the craniofacial region. Because of the rarity of this entity, there is a lack of literature detailing the management and prognosis of craniofacial osteoid osteomas. Observations: Craniofacial osteomas have a predilection to involve the paranasal sinuses, but can also be found within the jaw, skull base, and facial bones. Because of their slow-growing nature, craniofacial osteomas are often incidentally discovered on routine imaging or after they compress nearby structures or distort nearby anatomy. Osteoid osteomas of the face can be treated with resection via various approaches. Recent advancements describe minimally invasive endoscopic techniques and adjuvant therapy with radiofrequency ablation guided by cone biopsy computed tomography. Osteoid osteomas have an excellent prognosis with complete resection. They demonstrate a low incidence of recurrence when compared with other osteoblastic lesions of the craniofacial structures. Conclusions and Relevance: Craniofacial osteoid osteomas remain a developing topic within the field of craniofacial surgery. Their removal may be trending toward minimally invasive techniques. However, all treatment modalities appear to result in improved cosmetic outcomes and low recurrence rates.

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Section: Clinical Presentationmentioning

confidence: 99%

Diagnosis and Management of Craniofacial Osteomas

Langlie

Hullfish

Jabori

et al. 2023

Journal of Craniofacial Surgery

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“…As an osteoma is a dense bone lesion, its evaluation is faster and more effective via CT [ 57 ]. Nevertheless, MRI can be used as a supplement to CT in the assessment of adjacent soft tissues and complications associated with an osteoma, such as inflammatory changes in mucosa in the case of an osteoma arising in paranasal sinuses [ 21 , 22 , 25 , 28 , 31 , 35 , 37 ].…”

Section: Imagingmentioning

confidence: 99%

Craniofacial Osteomas: From Diagnosis to Therapy

Tarsitano

Ricotta

Spinnato

et al. 2021

JCM

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An osteoma is a benign bone lesion with no clear pathogenesis, almost exclusive to the craniofacial area. Osteomas show very slow continuous growth, even in adulthood, unlike other bony lesions. Since these lesions are frequently asymptomatic, the diagnosis is usually made by plain radiography or by a computed tomography (CT) scan performed for other reasons. Rarely, the extensive growth could determine aesthetic or functional problems that vary according to different locations. Radiographically, osteomas appear as radiopaque lesions similar to bone cortex, and may determine bone expansion. Cone beam CT is the optimal imaging modality for assessing the relationship between osteomas and adjacent structures, and for surgical planning. The differential diagnosis includes several inflammatory and tumoral pathologies, but the typical craniofacial location may aid in the diagnosis. Due to the benign nature of osteomas, surgical treatment is limited to symptomatic lesions. Radical surgical resection is the gold standard therapy; it is based on a minimally invasive surgical approach with the aim of achieving an optimal cosmetic result. Reconstructive surgery for an osteoma is quite infrequent and reserved for patients with large central osteomas, such as big mandibular or maxillary lesions. In this regard, computer-assisted surgery guarantees better outcomes, providing the possibility of preoperative simulation of demolitive and reconstructive surgery.

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Frontal Osteoma‐Induced Headache Revealed by Conventional Radiography With a False Negative MRI: Röntgen Strikes Back

Cited by 2 publications

References 2 publications

Diagnosis and Management of Craniofacial Osteomas

Diagnosis and Management of Craniofacial Osteomas

Craniofacial Osteomas: From Diagnosis to Therapy

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