Frontal peripheral osteomas: a retrospective study

Abstract

Background: Osteomas are benign, slow-growing bone tumors that can be classified as central, peripheral, or extraskeletal. Central osteomas arise from the endosteum, peripheral osteomas from the periosteum, and extraskeletal osteomas within the muscle. Frontal peripheral osteomas are mainly encountered in plastic surgery. In this study, we retrospectively analyzed the clinical data of patients with frontal peripheral osteomas.Methods: We retrospectively reviewed the medical records of patients who visited our hospital with frontal peripheral osteomas between January 2014 and June 2022. We analyzed the following variables: age, sex, tumor type (sessile or pedunculated), single or multiple, size, history of head trauma, operation, and recurrence.Results: A total of 39 patients and 41 osteomas were analyzed, of which 29 osteomas (71%) were sessile and 12 osteomas (29%) were pedunculated. The size of the osteomas ranged from 4 to 30 mm, with an average size of 10 mm. The age of patients ranged from 4 to 78 years with a mean age of 52 years. There were seven men (18%) and 32 women (82%), and the man-to-woman ratio was 1:4.6. Two patients (5%) had multiple masses, with two osteomas in each, while only two patients (5%) had a history of head trauma. Twenty-nine patients (74%) underwent ostectomy by a direct approach, and none of the patients experienced recurrence.Conclusion: The epidemiologic data of our study will help plastic surgeons encounter frontal peripheral osteomas in the field to provide proper management for their patients.

Navegação em software livre e impressão 3D aplicada ao tratamento de osteoma mandibular

“…O osteoma é uma lesão benigna, que aparece predominantemente na região craniofacial (Agarwal et al, 2021;Kim et al, 2023;Putro et al, 2023). São reconhecidos três subtipos, de acordo com a localização.…”

“…A associação dos osteomas com a síndrome de Gardner sugere uma possível natureza hereditária (Blackwell et al, 2023;D'Agostino et al, 2023;Lucamba et al, 2023;Putro et al, 2023). Alguns locais de maior frequência de surgimento de osteomas são áreas suscetíveis ao trauma, como o osso frontal ou o ângulo e bordo inferior da mandíbula, sugerindo que traumas pregressos possam estar associados ao desenvolvimento dessas lesões (Kim et al, 2023;Wolf-Grotto et al, 2022).…”

Aneurysmal bone cyst arising from the surgically removed craniofacial fibrous dysplasia in the long-term follow-up: a case report

“…Additionally, patients with polyostotic forms FD may have McCune-Albright syndrome. A conservative approach with observation and close monitoring for monostotic craniofacial FD is regarded the optimal approach because the FD generally stops growing after puberty [3][4][5][6]. But if the indication is clear, surgical methods such as bone excision or shaving must be considered.…”