Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

Valluzzi, Adelaide; Donatiello, Salvatore; Gallo, Graziana; Cellini, Monica; Maiorana, Antonino; Spina, Vincenzo; Pavesi, Giacomo

doi:10.1055/s-0040-1715488

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…21 They are normally solitary masses and when they occur multiple times, we must rule out the presence of a syndromic complex such as Gardner's syndrome. 22 Peripheral osteomas of the mandible are uncommon, being more frequently located in the vestibular and basal cortices. 23 In our clinical case, the osteoma was found in the condyle of the right mandible, which presented symptomatically, since its growth exceeded the limits of the bone where it sits, causing an asymmetry or facial deformity.…”

Section: Discussionmentioning

confidence: 99%

Osteoma in the temporomandibular joint (Case report)

Monroy-Mendoza

Barrera-Vera²

2023

Mex J Med Res

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Osteomas are benign slow growing osteogenic tumors mostly arising in the craniofacial region and characterized by the deposition of differentiated and mature either or both cancellous and compact bone. Osteoma accounts for 2-3% of all bone primary tumors with an incidence of 10-12% among all benign skeletal neoplasms. Objective: The objective of this work is to describe a clinical case of an osteoma in the temporomandibular joint diagnosed in the maxillofacial surgery service of the General Hospital of Pachuca in the State of Hidalgo, Mexico. Clinical Case: A 39-year-old female patient who comes to the General Hospital Pachuca, Mexico due to pain and noises in the right preauricular region of 6 years of evolution, with facial asymmetry, mandibular deviation to the left and limited mouth opening. Clinically, facial asymmetry, mandibular deviation to the left, right posterior crossbite, anterior open bite mainly on the affected side, preauricular pain, joint sounds, and limitation of mandibular movements were observed. Radiographic examination revealed a trapezoidal mass measuring 2.5 by 2.0 cm, with alteration of the condyle-mandible anatomy on the right side. An insertional biopsy is performed, reporting an osteoma, and surgical intervention is continued. Conclusion: The osteoma in the temporomandibular joint is a rare lesion, its timely value is essential for its treatment. Surgical resection is the gold standard treatment, which is based on a radical excision that extends to the altered normal bone, with the contextual objective of achieving an optimal aesthetic result by choosing the least invasive surgical treatment possible.

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Section: Discussionmentioning

confidence: 99%

Osteoma in the temporomandibular joint (Case report)

Monroy-Mendoza

Barrera-Vera²

2023

Mex J Med Res

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Novel Delivery of Cryoablation Through Transoral Surgical Approach for Atypical Presentation of Osteoid Osteoma of the C1 Lateral Mass: Technical Case Illustration

Dharia,

Bhargav,

Kaufman

et al. 2024

Neurosurgery Practice

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BACKGROUND AND IMPORTANCE: Neurosurgical literature rarely explores cases of osteoid osteomas of the atlas. Traditionally, neurosurgeons performed en bloc surgical resection for refractory osteoid osteomas in the subaxial and lumbar spine, but minimally invasive ablation therapies have gained favor. Complete lesioning of the nidus, either by surgical or minimally invasive therapies, produces curative results with recurrence only developing after partial lesioning. CLINICAL PRESENTATION: We discuss the case of a 16-year-old adolescent boy who presented with neck and occipital pain refractory to multimodal pain management. Prolonged workup demonstrated a subtle radiographic lesion of the left C1 lateral mass. Interventional radiologists attempted a posterior approach percutaneous computed tomography-guided radiofrequency ablation but aborted due to proximity of the vertebral artery. Surgeons then pursued an open transoral approach to provide a corridor for cyclical cryoablation therapy, which proceeded without complication. The patient was discharged on postoperative day one with remission of occipital pain at the 10-month follow-up. No clinical or radiographic evidence of instability appeared on postoperative cervical films. CONCLUSION: No reports exist in the literature of an osteoid osteoma of C1 treated by an open anterior approach and with cryoablation. The transoral approach is a safe, effective method to access ventral pathologies of C1. The transoral approach may minimize blood loss and reduce the risk of craniocervical instability, allowing for preserved cervical mobility and improved patient outcomes. Surgeons may especially consider cryoablation when the nidus is within proximity to critical neural structures.

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Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

Cited by 2 publications

References 18 publications

Osteoma in the temporomandibular joint (Case report)

Osteoma in the temporomandibular joint (Case report)

Novel Delivery of Cryoablation Through Transoral Surgical Approach for Atypical Presentation of Osteoid Osteoma of the C1 Lateral Mass: Technical Case Illustration

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