The first case of osteoma in the false vocal fold

Abstract

Objectives-This article reports the first evidence of a larynx osteoma of the false vocal fold.Study design-Case report and literature review.Methods-Case report and review of previously published cases of larynx osteomas.Results-A 79 year-old patient was referred to our institution for dysphagia and hoarseness. Fibrolaryngoscopy showed a regular surface tumefaction of the false fold and the left ventricle, with preserved cordal motility. Patient underwent direct laryngoscopy with CO 2 laser excision of the lesion. Pathologic examination of the lesion (1.6 × 1 cm) showed features consistent with an osteoma. Complete regression of symptoms was observed after surgery, with no lesions found on routine oneyear follow-up.Conclusions-Osteomas are benign, slow growing tumors of the craniofacial bone area, very rarely located in the larynx. Although the etiology is unknown, accepted theories point to embryologic, post-traumatic and infectious causes. Surgical excision is indicated only in symptomatic cases. This case report is the fourth evidence of laryngeal osteoma and, to our knowledge, the first finding of a false vocal fold osteoma.

Bone marrow osteoma of the tibia: A case report

“…Osteoma in the bone marrow cavity is termed bone marrow osteoma. Various studies have reported that osteomas may exist in multiple unusual regions, including the acoustic meatus ( 10 ), middle ear ossicles ( 11 ) and false vocal folds ( 12 ). Notably, whether osteoma may occur in the bone marrow remains unclear, however, this study presented the case of a patient with bone marrow osteoma located in the tibia that underwent surgical excision of the lesion.…”

Acute Airway Obstruction Secondary to Vocal Fold Heterotopic Ossification

“…There have been four reports of bone formation within the larynx but this has been in the context of an osteoma arising from ossified laryngeal cartilage [6][7][8][9]. Osteomas themselves are not uncommon in otorhinolaryngology, frequently arising from the skull, facial bones and paranasal sinuses.…”

“…Osteomas themselves are not uncommon in otorhinolaryngology, frequently arising from the skull, facial bones and paranasal sinuses. Central and peripheral variants arise from a proliferation of cancellous bone in the endosteum or periosteum, respectively [9]. The extra-skeletal variant usually develops within muscle, but remains in contact with the underlying bone either by a broad base or a stalk, and therefore is not found freely within the soft tissues [10].…”

Osteoma of the Pharynx That Developed from the Hyoid Bone

“…Osteoma is classified into 3 types according to the site of origin. Central osteoma arises from the endosteum, peripheral osteoma originates from the periosteum, and extraskeletal osteoma develops within the muscle [ 1 , 3 ].…”

“…On rare occasions, osteomas had been found in the temporal bone [ 4 ], middle ear [ 5 , 6 ], and tongue [ 7 , 8 ]. Only 4 cases of osteoma of the larynx and 2 cases of the neck have been reported thus far [ 3 , 9 – 13 ].…”