Facial osteomas: fourteen cases and a review of literature

1796 Abstract. - OBJECTIVE: Osteomas are be- nign tumors that frequently affect the cranio-fa- cial region, especially the temporal bones, jaw and sinus. This lesion very rarely involves the maxillary bones. The aim of our study is to de- scribe our surgical case series and to evaluate the diagnosis and management of peripheral craniofacial osteomas with a review of the litera- ture. PATIENTS AND METHODS: We retrospective- ly analyzed a series of 14 patients that under- went surgery for the removal of a cranio-facial osteoma, 10 cases were peripheral osteoma of the lower jaw and 4 were peripheral osteomas of the upper jaw. The 14 patients included 8 fe- males and 6 males, with a mean age of 42 years. The median follow up period was 48 months. RESULTS:All patients received a total surgical removal and we did not have any intraoperative complications with optimal cosmetic and func- tional results. Pain resolved in all cases and a single case postoperative dysesthesia occurred. NO recurrence has been detected at last follow- up visit. CONCLUSIONS:Osteomas must be well iden- tified and differentiated from other solid dis- eases of the bone and should be treated if symptomatic. The elective treatment is surgical removal, resulting in a complete resolution of the pathology.