Peripheral osteoma of the oral and maxillofacial region: A study of 35 new cases

doi:10.1053/joms.2002.35727

Journal of Oral and Maxillofacial Surgery

Volume 60, Issue 11, November 2002, Pages 1299-1301

https://doi.org/10.1053/joms.2002.35727 Get rights and content

Abstract

Purpose: The purpose of this article was to present 35 new cases of peripheral osteoma of the oral and maxillofacial region with an analysis of the literature. Patients and Methods: We performed a search of our files for the past 5 years for peripheral osteoma of the oral and maxillofacial region. The criteria used to diagnose osteoma included the radiographic and histologic features. Results: The 35 patients, which included 23 males (65%) and 12 females (35%), ranged in age from 14 to 58 years, with a mean age of 29.4 years. Most of the osteomas were located in frontal bone (28.57%), mandible (22.85%), and maxilla (14.28%). Conclusion: Peripheral osteomas of the jaw bones are uncommon, and accordingly, patients with osteoma should be evaluated for Gardner's syndrome. In addition, it is appropriate to provide both clinical and radiographic follow-up after surgical excision of a peripheral osteoma. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:1299-1301, 2002

Section snippets

Materials and methods

A search of the files of the Department of Oral and Maxillofacial Surgery, University of Ankara, Dental Faculty and Gülhane Military Medical Academy, Department of Pathology, Turkey, between 1996 and 2001 revealed 35 cases of peripheral osteoma. The criteria used to diagnose osteoma included radiographic and histologic features (Figs 1 through 3).

. Computed tomography scan of the peripheral osteoma in the right maxillary sinus.

. Panoramic radiograph of the peripheral osteoma on the left mandibular

Results

The clinical features of the 35 cases of osteoma are presented in Table 1.

. Clinical features of peripheral osteoma of the oral and maxillofacial region

Region	No. of Patients*	Gender†
Mandible	8
Processus condyllaris	1	—	1 F
Processus coronoideus	1	1 M	—
Corpus	6	4 M	2 F
Maxilla	5
Hard palate	2	1 M	1 F
Processus alveolaris	3	1 M	2 F
Sinuses	4
Frontal sinus	3	3 M	—
Maxillary sinus	1	—	1 F
Frontal bone	10	7 M	3 F
Orbita	1	1 M	—
External auditory canal	3	1 M	2 F
Sphenoid bone	2	2 M	—
Occipital bone	2	2 M	—
*Total number of patients is 35. Average age is

Discussion

Peripheral osteomas occur most frequently in the frontal, ethmoid, and maxillary sinuses.2, 6 Other documented locations in craniofacial sites include the external auditory canal, orbit, temporal bone, pterygoid processes, and, rarely, in or on the jaws.7, 8, 9 Peripheral osteomas of the jaw bones are uncommon.¹ A review of the English literature of the past 30 years revealed only 16 well-documented cases: 15 in the mandible and 1 in the body of the maxilla.⁷ There is a greater occurence in the

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AP Varboncoeur et al.
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I Kaplan et al.
Peripheral osteoma of the mandible: A study of 10 new cases and analysis of the literature
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T Ishikawa et al.
Osteoma of the lateral pterygoid plate of the sphenoid bone
Int J Oral Maxillofac Surg
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There are more references available in the full text version of this article.

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^☆: Address correspondence and reprint requests to Dr Üçok: Ankara Üniversitesi, Dis Hekimlisi Fakültesi, Besevler, Ankara, Türkiye; e-mail: [email protected]

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Clinical ArticlesPeripheral osteoma of the oral and maxillofacial region: A study of 35 new cases☆

Abstract

Section snippets

Materials and methods

Results

Discussion

J Oral Maxillofac Surg

J Oral Maxillofac Surg

Oral Surg Oral Med Oral Pathol

J Oral Maxillofac Surg

J Oral Maxillofac Surg

Int J Oral Maxillofac Surg

Clinical Articles
Peripheral osteoma of the oral and maxillofacial region: A study of 35 new cases☆