Treatment of primary miliary osteoma cutis with incision, curettage, and primary closure.

BACKGROUND

Primary miliary osteoma cutis is characterized by de novo bone formation in skin without a known associated or pre-existing cutaneous disorder. These lesions often develop on the face and cause cosmetic concern.

OBJECTIVE

Multiple treatments have been attempted, including topical and systemic agents and surgical techniques. The ideal treatment modality should be simple and effective with minimal side effects.

METHODS

The technique of scalpel incision over visible lesions, curette extraction of bony fragments, and primary suture repair was used to remove multiple lesions of primary miliary osteoma cutis on the cheeks of an affected patient.

RESULTS

This surgical technique resulted in a significant reduction of visible and palpable lesions and a smoother surface contour with minimal scarring.

CONCLUSION

This surgical technique offers a simple but effective method for removal of multiple bony fragments in primary miliary osteoma cutis with minimal side effects.