Gundewar Sagar, Kothari Deepak S, Mokal Nitin J, Ghalme Amol
Department of Plastic Surgery, G.T Hospital, Mumbai, India.
Department of Plastic Surgery, J. J. Hospital, Mumbai, India.
Indian J Plast Surg. 2013 Sep;46(3):479-85. doi: 10.4103/0970-0358.121982.
To discuss the clinical presentation, diagnosis and management of osteomas involving the craniomaxillofacial region.
This study was conducted from June 2004 to March 2012 at our institute. A total of 12 cases between the ages of 10 and 50 years were managed with surgical excision and reconstruction. The criteria used to diagnose osteoma included radiographic and clinical features and histological confirmation of the specimen. The total follow-up period ranged from 6 to 24 months.
Out of 12 osteomas, 10 were peripheral and 2 were centrally located. Mandible involvement was seen in six patients, four involved the orbit, one the frontal bone and one the frontal bone with the skull base. All patients undergoing excision and reconstruction had a favourable aesthetic and functional outcome. There were no recurrences and no post-operative complications.
Osteomas affect all age groups with no sex predilection and are usually clinically asymptomatic till they become large in size. Surgical excision and appropriate reconstruction is the mainstay of management. Surgery is indicated when lesion is symptomatic or actively growing and the surgical approach for exposure of the lesion should be case specific.
探讨累及颅颌面区域骨瘤的临床表现、诊断及治疗方法。
本研究于2004年6月至2012年3月在我院开展。对12例年龄在10至50岁之间的患者进行了手术切除及重建治疗。诊断骨瘤的标准包括影像学和临床特征以及标本的组织学确认。总随访期为6至24个月。
12例骨瘤中，10例为外周型，2例为中心型。6例患者下颌骨受累，4例累及眼眶，1例累及额骨，1例累及额骨及颅底。所有接受切除及重建的患者在美学和功能方面均取得良好效果。无复发及术后并发症。
骨瘤可发生于所有年龄组，无性别倾向，通常在瘤体增大之前临床上无症状。手术切除及适当重建是主要治疗方法。当病变有症状或处于活跃生长状态时需进行手术，且暴露病变的手术入路应根据具体病例而定。
