Wang-Norderud R, Ragab R R
Scand J Plast Reconstr Surg. 1976;10(1):77-81.
The incidence of true osteoma in the mandibular condyloid process is extremely rare. An unusual case in a 35-year-old man with a classic picture of facial asymmetry is reported. Because of the microscopic similarity of benign osteogenic neoplasma and the hyperplastic overgrowths, the diagnosis of osteoma is sometimes difficult. We believe that the essential differences between an osteoma and an exostosis lie in the location of the overgrowth, the extent of involvement of the condyle, and the age of the patient. Surgical excision is justified because benign tumors of bone do not invariably retain their innocent characteristics.
下颌髁突真性骨瘤的发病率极为罕见。本文报道了一例35岁男性的罕见病例,该患者呈现出典型的面部不对称症状。由于良性成骨性肿瘤与增生性过度生长在显微镜下存在相似性,骨瘤的诊断有时颇具难度。我们认为,骨瘤与外生骨疣的本质区别在于过度生长的部位、髁突的受累程度以及患者的年龄。鉴于骨的良性肿瘤并非始终保持无害特性,手术切除是合理的。