ABSTRACT
Objective: 0 To discuss the clinical presentation, diagnosis and management of osteomas involving
the craniomaxillofacial region. Materials and Methods: 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. Results: 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. Conclusion: 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.
KEY WORDS
Craniofacial - osteoma - reconstruction
