J Korean Soc Plast Reconstr Surg.  2011 Jul;38(4):512-515.

Multiple Osteomas in the Skull Vault: Case Report

Affiliations
  • 1Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. supramicro@gmail.com
  • 2Department of Plastic Surgery, Jeju National University School of Medicine, Jeju, Korea.

Abstract

PURPOSE
Osteoma is one of the common benign tumors of the skull vault and facial skeleton. Although most of the osteomas cause no symptoms, forehead osteomas may lead to facial disfigurement. Osteoma usually happens in solitary lesion and multiple osteomas which don't combine with syndrome are very rare. We report an experience of treatment of non-syndromic multiple osteomas in the skull.
METHODS
A 54-year-old female patient visited due to the multiple palpable hard masses on her forehead in 2010. In 2002 of her first visit, masses started to appear on her forehead and she was diagnosed as the osteoma by excisional biopsy. She visited again because the mass size and number increased. In preoperative CT scanning, there were above 160 of osteomas, so surgery was planned. Enterogastroduodenoscopy and colonoscopy was conducted to rule out Gardener's syndrome, however there was no abnormality such as multiple polyposis.
RESULTS
Under general anesthesia, coronal approach was conducted. There were numerous osteomas in frontal and parietal bone. The multiple osteomas were removed by burring and the patient recovered without any postoperative complications.
CONCLUSION
Multiple osteomas in the skull were rarely reported, although it can accompanied with Gardener's syndrome. We report a case of non-syndromic multiple osteomas in skull vault.

Keyword

Osteoma; Multiple; Skull

MeSH Terms

Anesthesia, General
Biopsy
Colonoscopy
Female
Forehead
Humans
Middle Aged
Osteoma
Parietal Bone
Skeleton
Skull
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