Korean J Dermatol.  2024 Aug;62(7):391-399.

The Use of High-Speed Burr in Minimally Invasive Surgery for Button Osteoma of the Skull: An Institutional Review

• Park JS
• Cha BB
• Byun SJ
• Moon JH
• Kim WS
• Choi YJ

Abstract

Background
In a previous study, rhinoplasty rasp was shown an effective method for removal of button osteoma (BO) of the skull.
Objective
In the present study, our experience was presented and surgical outcome using high-speed burr in surgery for BO evaluated.
Methods
The register-based surgery reports of patients who underwent local excision of BO (2010∼2023) at a single institution were reviewed. Demographics, photodocumentation, radiologic examinations, pathology reports, data of scar prevention, and surgical outcome in the BO study cohort were analyzed.
Results
A total of 20 BO lesions in 18 patients (14 females and four males; mean age of 52.4±14.3 years) who underwent surgery using high-speed burr were assessed. The mean size of BO was 9.3 mm (range, 5∼17 mm). Most of the BOs were located on the forehead (19/20, 95.0%), which was associated with the course of the supratrochlear (n=13) or supraorbital nerve (n=6). Minimal hematoma was complicated in three patients (16.7%). Delayed complications, recurrence, and severe scarring during the mean follow-up of 3.1±3.5 months were not reported.
Conclusion
The use of high-speed burr for surface smoothening may provide good surgical results in minimally invasive BO surgery.

Keyword

Dental high-speed equipment; Dermatologic surgical procedures; Minimally invasive surgical procedures; Osteoma