A Clinical Experience of Frontal Periosteal Osteoma: 20 Cases.

Jung, Jae Hak; Kim, Young Hwan; Sun, Hook; Hwang, So Min; Kang, Chul Sun

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(3):319-323.
Published online May 1, 2006.

A Clinical Experience of Frontal Periosteal Osteoma: 20 Cases.

Jae Hak Jung, Young Hwan Kim, Hook Sun, So Min Hwang, Chul Sun Kang

¹Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University, Busan, Korea.
²Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital, Busan, Korea. smhwang@moonhwa.or. kr

Abstract

Osteoma is benign tumor composed of mature compact or cancellous bone. Generally it is classified as periosteal(or peripheral) osteoma and endosteal(or central) osteoma by its origin. Clinically, periosteal osteoma on forehead is usually asymptomatic. From March 2002 to February 2005, We experienced 20 patients(23 cases) of histologically confirmed frontal osteoma. 20 patients are classified as sex, age, the number of osteoma, size, location and shape. Out of 20 patients, 16 were female and 4 were male in sex and mean age was 46. 18 patients have only one lesion but one patient has two lesions and another patient has three lesions. The size of osteoma varied from 7 x 5 x 3 mm to 16 x 14 x 6 mm and mean size is 12 x 10 x 5 mm. All osteomas were located at midline of forehead and shape of attachment was all sessile type. Surgical excision was superficial ostectomy through direct cutaneous incision or endoscopic approach. we obtained satisfactory result without specific complication.

Keywords: Frontal osteoma; Periosteal osteoma