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Treatment of Symptomatic Osteoma on Eyebrow Using Adjacent Supraorbital Neuroperiosteal Flap
Hwan Jun Choi1, Jun Ho Park, Chang Yong Choi
1*Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan †Institute of Tissue Regeneration, Soonchunhyang University ‡Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Gumi, Republic of Korea.
Abstract:
Osteomas grow slowly, blocking or compressing adjacent structures, and frequently causing aesthetic deformity. Although most patients remain asymptomatic, development of facial pain and headaches due to compression of adjacent sensory nerves is not uncommon. Depending on the location of osteoma, many techniques were introduced to remove it. If the osteoma was located close to important structures such as nerves and vessels, surgeons can be concerned about damaging them resulting in unfavorable symptoms to patients. Osteoma is a benign slow-growing osteogenic lesion, composed of well-differentiated mature bone tissue, characterized by the proliferation of compact or cancellous bone, and found in the head and neck region. It is often slow growing and asymptomatic, diagnosed incidentally on radiographs. It can cause deformation of the bone and compression of the adjacent structures such as nerve compression. This case shows how symptomatic osteoma can be successfully extracted.
Insights
Osteomas are benign bone tumors that can cause pain and deformity. This case demonstrates the successful surgical extraction of a symptomatic osteoma, relieving patient discomfort.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Oncology
Background:
- Osteomas are benign, slow-growing osteogenic lesions common in the head and neck.
- They are characterized by mature bone tissue proliferation and can cause aesthetic deformity and nerve compression.
Observation:
- Osteomas often remain asymptomatic and are incidentally discovered on radiographs.
- Symptomatic osteomas can lead to facial pain and headaches due to compression of adjacent sensory nerves.
Findings:
- Surgical extraction is a viable treatment for symptomatic osteomas.
- Careful surgical planning is essential, especially when osteomas are near critical structures like nerves and vessels.
Implications:
- Successful osteoma removal can alleviate pain and correct deformities.
- This case highlights the importance of considering surgical intervention for symptomatic osteomas to improve patient quality of life.
