Frontal peripheral osteomas: a retrospective study

Area of Science:

• Plastic Surgery
• Oncology
• Dermatology

Background:

• Osteomas are benign, slow-growing bone tumors with central, peripheral, and extraskeletal classifications.
• Frontal peripheral osteomas, originating from the periosteum, are frequently seen in plastic surgery.
• This study focuses on the clinical data of patients diagnosed with frontal peripheral osteomas.

Purpose of the Study:

• To retrospectively analyze the clinical characteristics and management outcomes of frontal peripheral osteomas.
• To provide epidemiologic data to aid plastic surgeons in the proper management of these tumors.

Main Methods:

• Retrospective review of medical records for patients with frontal peripheral osteomas (January 2014 - June 2022).
• Analysis of variables including age, sex, tumor type, size, history of trauma, surgical approach, and recurrence.
• Inclusion of 39 patients and 41 osteomas in the analysis.

Main Results:

• The majority of osteomas (71%) were sessile, with an average size of 10 mm (range 4-30 mm).
• Patients ranged from 4 to 78 years (mean 52 years), with a female predominance (82%).
• No recurrences were observed after ostectomy via a direct approach in 74% of patients.

Conclusions:

• Frontal peripheral osteomas predominantly affect women and are often sessile.
• Surgical management through direct ostectomy is effective with no reported recurrence in this cohort.
• The epidemiologic data gathered can inform plastic surgeons for optimal patient management.