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Osteomas in pediatric oral surgery practice.

Pavlo I Tkachenko1, Serhii O Bilokon1, Olha B Dolenko1

  • 1POLTAVA STATE MEDICAL UNIVERSITY, POLTAVA, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
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Summary

Pediatric osteomas in the maxillofacial region are most common in older children, often presenting asymptomatically. Treatment involves monitoring or surgical removal based on individual symptoms and tumor progression.

Keywords:
maxillofacial regionbenign tumorschildrenosteoid osteomaosteoma

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Area of Science:

  • Pediatric Oncology
  • Oral and Maxillofacial Surgery
  • Pathology

Background:

  • Osteomas are benign bone tumors that can occur in the maxillofacial region.
  • Understanding their characteristics in children is crucial for timely diagnosis and management.
  • Previous research has focused more on adult osteomas, leaving a gap in pediatric data.

Purpose of the Study:

  • To investigate the frequency, clinical features, and morphological characteristics of pediatric osteomas in the maxillofacial region.
  • To evaluate current treatment strategies for these tumors in children.
  • To compare pediatric osteoma presentation with that in adults.

Main Methods:

  • Retrospective analysis of 17 pediatric patients diagnosed with osteomas over a 10-year period.
  • Utilized general clinical examination, radiography, and computed tomography for diagnosis.
  • Histological examination of surgical specimens to determine microscopic structure.

Main Results:

  • Osteomas were more prevalent in older children (70.6%) and boys (58.8%).
  • Most cases were asymptomatic, with some presenting as painless mandibular protrusions causing facial asymmetry.
  • Radiological and histological findings in children mirrored those typically seen in adults.

Conclusions:

  • Pediatric maxillofacial osteomas are most common in older children, often located in the mandible or paranasal sinuses.
  • Clinical and morphological features in children are similar to adults, supporting current treatment approaches of monitoring or surgical excision.
  • Etiology, pathogenesis, and classification of osteoid osteomas require further research despite diagnostic advancements.