PERİFERAL OSTEOMA

Abstract

46-year-old male patient was admitted to our clinic with swelling of the right mandibular mental region. In anamnesis, it was detected that there was swelling for a long time, increasing in the size of the swelling and his complaint is about facial asymmetry. Examination revealed a very mild pain and hard lump. A panoramic radiograph was seen a radiopaque mass which was superposing the apical region of 44, 45 numbered teeth. In examination with dental volumetric tomography, a lesion which is causing expansion in the buccal, associated with mental foramen, regular borders, homogeneous density was detected in the premolar region. In our study, it is aimed to present detailed the imaging of osteoma that were detected by cone beam computed tomography

Keywords

• Osteoma
• mandible
• cone beam computed tomography

PERIPHERAL OSTEOMA

Abstract

46 yaşında erkek hasta, sağ mandibular bölge- deki şişlik nedeni ile kliniğimize müracaat etti. Hikaye- sinden şişliğin büyüklüğünde zamanla artış olduğu ve hastanın da yüzündeki bu şişlikten rahatsız olduğu öğrenildi. Ağız dışı muayenesinde  hafif ağrı ve sert şişlik tespit edildi. Panoramik radyografında 44, 45 nu- maralı dişlerin apikal bölgesine süperpoze olmuş radyoopak kitle saptandı. Dental volümetrik tomografi ile yapılan incelemede sağ premolar bölgede; bukkal ekspansiyona neden olan, mental foramen ile ilişkili, sınırları düzenli, homojen dansite arzeden lezyon tespit edildi.

Bu vaka sunumunda konik ışınlı bilgisayarlı tomografi (KIBT) ile osteomanın ayrıntılı görüntüle- mesi, klinik ve radyolojik bulguların değerlendirilmesi amaçlanmıştır. 

Keywords

• Osteoma
• mandibula
• konik ışınlı bilgisayarlı tomografi

References

1. Horikawa FK, Freitas RR, Maciel FA, Gonçalves AJ. Peripheral osteoma of the maxillofacial region: a study of 10 cases. Braz J Otorhinolaryngo. 2012;78:38-43.
2. Woldenberg Y, Nash M, Bodner L. Peripheral osteoma of the maxillofacial region. Diagnosis and management: A study of 14 cases. Med Oral Patol Oral Cir Bucal 2005; 10:E139-42.
3. Sayan NB, Ucok C, Karasu HA, Gunhan O. Peripheral osteoma of the oral and maxillofacial region: a study of 35 new cases. J Oral Maxillofac Surg 2002; 60: 1299-301.
4. Kaplan I, Calderon S, Buchner A. A peripheral osteoma of the mandible: A study of 10 new case and analysis of the literature. J Oral Maxillofac Surg 1994; 52: 467-70.
5. de França TR, Gueiros LA, de Castro JF, Catunda I, Leão JC, da Cruz Perez DE.Solitary peripheral osteomas of the jaws .Imaging Sci Dent 2012;42:99-103.
6. Zaccardi VB, Smith JA. Osteoma of the maxillary antrum. Oral Surg Oral Med Oral Pathol 1995; 80: 378.
7. Richardson PE, Arendt DM, Fidler JE. Radiopaque mass in the submandibular region. J Oral Maxillofac Surg 1999; 57: 709.
8. Varboncoeur AP, Vanbelois HJ, Bowen LL. Osteoma of the maxillary sinus. J Oral Maxillofac Surg 1990; 48: 882.

9. Manjunatha BS, Das N, Sutariya R, Ahmed T. Peripheral osteoma of the body of mandible.. BMJ Case Rep. 2013, doi:pii: bcr2013009857. 10.1136/bcr-2013-009857.
10. Cutilli BJ, Quinn PD. Traumaticallly induced peripheral osteoma: Report of a case. Oral Surg Oral Med Oral Pathol 1992; 73: 667.
11. Viswanatha B. Peripheral osteoma of the hard palate. Ear Nose Throat J 2013; 92:E31-2.
12. Günhan Ö. Oral ve maksillofasiyal patoloji. 1. basım. Ankara: Atlas Ltd Şti; 2001: 162-4.
13. Ogbureke K U E, Nashed M N, Ayoub A F. Huge peripheral osteoma of the mandible: A case report and review of the literature. Pathol Res Prac 2007; 203: 185-8.