Treatment approaches to temporal bone osteomas

Yıl 2016, Cilt: 26 Sayı: 6, 342 - 347, 22.12.2016

Hasan Hüseyin Arslan Mert Cemal Gökgöz Süleyman Cebeci Hamdi Taşlı

Öz

Objectives: This study aims to evaluate treatment approaches in relation to the localization, size and symptoms of temporal bone osteoma according to the complaints of the patient. Patients and Methods: We retrospectively reviewed the records of 23 patients 16 males, 7 females; mean age 28.6 years; range 14-69 years followed up with the diagnosis of temporal bone osteoma at our clinic between January 2005 and April 2016. We obtained the demographic features, clinical presentations symptoms, location and size of the tumors , treatment approaches and postoperative outcomes of the patients from patients file. Treatment approaches were analyzed according to the characteristics of patients and of the tumor. Results: The most common localization of osteomas was external auditory canal 66% , followed by mastoid bone 21% and middle ear cavity 13% . The osteoma was detected incidentally in five patients out of 23. Treatment approaches were determined according to the presence of symptoms, size and localization of tumors. Conclusion: Physical examination and periodic follow-up is recommended in asymptomatic patients. In symptomatic patients, surgical resection is needed with an appropriate surgical approach based on the location and size of the tumor.

Anahtar Kelimeler

Osteoma, surgical procedures, temporal bone

Temporal kemik osteomlarında tedavi yaklaşımları

Öz

Amaç: Bu çalışmada temporal kemik osteomlarında tümörün yerleşim yeri ve boyutu ile ilişkili hastanın yakınmalarına göre yapılan tedavi yaklaşımları değerlendirildi.Hastalar ve Yöntemler: Kliniğimizde Ocak 2005 - Nisan 2016 tarihleri arasında temporal kemik osteomu tanısıyla takip ve tedavi edilen 23 hastanın 16 erkek, 7 kadın; ort yaş 28.6 yıl; dağılım 14-69 yıl demografik verileri retrospektif olarak incelendi. Hastaların demografik özellikleri, klinik özellikleri semptomlar, tümör boyutu ve yerleşim yeri , tedavi yaklaşımları ve ameliyat sonrası sonuçları hasta dosyalarından elde edildi. Tümörün ve hastaların özelliklerine göre seçilen tedavi yöntemleri analiz edildi.Bulgular: Osteomun en yaygın yerleşim yeri dış kulak yolu %66 , takiben mastoid kemik %21 ve orta kulak boşluğu %13 idi. Osteom 23 hastanın beşinde rastlantısal olarak tespit edildi. Tedavi yaklaşımları; hastada semptom varlığı, boyut ve yerleşim yerine göre belirlendi.Sonuç: Asemptomatik hastalarda fizik muayene ve periyodik takip önerilmektedir. Semptomatik hastalarda ise tümörün yerleşim yeri ve boyutuna göre uygun cerrahi yaklaşımla eksizyonu gerekir

Anahtar Kelimeler

Osteom, cerrahi işlemler, temporal kemik

Kaynakça

• Carlos UP, de carvalho RWF, de Almeida AMG, Rafaela ND. Mastoid osteoma. Consideration on two cases and literature review. International Archives of Otorhinolaryngology 2009;13:350-3.
• Măru N, Cheiţă AC, Mogoantă CA, Prejoianu B. Intratemporal course of the facial nerve: morphological, topographic and morphometric features. Rom J Morphol Embryol 2010;51:243-8.
• Ionovici N, Mogoanta L, Grecu D, Bold A, Tarniţa DN, Enache SD. Histological study [correction of styudy] of the femural head and neck microscopic architecture in persons with senile osteoporosis. Rom J Morphol Embryol 1999-2004;45:127-32.
• Bulut E, Acikgoz A, Ozan B, Gunhan O. Large peripheral osteoma of the mandible: a case report. Int J Dent 2010;2010:834761.
• Smud D, Augustin G, Kekez T, Kinda E, Majerovic M, Jelincic Z. Gardner’s syndrome: genetic testing and colonoscopy are indicated in adolescents and young adults with cranial osteomas: a case report. World J Gastroenterol 2007;13:3900-3.
• Ben-Yaakov A, Wohlgelernter J, Gross M. Osteoma of the lateral semicircular canal. Acta Otolaryngol 2006;126:1005-7.
• Guérin N, Chauveau E, Julien M, Dumont JM, Merignargues G. Osteoma of the mastoid: apropos of 2 cases. Rev Laryngol Otol Rhinol (Bord) 1996;117:127- 32. [Abstract]
• Carbone PN, Nelson BL. External auditory osteoma. Head Neck Pathol 2012;6:244-6.
• El Fakiri M, El Bakkouri W, Halimi C, Aït Mansour A, Ayache D. Mastoid osteoma: report of two cases. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:266-8.
• Das AK, Kashyap RC. Osteoma of the Mastoid Bone - A Case Report. Med J Armed Forces India 2005;61:86-7.
• Estrem SA, Vessely MB, Oro JJ. Osteoma of the internal auditory canal. Otolaryngol Head Neck Surg 1993;108:293-7.
• Harley EH, Berkowitz RG. Osteoma of the middle ear. Ann Otol Rhinol Laryngol 1997;106:714-5.
• Probst LE, Shankar L, Fox R. Osteoma of the mastoid bone. J Otolaryngol 1991;20:228-30.
• D’Ottavi LR, Piccirillo E, De Sanctis S, Cerqua N. Mastoid osteomas: review of literature and presentation of 2 clinical cases. Acta Otorhinolaryngol Ital 1997;17:136-9. [Abstract]
• Orita Y, Nishizaki K, Fukushima K, Akagi H, Ogawa T, Masuda Y, et al. Osteoma with cholesteatoma in the external auditory canal. Int J Pediatr Otorhinolaryngol 1998;43:289-93.
• Fisher EW, McManus TC. Surgery for external auditory canal exostoses and osteomata. J Laryngol Otol 1994;108:106-10.
• Güngör A, Cincik H, Poyrazoglu E, Saglam O, Candan H. Mastoid osteomas: report of two cases. Otol Neurotol 2004;25:95-7.
• McDonald KR, Vrabec JT. Synchronous middle ear osteoma and adenoma. Ear Nose Throat J 1997;76:866-9.
• Li Y, Li Q, Gong S, Liu H, Yu Z, Zhang L. Multiple osteomas in middle ear. Case Rep Otolaryngol 2012;2012:685932.
• Unal OF, Tosun F, Yetişer S, Dündar A. Osteoma of the middle ear. Int J Pediatr Otorhinolaryngol 2000;52:193-5.