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      • Record: found
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      Alternative Treatment of Osteoma Using an Endoscopic Holmium-YAG Laser

      case-report

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          Abstract

          Osteoma is one of the most common tumors of the cranial vault and the facial skeleton. For osteoma in the facial region, endoscopic resection is widely used to prevent surgical scarring. Tumors in a total of 14 patients were resected using an endoscopic holmium-doped yttrium aluminium garnet (Ho:YAG) laser with a long flexible fiber. Aside from having the advantage of not leaving a scar due to the use of endoscopy, this procedure allowed resection at any position, was minimally invasive, and caused less postoperative pain. This method yielded excellent cosmetic results, so the endoscopic Ho:YAG laser is expected to emerge as a good treatment option for osteoma.

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          Most cited references8

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          Treatment of primary miliary osteoma cutis with incision, curettage, and primary closure.

          Brian J. Altman, K Busam, Kishwer S. Nehal … (2000)
          Primary miliary osteoma cutis is characterized by de novo bone formation in skin without a known associated or pre-existing cutaneous disorder. These lesions often develop on the face and cause cosmetic concern. Multiple treatments have been attempted, including topical and systemic agents and surgical techniques. The ideal treatment modality should be simple and effective with minimal side effects. The technique of scalpel incision over visible lesions, curette extraction of bony fragments, and primary suture repair was used to remove multiple lesions of primary miliary osteoma cutis on the cheeks of an affected patient. This surgical technique resulted in a significant reduction of visible and palpable lesions and a smoother surface contour with minimal scarring. This surgical technique offers a simple but effective method for removal of multiple bony fragments in primary miliary osteoma cutis with minimal side effects.
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            Frontal bone periosteal osteomas.

            R. Patel, Gregory Borah (2004)
            Osteomas are the most common tumors of the cranial vault and facial skeleton. Osteomas are usually benign in nature, commonly presenting with symptoms of facial deformity, facial pain, and headaches. Although the frontal sinus is the most frequent location of cranial osteomas, they are also occasionally seen involving only the frontal bone periosteum. This study is a retrospective series investigating the characteristics, management, and outcomes of five patients with frontal bone periosteal osteomas surgically treated with superficial osteotomies with primary closure. Medical charts were reviewed focusing on symptoms, size, radiographic findings, and disease of the periosteal osteomas. The chief complaint primarily involved a palpable deformity, which led to surgical evaluation. Radiographic studies were obtained to evaluate size and location of the frontal osteomas. Microanalysis of the specimens confirmed the presence of mature cancellous and/or cortical bone. Postoperative follow-up revealed no evidence of recurrence or complications. The superficial ostectomy technique with primary closure offers a simple, effective method for removal of frontal bone periosteal osteomas with minimal side effects.
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              Endoscopic excision of forehead osteoma.

              M Sawaizumi, Y Maruyama, K Onishi (1995)
              The endoscopic excision of a forehead osteoma is reported. This method leaves no scars in the forehead, results in positive excision of the tumor, and involves no complications such as nerve damage or vascular injury with direct endoscopic vision. It is considered to be an excellent procedure with respect to cosmetic results.
              Article 0 comments Cited 4 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Arch Plast Surg
                Journal ID (iso-abbrev): Arch Plast Surg
                Journal ID (publisher-id): APS
                Title: Archives of Plastic Surgery
                Publisher: The Korean Society of Plastic and Reconstructive Surgeons
                ISSN (Print): 2234-6163
                ISSN (Electronic): 2234-6171
                Publication date (Print): July 2012
                Publication date (Electronic): 13 July 2012
                Volume: 39
                Issue: 4
                Pages: 422-425
                Affiliations
                Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
                Author notes
                Correspondence: Ho Seong Shin. Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 170 Jomaru-ro, Wonmi-gu, Bucheon 420-767, Korea. Tel: +82-32-621-5319, Fax: +82-32-621-5662, Shinerim@ 123456hanmail.net
                Article
                DOI: 10.5999/aps.2012.39.4.422
                PMC ID: 3408291
                PubMed ID: 22872849
                SO-VID: 502e4324-27d8-4ed9-a045-9eb9f5250a62
                Copyright © Copyright © 2012 The Korean Society of Plastic and Reconstructive Surgeons
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 24 March 2012
                Date revision received : 30 May 2012
                Date accepted : 31 May 2012
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Surgery
                Keywords: holmium,osteoma,endoscopy
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: holmium, osteoma, endoscopy

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