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Surgical management of giant skull osteomas

 Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Correspondence Address:
Farid Yudoyono,
Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran Dr. Hasan Sadikin General Hospital, Jl. Pasteur No, 38, Bandung 40161
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Source of Support: None, Conflict of Interest: None

Osteomas are benign, generally slow growing, bone-forming tumors limited to the craniofacial and jaw bones. A retrospective review of all cases of osteoma diagnosed from 2009 to 2013 treated in our hospital. The data collected included age at diagnosis, gender, lesion location, size, presenting and duration of symptoms, treatment, complication and outcome. During our study period there were 15 cases that were treated surgically. Their mean age was 42 years (range: 15-65 years) and all of our patients were female. The average duration of symptoms was 3 years and size varying from 4 cm to 12 cm. Eight patients complained of headache, whereas 6 patients complained about esthetics, and 1 patient presented with proptosis. The tumor was excised by cutting the base of the tumor and then residual tumor was grinded using a round head cutting bar. Osteoma was removed with esthetically acceptable appearance. There were no major complications during operative and postoperative period. Although osteomas are usually slow growing but surgery is usually performed due to esthetic reasons. It is important to plan an appropriate surgical approach that minimizes any damage to the adjacent structures.

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