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Mandibular osteoma as a cause of ankylosis and progressive trismus
  1. Noelia Ortega Beltrá1,
  2. Silvia Matarredona Quiles1,
  3. Miguel Martín Arroyo1 and
  4. Francisco Pons Rocher2
  1. 1Otorhinolaringology, Hospital Universitario Doctor Peset, Valencia, Spain
  2. 2Cirurgia, Universitat de Valencia Facultat de Medicina i Odontologia, Valencia, Spain
  1. Correspondence to Dr Francisco Pons Rocher; francisco.rocher{at}uv.es

Abstract

Osteomas are benign tumours of bone tissue restricted to the craniofacial skeleton. The aim of this article is to present and discuss the demographic and clinical aspects and the management of craniomaxillofacial osteomas. When the patient was submitted from primary care to our hospital, he was 68 years old, and he had ankylosis of the temporomandibular joint for the previos 4 years. A CT scan was performed, finding a giant mandibular osteoma. Conservative treatment and radiological follow-up were carried out with clinical stability. Osteomas more often are seen in the paranasal sinuses and in young adults, with no differences in gender. Most are asymptomatic, but they can cause local problems. For its diagnosis, CT is usually performed. Treatment options are conservative management and follow-up or surgery. Although rarely, they can recur. Mandibular peripheral osteoma is a rare entity. Depending on the symptoms, a conservative or surgical treatment can be chosen. A clinical and radiological follow-up is necessary to detect possible recurrences or enlargement.

  • dentistry and oral medicine
  • ear
  • nose and throat
  • ear
  • nose and throat/otolaryngology

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Footnotes

  • Contributors All the participants contribute in the work. NOB and FPR: patient care, diagnostic tests, diagnosis, follow-up and evolution. Writting the paper MMA and SMQ: bibliographic search.

  • Funding This study was funded by Universitat de València.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.