Lee DY, Lim S, Yoon JS, Eo S. Recurred forehead osteoma disseminated after previous osteoma excision: A case report. World J Clin Cases 2023; 11(31): 7684-7689 [PMID: 38078123 DOI: 10.12998/wjcc.v11.i31.7684]
Corresponding Author of This Article
SuRak Eo, MD, PhD, Professor, Surgeon, Plastic and Reconstructive Surgery, DongGuk University Medical Center, No. 27 Dongguk-ro, GoYang 10326, South Korea. sreodoc@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2023; 11(31): 7684-7689 Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7684
Recurred forehead osteoma disseminated after previous osteoma excision: A case report
Dong Yun Lee, SooA Lim, Jung Soo Yoon, SuRak Eo
Dong Yun Lee, SooA Lim, Jung Soo Yoon, SuRak Eo, Plastic and Reconstructive Surgery, DongGuk University Medical Center, GoYang 10326, South Korea
Author contributions: Lee DY, Lim S, Yoon JS and Eo S designed the clinical case report; Lee DY, Lim S and Eo S performed the research; Lee DY, Yoon JS and Eo S analyzed the data and wrote the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: SuRak Eo, MD, PhD, Professor, Surgeon, Plastic and Reconstructive Surgery, DongGuk University Medical Center, No. 27 Dongguk-ro, GoYang 10326, South Korea. sreodoc@gmail.com
Received: August 29, 2023 Peer-review started: August 29, 2023 First decision: October 10, 2023 Revised: October 14, 2023 Accepted: October 27, 2023 Article in press: October 27, 2023 Published online: November 6, 2023 Processing time: 68 Days and 22.9 Hours
Abstract
BACKGROUND
Forehead osteoma is a commonly encountered benign facial bone tumor. Endoscopic excision of benign forehead masses is widely performed. Here, we report a rare case of recurrent forehead osteoma that disseminated after a previous osteoma excision.
CASE SUMMARY
A 54-year-old female patient had previously undergone endoscopic removal of a single forehead osteoma at 30 years of age. However, she had a recurrent osteoma around the same site and underwent another endoscopic resection at 40 years of age. During her first visit to our outpatient clinic, she presented with a cobblestone-like irregular surface on the forehead and a 3D facial bone computed tomography scan revealed a widely ragged surface of the inoculated osteoma on the outer table of the frontal bone. Under general anesthesia, we performed a radical complete excision of the disseminated osteoma through a bicoronal incision using an osteotome, chisel, mallet, and rasping. We hypothesized that the recurrence may have been caused by the inoculation of residual osteoma remnants from the previous procedure. Craniofacial surgeons should be cautious when removing osteoma particles, particularly when using an endoscopic approach.
CONCLUSION
To prevent recurrence, it is essential to conduct additional meticulous burring and a thorough inspection of the surface after copious irrigation.
Core Tip: This case showed that remnant particles of resected osteoma tend to be neglected in the endoscopic approach, and these particles may induce recurrence due to inoculation, even having devastating results of widely disseminated growth of osteoma. Thorough observation of the bony surface, sufficient burring, and copious irrigation for complete removal of the bony segments after ostectomy are essential to prevent recurrence and related complications.
