A rare diagnosis of peripheral osteoma in the hard palate: case report

Authors

  • Cristóvão Marcondes de Castro Rodrigues Universidade Federal de Uberlândia, Minas Gerais
  • Lara Maria Alencar Ramos Universidade Estadual de Campinas, São Paulo
  • Antônio Francisco Durighetto-Júnior Universidade Federal de Uberlândia, Minas Gerais
  • Adriano Mota Loyola Universidade Federal de Uberlândia, Minas Gerais
  • Sérgio Vitorino Cardoso Universidade Federal de Uberlândia, Minas Gerais
  • Jonas Dantas Batista Universidade Federal de Uberlândia, Minas Gerais

DOI:

https://doi.org/10.5335/rfo.v24i2.10450

Keywords:

Biopsy, Oral surgery, Osteoma, Hard palate, Oral pathology

Abstract

Objective: To report an excisional biopsy of a peripheral osteoma in the right hard palate in a non-syndromic young female patient. Case Report: A 32-year-old female patient, black, and normosystemic sought assistance in the stomatological diagnosis outpatient clinic of the School of Dentistry of the Federal University of Uberlândia, Brazil, complaining about the appearance of a lesion in the palate region. After clinical and imaging assessment, it was decided to perform an excisional biopsy under local anesthesia of the lesion. Three diagnostic hypotheses were raised - peripheral osteoma, exostosis, or osteosarcoma. The material collected was sent for histopathological analysis, which confirmed the hypothesis of peripheral osteoma. Final considerations: Peripheral osteomas in the hard palate region are very rare. This lesion is usually asymptomatic, except when there is a slow-growing chewing impact during mastication, which may develop in cortical or spinal bone. Surgical removal is the treatment of choice and the rate of recurrence is rare. The case emphasizes the rare condition, considering only six similar cases were found in the literature.

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References

1. Nah KS. Osteomas of the craniofacial region. Imaging Sci Dent 2011; 41(3):107-13.

2. Baena RR, Rizzo S, Fiandrino G, Lupi S, Galioto S. Mandibular traumatic peripheral osteoma: a case report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology 2011; 112(6):44-8.

3. Caubi AF, Moura RQ, Borba PM, Costa DFN, Bispo LMN. Osteoma em mandíbula: quando trata-lo cirurgicamente. Rev Cir Traumatol Buco-Maxilo-Fac 2013; 13(1):53-8.

4. Guimarães KB, Cavalcante JR, Ferraro-Bezerra M, Silva DN, de Holanda Vasconcellos RJ, Egito Vasconcelos BC. Peripheral osteoma bilateral of the mandible without association with Gardner syndrome. The Journal of Craniofacial Surgery 2012; 23(2):83-6.

5. Larrea-Oyarbide N, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Osteomas of the craniofacial region. Review of 106 cases. J Oral Pathol Med 2008; 37(1):38-42.

6. Boffano P, Roccia F, Campisi P, Gallesio C. Review of 43 osteomas of the craniomaxil lofacial region. J Oral Maxillofac Surg 2012; 70(5):1093-5.

7. Shetty SK, Biddappa L. Recurrence of giant peripheral osteoma of mandible. J Maxillofac Oral Surgery 2015; 14(1):452-6.

8. Sayan NB, Üçok C, Karasu HA, Gunhan O. Peripheral osteoma of the oral and maxillofacial region: a study of 35 new cases. J Oral Maxillofac Surg 2002; 60(11):1299-301.

9. Ertas U, Tozoglu S. Uncommon peripheral osteoma of the mandible: report of two cases. J Contemp Dent Pract 2003; 4(3):98-104.

10. Johann ACBR, Freitas JB, Aguiar MCF. Peripheral osteoma of the mandible: case report and review of the literature. J Cranio-Maxillofacial Surg 2005; 33(4); 276-81.

11. Regezi JA, Sciubba JJ. Bucal Pathology – Clinico pathology Correlations. 3. ed. Philadelphia: Year Book Medical Publishers; 1999. p. 329-30, 337-8.

12. Borsshardt L, Gordon RC, Westerberg M, Morgan A. Recurrent peripheral osteoma of the mandible: report of a case. J Oral Surg 1971; 29(6):446-50.

Published

2019-12-18

Issue

Section

Caso Clínico

How to Cite

A rare diagnosis of peripheral osteoma in the hard palate: case report. (2019). Revista Da Faculdade De Odontologia - UPF, 24(2), 279-283. https://doi.org/10.5335/rfo.v24i2.10450