Osteoma differential diagnosis: Difference between revisions

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==Overview==
Osteoma must be differentiated from other diseases that cause sinus or facial pain, headache, and changes to or loss of sense of smell, such as  fibrous displasia, osteoblastoma, adamantinoma, and chronic sinusitis,<ref name="pmid19780030">{{cite journal |vauthors=Erdogan N, Demir U, Songu M, Ozenler NK, Uluç E, Dirim B |title=A prospective study of paranasal sinus osteomas in 1,889 cases: changing patterns of localization |journal=Laryngoscope |volume=119 |issue=12 |pages=2355–9 |year=2009 |pmid=19780030 |doi=10.1002/lary.20646 |url=}}</ref>


==Overview==


==Differential Diagnosis==
==Differential Diagnosis==


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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| [[Fibrous dysplasia]]
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*Benign, often an incidental finding, and affects the same group of patients.
*Benign, often an incidental finding, affects the same group of patients, symptoms include facial pain and headache.  
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*In fibrous dysplasia, differentiating features include:  More common presentation is on ribs: 28%,  no gender predilection, and complete resection is usually not possible.
*In fibrous dysplasia, differentiating features include:  More common presentation is on ribs: 28%,  no gender predilection, and complete resection is usually not possible.

Revision as of 21:38, 14 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Osteoma must be differentiated from other diseases that cause sinus or facial pain, headache, and changes to or loss of sense of smell, such as fibrous displasia, osteoblastoma, adamantinoma, and chronic sinusitis,[1]


Differential Diagnosis

Differential Diagnosis Similar Features Differentiating Features
Fibrous dysplasia
  • Benign, often an incidental finding, affects the same group of patients, symptoms include facial pain and headache.
  • In fibrous dysplasia, differentiating features include: More common presentation is on ribs: 28%, no gender predilection, and complete resection is usually not possible.
Osteoblastoma
  • Benign, incidental, and male predilection.
  • In osteoblastoma, differentiating features include: normally affect the axial skeleton, lesions are typically larger than 2 cm, and surgical excision is often the treatment of choice.
Adamantinomas
  • Benign, slow growing, similar clinical onset.
  • In adamantinomas , differentiating features include: locally aggressive tumor, common in the 3rd to 5th decades of life, location is usually confined to the jaw.
Chronic sinusitis
  • Affects same group of population (young to middle aged adults), clinical onset is similar.
  • In chronic sinusitis, differentiating features include: fever, previous history of acute sinusitis, and lack of facial deformation or imaging findings compatible with osteoma.


References

  1. Erdogan N, Demir U, Songu M, Ozenler NK, Uluç E, Dirim B (2009). "A prospective study of paranasal sinus osteomas in 1,889 cases: changing patterns of localization". Laryngoscope. 119 (12): 2355–9. doi:10.1002/lary.20646. PMID 19780030.