Osteoma physical examination

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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

Common physical examination findings of osteoma include the nasal discharge, facial tenderness, and facial deformity.

Physical Examination

Appearance

• Patients are usually well-appearing

HEENT

• General examination may show facial tenderness
• Looking in the nose for signs of obstruction and nasal discharge
• Shining a light against the sinus (transillumination) for signs of inflammation
• Tapping over a sinus area to find dull sound
• Physical deformity over mastoid, or facial area

Gallery

• 

  Left mastoid osteoma. This patient presented with a slowly growing painless hard mass of the mastoid bone