Abstract

Background: Osteoid osteomaa benign tumor is unusual before the age of 5 or after age 30 and is more prevalent in men. The main symptom is pain, which is typically severe and responsible for nocturnal awakenings. The conditons usually diagnosed through radiological imagine and confirmed by Histopathology.Objectives: To assess the effectiveness and the complications that had been risen during the surgical procedure of osteoid osteoma using en bloc resection.Methods: (10) Patients diagnosed with osteoid osteomawere treated with enbloc surgical reseaction were included in this study.the study took place at Al Yarmouk teaching hospital.the from April 2017-october 2018 and included 10 patients..(7) male, (3) females.The mean age of the sample was 18±4 years. descriptive and inferential statistical sanalysis was fulfill the study objectives..Results: There was significant decrease in their median pain scores after 8 weeks of treatment (t test , P <0 .05).Total pain resolution and cessation of analgesics were achieved in 9 of 10 patients after 8 weeks post-operatively. P value was set at 0.05 or less.SPSS software version 20 was used for data entry and statistical calculationsConclusions: En bloc resection of osteoidosteoma is very safe and effective procedure with a very low complications rates.

Highlights

  • To assess the effectiveness and the Conclusions: En bloc resection of osteoidosteoma is complications that had been risen during the surgical very safe and effective procedure with a very low procedure of osteoid osteoma using en bloc resection

  • Osteoid osteoma is a benign neoplasm of the bone that was first described by Bergstrand in 1930 and by Jaffe in 1953(1).Osteoid osteoma is unusual before the age of 5years &rarly occur after theage of 30 years and is more prevalent in men.It usually buds in the appendicular skeleton or spine and is generally localized within or adjacent to the cortical bone.The most frequent localizations of osteoid osteoma are the diaphysis or metaphysis of long bones[1],most common locations areLower extremity (>50%), Spine (10-15%), Hand (510%), and Foot (

  • After undergoing complete history and physical examination a routine Investigation was done such as full blood count, blood group, RH typing,cross match,renal function test, random or fasting blood glucose, plain chest x ray, The diagnosis and operative techniques were based on the clinical findings routinely supported by plain radiographs 3 veiw& thin-section (1–1.5 mm) computed tomography.The surgical procedure was done under general anesthesia,Enbloc surgical resection includes the removal of the tumor nidus as a single intact piece as a whole, excised specimen were sent for histopathological examination.Postoperatively; each patient were assessed by the researcher and his supervisor using visual analogue scale and sleep quality score immediately after 1,2,4 and 8 weeks.Post-operative antibiotic prophylaxis and analgesictreatment were administered to each patient

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Summary

Introduction

Osteoid osteoma is a benign neoplasm of the bone that was first described by Bergstrand in 1930 and by Jaffe in 1953(1).Osteoid osteoma is unusual before the age of 5years &rarly occur after theage of 30 years and is more prevalent in men.It usually buds in the appendicular skeleton or spine and is generally localized within or adjacent to the cortical bone.The most frequent localizations of osteoid osteoma are the diaphysis or metaphysis of long bones[1],most common locations areLower extremity (>50%), Spine (10-15%), Hand (510%), and Foot (

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