Abstract
Giant osteoma appears as a benign nonodontogenic tumor of craniofacial and jaw bones with potential growth. This type of tumor affects different maxillofacial regions, thus requiring proper planning to resolve the patient’s esthetic and/or functional complaints. Medial impairment of the mandible can compromise upper airway (UA) dimensions, leading to respiratory disorders. However, to date, there is a lack of information in the literature about 3D UA imaging protocols for surgical planning. Accurate evaluation, elucidating the involvement of the upper airway patency, may demonstrate the need and urgency for surgical intervention. Therefore, our study aim report a case of a giant mandibular osteoma, associated with a sudden constriction of the oropharyngeal space that was assessed by a Computer Software. The UA was assessed all dimensions, and determining the surgical procedure. In follow up could observed an improvement of UA and patient complain. This study emphasizes the importance of the detailed preoperative assessment of giant osteoma to determinate the correct approach.
Highlights
Osteoma appears as a relatively rare benign nonodontogenic tumor of the craniofacial and jaw bones (Regezi et al, 2003)
Giant osteoma treatment can be conducted by a conservative approach or with surgical management (Neville et al, 2009; Sadeghi et al, 2015; Ata-Ali & Ata-Ali, 2019) The current literature available to make this decision is scarce regarding the need for a dimensional assessment of the upper airway (UA)
This paper reports on a case of giant mandibular osteoma, associated with an sudden oropharyngeal space constriction, which was diagnosed and planned by an computer-aided surgical simulation
Summary
Osteoma appears as a relatively rare benign nonodontogenic tumor of the craniofacial and jaw bones (Regezi et al, 2003). Giant osteoma treatment can be conducted by a conservative approach or with surgical management (Neville et al, 2009; Sadeghi et al, 2015; Ata-Ali & Ata-Ali, 2019) The current literature available to make this decision is scarce regarding the need for a dimensional assessment of the upper airway (UA). The relevance of this analysis is that bone mass growth can decrease the total airway volume and the maximum constriction area (MCA) (Tarsitano & Marchetti, 2013). This paper reports on a case of giant mandibular osteoma, associated with an sudden oropharyngeal space constriction, which was diagnosed and planned by an computer-aided surgical simulation
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