Osteoma history and symptoms
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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
The hallmark of osteoma is facial pain and headache. A positive history of Gardner syndrome is suggestive of multiple osteomas. Symptoms related with osteoma will vary depending on the size and location of the tumor. Small osteomas are asymptomatic and usually incidental findings. Conversely, common symptoms of large paranasal sinus osteomas may be headache, nasal congestion, and anosmia.[1]
History
Obtaining the history is an important aspect of making a diagnosis of osteoma. It provides insight into natural evolution of the disease, possible multiplicity, and associated conditions.[2] Complete history will help determine the origin and also helps in determining the prognosis. Specific symptoms description such as duration, onset, progression, and associated symptoms are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:
- History of familial cancer
- History of repeated sinus infections
- Associated symptoms (anosmia)
Symptoms
Symptoms related with osteoma will vary depending on the size and location of the tumors. Small osteomas are asymptomatic and usually incidental findings. On the other hand, large paranasal sinus osteomas may cause:[2]
- Headache
- Nasal congestion
- Facial pain
- Facial tenderness
- Loss of the sense of smell
References
- ↑ Greenspan A (1993). "Benign bone-forming lesions: osteoma, osteoid osteoma, and osteoblastoma. Clinical, imaging, pathologic, and differential considerations". Skeletal Radiol. 22 (7): 485–500. PMID 8272884.
- ↑ 2.0 2.1 GARDNER EJ, PLENK HP (1952). "Hereditary pattern for multiple osteomas in a family group". Am. J. Hum. Genet. 4 (1): 31–6. PMC 1716387. PMID 14933371.