Acta Neurochirurgica

, Volume 147, Issue 11, pp 1151–1155 | Cite as

Management of the large cranial osteoma: Experience with 13 adult patients

Clinical Article


Background. Large osteomas are benign, slow-growing and rare neoplasms of the skull, which are usually asymptomatic but may need surgical resection.

Patient and methods. We reported a series of 13 adult patients who had large cranial osteomas and who underwent surgical treatment over a period of 5 years. All of the patients were male and the mean age was 21.8 years.

Findings. Craniectomy associated with cranioplasty was performed in 10 patients and drilling of the bone tumor was performed in 3 patients. Tumour regrowth was not observed in any patient.

Conclusion. Although most of the cranial osteomas are asymptomatic, surgical treatment is indicated for large ones. Each patient must be individualized and the selection of the type of surgery depends on the shape and growth pattern of the osteoma.

Keywords: Cranium; large osteoma; surgical treatment. 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Arseni, C, Ionesco, S 1958Les ostéomes craniens.Acta Chir Belg57150161PubMedGoogle Scholar
  2. Bhandari, YS, Jones, RA 1972Osteoma of the middle cranial fossa. Case report.J Neurosurg37610612PubMedGoogle Scholar
  3. Blitzer, A, Post, KD, Conley, J 1989Craniofacial resection of ossifying fibromas and osteomas of the sinuses.Arch Otolaryngol Head Neck Surg11511121115PubMedGoogle Scholar
  4. De Chalain, T, Tan, B 2003Ivory osteoma of the craniofacial skeleton.J Craniofac Surg14729735CrossRefPubMedGoogle Scholar
  5. Dukes, HT, Odom, GL 1962Discrete intradural osteoma. Report of a case.J Neurosurg19251253PubMedGoogle Scholar
  6. Eppley, BL, Kim, W, Sadove, AM 2003Large osteomas of the cranial vault.J Craniofac Surg1497100CrossRefPubMedGoogle Scholar
  7. Fechner RE, Mills SE (1993) Osseous lesions. In: Fechner RE, Mills SE (eds) Atlas of tumor pathology. Tumors of the bones and joints, 3rd series, fascicle 8, Armed forces. Institude of Pathology, Washington DC, pp 26–28Google Scholar
  8. Fobe, LP, Melo, EC, Cannone, LF, Fobe, JL 2002Surgery of frontal sinus osteoma.Arq Neuropsiquiatr60101105PubMedGoogle Scholar
  9. Haddad, FS, Haddad, GF, Zaatari, G 1997Cranial osteomas: their classification and management. Report on a giant osteoma and review of the literature.Surg Neurol48143147CrossRefPubMedGoogle Scholar
  10. Hamilton HB, Voorhies RM (1996) Tumors of the skull. In: Wilkins RH, Rengachary SS (eds) Neurosurgery, 2nd edn. McGraw-Hill, New York, pp 1503–1528Google Scholar
  11. Liu, JK, Gottfried, ON, Cole, CD, Dougherty, WR, Couldwell, WT 2004Porous polyethylene implant for cranioplasty and skull base reconstruction.Neurosurg Focus1615PubMedGoogle Scholar
  12. Mirra JM (1989) Bone tumors: clinical, radiologic and pathologic correlations. Lea & Febiger, Philadelphia, pp 174–182Google Scholar
  13. Onishi, K, Maruyama, Y, Sawaizumi, M 1995Endoscopic excision of forehead osteoma.J Craniofac Surg6516518PubMedGoogle Scholar
  14. Rand, CW 1923Osteoma of the skull: report of two cases one being associated with a large intracranial endothelioma.Arch Surg (Chicago)6573586Google Scholar
  15. Ritvo M (1949) Roentgen diagnosis of diseases of the skull. In: Annals of Roentgenology, vol 19. Paul B. Hoeber, New York, pp 330–332Google Scholar
  16. Schajowicz F (1994) Bone-forming tumors. In: Schajowicz F (ed) Tumors and tumor like lesions of bone. Pathology, radiology and treatment, 2nd edn. Springer Verlag, Berlin, pp 29–140Google Scholar
  17. Scott, M, Peale, AR, Croissant, PD 1971Intracranial midline anterior fossae ossifying fibroma invading orbits, paranasal sinuses and right maxillary antrum: case report.J Neurosurg34827831PubMedGoogle Scholar
  18. Smith, ME, Calcaterra, TC 1989Frontal sinus osteoma.Ann Otol Rhinol Laryngol98896900PubMedGoogle Scholar
  19. Udovicki, J, Milosevic, D, Dubljevic, L 1991Giant osteomas of the paranasal sinuses.Med Pregl44467470PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 2005

Authors and Affiliations

  • Y. Izci
    • 1
  1. 1.Department of NeurosurgeryMaresal Cakmak Military HospitalErzurumTurkey

Personalised recommendations