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Revista de Cirurgia e Traumatologia Buco-maxilo-facial

On-line version ISSN 1808-5210

Abstract

MARCOLINO, Paulo Renato Barchi  and  SILVA, Paulo Alexandre da. Frontal exostosis: an option of treatment. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2012, vol.12, n.4, pp. 27-32. ISSN 1808-5210.

Exostoses are benign bone growths of unknown origin, affecting various regions of the human skeleton, including the face. Their removal occurs when there is functional and aesthetic impairment. In the differential diagnosis osteoma and bone sclerosis may be mentioned. This paper describes a clinical case of a young woman who sought specialist dental treatment complaining of a nodular lesion in the frontal region, hard to the touch, asymptomatic and exhibiting progressive growth. Clinical, laboratory and imaging examinations were performed, leading to the hypothesis of a frontal exostosis. We opted for surgical excision under local anesthesia, after which the collected material was sent for pathological examination. Some authors believe that environmental and hereditary factors are associated with the development and progression of exostoses; however, as they constitute an anatomical variation, their removal is indicated only in the case of impairment of function, fitting of dentures or aesthetic damage. The etiology of frontal exostoses and the fact that they most frequently affect females is still unknown, for there are only hypotheses. However, their removal is justified in order to relieve the great social suffering experienced by the victims

Keywords : Horn; exostosis; frontal exostosis; treatment.

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