Case Report

Osteoid Osteoma of Mandible as an Uncommon Site: A Case Report


Osteoid osteoma is a benign bone-forming tumor. Besides, it is small and painful, consisting of osteoid and woven bone, and surrounded by a thick layer of reactive bone formation. The tumor is self-limited or needs to be removed by surgery. This report describes a 16-year-old male with congenital deafness who presented with a right mandibular swelling initiated 2 years ago. The patient underwent excisional surgery. Histological examinations revealed a benign bone-forming tumor, compatible with osteoid osteoma. Radiologic and histologic correlation confirmed the diagnosis. Base on the diagnosis, the patient received no more treatment. After 4 years of close follow-up examinations, no recurrence was observed in the patient. Osteoid osteoma is often confused with numerous other entities in uncommon sites. Thus, imaging and histologic correlations are required. Proper diagnosis is necessary for further patient management in this respect.

[1] Campanacci M. Osteoid osteoma. Amsterdam: Springer; 1999. [DOI:10.1007/978-3-7091-3846-5_25]
[2] Cortese MC, Albano D, Messina C, Perrucchini G, Gallazzi E, Gallazzi MB, et al. Multcentric, multfocal, and recurrent osteoid osteoma of the hip: First case report. BMC Musculoskeletal Disorders. 2019; 20(1):171. [DOI:10.1186/s12891-019-2552-x] [PMID] [PMCID]
[3] Raskas DS, Graziano GP, Herzenberg JE, Heidelberger KP, Hensinger RN. Osteoid osteoma and osteoblastoma of the spine. Journal of Spinal Disorders. 1992; 5(2):204-11. [DOI:10.1097/00002517- 199206000-00010] [PMID]
[4] Ekmekci P, Bostanci S, Erdoğan N, Akçaboy B, Gürgey E. A painless subungual osteoid osteoma. Dermatologic Surgery. 2001; 27(8):764-5. [DOI:10.1046/j.1524-4725.2001.00332.x] [PMID]
[5] Kransdorf M, Stull M, Gilkey F, Moser Jr R. Osteoid osteoma. Radiographics. 1991; 11(4):671-96. [DOI:10.1148/radiographics.11.4.1887121] [PMID]
[6] Ghanem I. The management of osteoid osteoma: Updates and controversies. Current Opinion in Pediatrics. 2006; 18(1):36-41. [DOI:10.1097/01.mop.0000193277.47119.15] [PMID]
[7] Cifdemir M, Tuncel SA, Usta U. Atypical osteoid osteomas. European Journal of Orthopaedic Surgery & Traumatology. 2015; 25(1):17-27. [DOI:10.1007/s00590-013-1291-1] [PMID]
[8] Kitsoulis P, Mantellos G, Vlychou M. Osteoid osteoma. Acta Orthopaedica Belgica. 2006; 72(2):119-25. [PMID]
[9] Chaudhary M, Kulkarni M. Osteoid osteoma of mandible. Journal of Oral and Maxillofacial Pathology. 2007; 11(2):52-5. [DOI:10.4103/0973-029X.37381]
[10] Atesok KI, Alman BA, Schemitsch EH, Peyser A, Mankin H. Osteoid osteoma and osteoblastoma. The Journal of the American Academy of Orthopaedic Surgeons. 2011; 19(11):678-89. [DOI:10.5435/00124635-201111000-00004] [PMID]
[11] Barca F, Andrea LA, Maria DR. Osteoid osteoma of the phalanx: Enlargement of the toe-two case reports. Foot & ankle internatonal. 1998; 19(6):388-93. [DOI:10.1177/107110079801900609] [PMID]
[12] Deferm J, Steens S, Vriens D, Bekers E, Kalaykova S, Borstlap W. Chronic temporomandibular joint pain: Two cases of osteoid osteoma and a review of the literature. Internatonal Journal of Oral and Maxillofacial Surgery. 2017; 46(9):1130-7. [DOI:10.1016/j. ijom.2017.03.036] [PMID]
[13] Laurence N, Epelman M, Markowitz RI, Jaimes C, Jaramillo D, Chauvin NA. Osteoid osteomas: A pain in the night diagnosis. Pediatric Radiology. 2012; 42(12):1490-501. [DOI:10.1007/s00247-012-2495-y] [PMID]
[14] McGrath BE, Bush CH, Nelson TE, Scarborough MT. Evaluaton of suspected osteoid osteoma. Clinical Orthopaedics and Related Research. 1996; (327):247-52. [DOI:10.1097/00003086-199606000- 00030] [PMID]
[15] Mohammed I, Jannan N, Elrmali A. Osteoid osteoma associated with the teeth: Unusual presentaton. Internatonal Journal of Oral and Maxillofacial Surgery. 2013; 42(2):298-302. [DOI:10.1016/j. ijom.2012.05.005] [PMID]
[16] Assoun J, Richardi G, Railhac J-J, Baunin C, Fajadet P, Giron J, et al. Osteoid osteoma: MR imaging versus CT. Radiology. 1994; 191(1):217-23. [DOI:10.1148/radiology.191.1.8134575] [PMID]
[17] Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Percutaneous radiofrequency coagulaton of osteoid osteoma compared with operatve treatment. The Journal of Bone and Joint Surgery. American Volume. 1998; 80(6):815-21. [DOI:10.2106/00004623-199806000-00005] [PMID]
[18] Sampath SC, Sampath SC, Rosenthal DI. Serially recurrent osteoid osteoma. Skeletal Radiology. 2015; 44(6):875-81. [DOI:10.1007/ s00256-014-2061-9] [PMID]
[19] Cerase A, Priolo F. Skeletal benign bone-forming lesions. European Journal of Radiology. 1998; 27:S91-S97. [DOI:10.1016/S0720- 048X(98)00049-7]
[20] Kaweblum M, Lehman W, Bash J, Grant A, Strongwater A. Diagnosis of osteoid osteoma in the child. Orthopaedic Review. 1993; 22(12):1305-13. [PMID]
[21] Cohen MD, Harrington TM, Ginsburg WW, editors. Osteoid osteoma: 95 cases and a review of the literature. Seminars in Arthrits and Rheumatsm. Elsevier. 1983; 12(3):265-81. [DOI:10.1016/0049- 0172(83)90010-0]
[22] Karandikar S, Thakur G, Tijare M, Shreenivas K, Agrawal K. Osteoid osteoma of mandible. BMJ Case Reports. 2011; 2011:bcr1020114886. [DOI:10.1136/bcr.10.2011.4886] [PMID] [PMCID]
[23] Weber KL, Morrey BF. Osteoid osteoma of the elbow: A diagnostc challenge. The Journal of Bone and Joint Surgery. American Volume.1999; 81(8):1111-9. [DOI:10.2106/00004623-199908000-00006] [PMID]
[24] An S-Y, Shin H-I, Choi K-S, Park J-W, Kim Y-G, Benavides E, et al. Unusual osteoid osteoma of the mandible: Report of case and review of the literature. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2013; 116(2):e134-e140. [DOI:10.1016/j. oooo.2013.04.010] [PMID]
[25] Liu CJ, Chang KW, Chang KM, Cheng CY. A variant of osteoid osteoma of the mandible: Report of a case. Journal of Oral and Maxillofacial Surgery. 2002; 60(2):219-21. [DOI:10.1053/joms.2002.29830] [PMID]
[26] Greenspan A. Benign bone-forming lesions: Osteoma, osteoid osteoma, and osteoblastoma. Skeletal Radiology. 1993; 22(7):485-500. [DOI:10.1007/BF00209095] [PMID]
[27] Woertler K. Benign bone tumors and tumor-like lesions: Value of cross-sectonal imaging. European Radiology. 2003; 13(8):1820-35. [DOI:10.1007/s00330-003-1902-z] [PMID]
[28] Pikoulas C, Mantzikopoulos G, Thanos L, Passomenos D, Dalamarinis C, Glampedaki-Dagianta K. Unusually located osteoid osteomas. European Journal of Radiology. 1995; 20(2):120-5. [DOI:10.1016/0720-048X(95)00636-5]
[29] Bruneau M, Polivka M, Cornelius JF, George B. Progression of an osteoid osteoma to an osteoblastoma. Journal of Neurosurgery: Pediatrics. 2005; 3(3):238-41. [DOI:10.3171/spi.2005.3.3.0238] [PMID]
[30] Frassica FJ, Waltrip RL, Sponseller PD, Ma LD, McCarthy JE. Clinicopathologic features and treatment of osteoid osteoma and osteoblastoma in children and adolescents. The Orthopedic Clinics of North America. 1996; 27(3):559-74. [DOI:10.1016/S0030-5898(20)32101-5]
[31] Ilyas I, Younge DA. Medical management of osteoid osteoma. Canadian Journal of Surgery. 2002; 45(6):435-7.= [PMID] [PMCID]
[32] Bremer R, Niethard F, Ewerbeck V. [Benign bone tumors in the growth years: Osteoid osteoma and osteoblastoma (German)]. Der Orthopade. 1995; 24(1):24-8. [PMID]
[33] Szendroi M, Köllo K, Antal I, Lakatos J, Szoke G. Intraartcular osteoid osteoma: Clinical features, imaging results, and comparison with extraartcular localizaton. The Journal of Rheumatology. 2004; 31(5):957-64. [PMID]
IssueVol 6 No 1 (2021) QRcode
SectionCase Report(s)
Osteoid osteoma Mandible Surgery

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Moradi Tabriz H, Nazar E, Efekhar Javadi A. Osteoid Osteoma of Mandible as an Uncommon Site: A Case Report. CRCP. 2021;6(1):6-10.