title: Giant cranial osteoma:  successful staged excision of the largest reported.
abstract: Craniofacial osteomas are benign, slow-growing neoplasms of the craniofacial region that are usually asymptomatic. Uncommonly, giant craniofacial osteomas may be symptomatic and cause serious morbidity including ophthalmologic problems, cerebral compression, pneumocephalus, and seizures. We present a case of a 15-year-old Asian adolescent girl with a giant cranial osteoma (17.5 × 13.2 × 5 cm: significantly larger than previously reported). She also had multiple other synchronous giant osteomas of the face causing facial asymmetry. These osteomas were resected in a multiple-staged approach with a good aesthetic and functional outcome.
authors.affiliation: Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California 90095, USA.
authors.forename: Kenneth L
authors.initials: KL
authors.lastname: Fan
authors.forename: Kiu
authors.initials: K
authors.lastname: Ghadjar
authors.forename: Joyce T
authors.initials: JT
authors.lastname: Yuan
authors.forename: Jorge
authors.initials: J
authors.lastname: Lazaref
authors.forename: Libby
authors.initials: L
authors.lastname: Wilson
authors.forename: James P
authors.initials: JP
authors.lastname: Bradley
mesh_terms: D000293:Adolescent; D001706:Biopsy; D005146:Facial Asymmetry / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010016:Osteoma / Q000473:pathology / Q000601:surgery*; D012888:Skull Neoplasms / Q000473:pathology / Q000601:surgery*