PMC5026782_01
A, C, the Preoperative X-ray Image of the Case; B, in the CT of the coronal brain, an osteoma is observed on the edge of the right frontal sinus; D, the images of post-operative direct radio-image.
ircmj-18-07-29541-g001.jpg
PMC5026782_01_ircmj-18-07-29541-g001.jpg
fig27604
Radiologically, the lesion was found to be adjacent to the right frontal sinus and had a hypodense appearance in its direct X-ray (Figure 1A, C). In the computerized tomography (CT) scan images, it was determined that it did not harm the dura but eroded the inner tabula slightly (Figure 1B). The defect that occurred after the complete resection of the mass along with the calvarium was repaired by the rib (costa) of the patient herself. (Figure 1D and Figure 2A - C).
A, the image of the mass over the frontal bone; B, the image of the lesion after craniotomy, C, after the split costa had been applied on the defect to cover it by means of mini plaques, D, the CT image of the cerebrum showing that the defect in the cranium had fully fusioned with the costa at the end of the first year of the case.
ircmj-18-07-29541-g002.jpg
PMC5026782_01_ircmj-18-07-29541-g002.jpg
fig27605
The defect that occurred after the complete resection of the mass along with the calvarium was repaired by the rib (costa) of the patient herself. (Figure 1D and Figure 2A - C). At the end of the one-year-follow-up, in the bone window images of the brain CT, it was observed that a complete fusion had occurred on the sides of the defect (Figure 2D).
The monitored Tumoral Tissue Comprised of Mature Bone Trabeculae (H&E, x40)
ircmj-18-07-29541-g003.jpg
PMC5026782_01_ircmj-18-07-29541-g003.jpg
fig27606
The pathology of the resected tissue was evaluated as a typical osteoma (Figure 3).