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. 2016 Feb 22:22:580-6.
doi: 10.12659/msm.896988.

An Alternative Surgical Method for Treatment of Osteoid Osteoma

Mehmet Ata Gökalp  1 , Abdurrahim Gözen  1 , Seyyid Şerif Ünsal  1 , Haci Önder  2 , Savaş Güner  1
Affiliations

An Alternative Surgical Method for Treatment of Osteoid Osteoma

Mehmet Ata Gökalp et al. Med Sci Monit. .

Abstract

BACKGROUND An osteoid osteoma is a benign bone tumor that tends to be <1 cm in size. The tumor is characterized by night-time pain that may be relieved by aspirin or other non-steroidal anti-inflammatory drugs. Osteoid osteoma can be treated with various conservative and surgical methods, but these have some risks and difficulties. The purpose of the present study was to present an alternative treatment method for osteoid osteoma and the results we obtained. MATERIAL AND METHODS In the period from 2010 to 2014, 10 patients with osteoid osteoma underwent nidus excision by using a safe alternative method in an operating room (OR) with no computed tomography (CT). The localization of the tumor was determined by use of a CT-guided Kirschner wire in the radiology unit, then, in the OR the surgical intervention was performed without removing the Kirschner wire. RESULTS Following the alternative intervention, all the patients were completely relieved of pain. In the follow-up, no recurrence or complication occurred. CONCLUSIONS The presented alternative method for treating osteoid osteoma is an efficient and practical procedure for surgeons working in clinics that lack specialized equipment.

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Figures

Figure 1
Figure 1
Determination of tumor localization with guided Kirschner wires and computed tomography.
Figure 2
Figure 2
Measurement of the distance between K wire and center of nidus on axial view of CT image. Red arrow: View of K wire; Yellow arrow: View of nidus; Blue line: Distance between K wire and center of nidus.
Figure 3
Figure 3
Blue line: The distance from the starting point of the K wire to the nidus projection.
Figure 4
Figure 4
Blue line: The distance between the center of the nidus andthe tip of the cortex (depth of nidus).
Figure 5
Figure 5
Blue line: The distance between the center of the nidus and tip of the cortex (depth of nidus).
Figure 6
Figure 6
Finding the tip of the K wire exiting the cortex through the skin incision.
Figure 7
Figure 7
Image of the nidus and bone tissue in the area of the removed tumor with the help of drill and osteotome.
Figure 8
Figure 8
Postoperative anteroposterior (A) and lateral (B) radiographs of patients.
See this image and copyright information in PMC

References

    1. Yang WT, Chen WM, Wang NH, Chen TH. Surgical treatment for osteoid osteoma -experience in both conventional open excision and CT-guided mini-incision surgery. J Chin Med Assoc. 2007;70:545–50. - PubMed
    1. Çakar M, Esenyel CZ, Seyran M, et al. Osteoid osteoma treated with radiofrequency ablation. Adv Orthop. 2015;2015:807274. - PMC - PubMed
    1. Athwal P, Stock H. Osteoid osteoma: A pictorial review. Conn Med. 2014;78:233–35. - PubMed
    1. Laurence N, Epelman M, Markowitz RI, et al. Osteoid osteomas: a pain in the night diagnosis. Pediatr Radiol. 2012;42:1490–501. - PubMed
    1. Gangi A, Dietemann JL, Guth S, et al. Percutaneous laser photocoagulation of spinal osteoid osteomas under CT guidance. Am J Neuroradiol. 1998;19:1955–58. - PMC - PubMed