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April 22, 2026Case Reports in Dentistry0 citationsOpen Access

Imaging Features of Mandibular Ramus Osteoma on Computed Tomography: A Case Report With Literature Analysis

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EGEmanuele GattusoACAntonio Lo CastoECEnzo Cumbo

Key Points

  • The aim is to examine a rare case of benign osteoma in the mandibular ramus and discuss its imaging features.
  • Described a case of mandibular osteoma found incidentally during CT imaging for oncologic follow-up.
  • Performed multiplanar and 3D reformations using a 128-row CT device.
  • Conducted a literature review categorizing mandibular osteoma cases by size, age, and gender.
  • The osteoma was asymptomatic and showed no dimensional growth over two years.
  • It was incidentally discovered on the lingual surface of the ramus, extending into the masticator space.
  • The literature review presented classifications of mandibular osteomas, emphasizing their uncommon locations.

Abstract

Osteomas are benign, mesenchymal, and slow‐growing lesions that arise from the surface of the bone and consist primarily of lamellar/cortical‐type bone. They are characterized by the proliferation of compact or cancellous bone. The most common locations for osteoma to originate are the mandible and paranasal sinuses. In the mandible, the body, angle, and condyle are more common sites for osteoma than the ramus, more rarely involved. A rare case of an asymptomatic mandibular osteoma, arising from the right mandibular ramus, in a 47‐year‐old woman is described. The osteoma was incidentally discovered on the lingual surface of the ramus, extending between the internal and external pterygoid muscles into the right masticator space during a CT for oncologic follow‐up. Multiplanar and 3D reformations were acquired by a 128‐row CT device. The osteoma showed no dimensional growth during the last 2 years, and no further symptoms occurred, so the surgical procedure was not required. A comprehensive literature review of mandibular osteoma cases, classifying them according to various criteria, including the size of the lesion, the age, and gender of patients, is also presented.

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Cite This Study

Gattuso et al. (2026) studied this question.

synapsesocial.com/papers/69e866ad6e0dea528ddeaf98https://doi.org/10.1155/crid/1874709
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