Osteoid Osteoma: a modified technique of conventional open excision
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 1
Abstract
Osteoid osteoma is a benign, small but very painful bone tumour. The treatment consists of excision / destruction of nidus. In the past, conventional open excision of nidus was the usual treatment but now a days various other techniques have been described e.g. Percutaneous drilling, laser photocoagulation, chemical destruction or radio frequency ablation. These techniques have more predictable chances of nidus excision and fewer side effects. Although advocated currently but these newer techniques are not widely available everywhere in developing world. So open en-block excision is still the commonly used method for treatment in the developing world. We treated 5 cases of osteoid osteoma of long bones with modified open excision of tumour. Before definitive surgery for excision, we made a drill hole of 4 mm with an Steinman pin under local anaesthesia in the lesion and sent the patient for a repeat CT scan to know the exact location of the nidus in relation to the whole trajectory. During definitive surgery we located the hole trajectory and removed excised the nidus with very little cortical bone removal. In results all five patients were cured. The conclusion in this technique of open excision after CT localization is a safe, low cost and effective alternative to conventional en-block excision. Keywords: Osteoid osteoma, excision, CT localization.
Authors and Affiliations
Dr. Anil Kumar Gupta Gupta, Dr. Ritesh Agarwal, Dr. Varun Singh, Dr. R. L. Meena
Keywords
Related Articles
- EP ID EP371061
- DOI -
- Views 101
- Downloads 0
Prediction of Cervical Factor in Recurrent Pregnancy Loss by Transvaginal Sonography
Abstract: This study was carried out to predict the cervical causes for recurrent pregnancy loss by transvaginal scan which in turn prevents fetal loss. This study was done in Government Maternity Hospital, Sultan Bazar,...
Knowledge, Attitude and Practice of Healthcare Providers regarding the Blast injuries management at Tertiary care hospitals in Karachi, Pakistan
The objective of this study is evaluate the knowledge and awareness of our healthcare providers regarding major types of blast injuries and their attitudes and practices while dealing with blast injury patients in Karach...
Role of Three Dimensional Sonosalpingography forthe Assessment of Tubal Patency in Womenwith Infertility
Abstract: Infertility is the most common health concern in present world. Various methods and invasive procedures are available. The aim of our study is to determine the role of 3D sonohysterosalpingography in the assess...
Pregnancy with Fibroids and Its Obstetric Complications
Abstract: Women with uterine fibroids are more likely have pregnancies complicated by fetal malpresentation, preterm birth, and preterm premature rupture of membranes (PPROM), placenta previa, placental abruption, cesare...
Correlation between Carotid Intima Media Thickness in Type Two Diabetes Mellitus with dyslipidemia in Central India
Dyslipidemia is major cause for atherosclerosis. There is synergistic effect of dyslipidemia & type II DM with carotid intimal thickening, which is self has high correlation with cardio-vascular mortality & morbidity obj...