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Clinical Note
March 2009

Lingual Osteoma: Case Report and Literature Review

Author Affiliations

Author Affiliations: Departments of Otorhinolaryngology–Head and Neck Surgery (Drs Lee, Soo, and Tong) and Diagnostic Radiology and Organ Imaging (Dr Wong), Prince of Wales Hospital, The Chinese University of Hong Kong, and Department of Pathology, North District Hospital (Dr Mak), Hong Kong SAR.

Arch Otolaryngol Head Neck Surg. 2009;135(3):308-310. doi:10.1001/archoto.2008.553

Lingual osteoma is a rare condition, with fewer than 100 cases reported. Because of its rarity, we present an additional case of lingual osteoma that occurred in a 22-year-old woman. This is the first case report, to our knowledge, of a lingual osteoma with preoperative magnetic resonance imaging (MRI) findings described. The epidemiology, clinical presentation, and underlying pathogenesis of this condition are also discussed.

A 22-year-old woman presented with a mass on the dorsum of her tongue that had remained the same size for 10 years. Aside from an intermittent “lump-in-throat” sensation, she did not report any pain or bleeding from the mass, and she had no history of dysphagia or shortness of breath. Examination showed a 1.5-cm mass to the right of the foramen cecum of the tongue. It appeared lobulated and pedunculated with a normal overlying mucosa. No cervical lymph node was palpable, and the patient was clinically euthyroid.