Osteomas are true benign bone-forming neoplasms. Their occurrence in the
skull is relatively rare. They arise primarily in the Sino nasal area. And to a
lesser extent, in the temporal bone. Mastoid osteoma presents as a slowgrowing,
usually asymptomatic mass. Patients sometimes complain of
tenderness or occasional pain; some seek medical assistance because of
cosmetic effects. Management includes watchful waiting and surgical
removal. Surgery of mastoid osteoma carries a low risk of complication but
must proceed with CT scan images to evaluate the extent and relation to vital
structures. Osteoma may be in tight proximity to the sigmoid sinus, facial
nerve, the base of the skull, or the semicircular canal. In this case, we report
on the presentation and management of a twenty-seven-year-old patient with
a giant mastoid osteoma.
Keywords: Osteomas, temporal bone, mastoid bone
