Nodular Torus Palatinus
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Wen-Sen Lai
A 66-year-old asymptomatic woman with a history of masses on the roof of her mouth since adolescence was referred for an evaluation of the intraoral masses. Her medical history was otherwise unremarkable. The intraoral masses had not increased in size, nor had there been any bleeding. A clinical examination revealed 4 hard nodules with normal overlying mucosa on the hard palate (panel A, arrows). A computed tomographic image showed a 3.1-cm highly calcified lobulated mass growing from the palatal bone from a transverse view (panel B, asterisk) and a coronal view (panel C, asterisk). Because the lesion was asymptomatic, no intervention was pursued. Size and appearance were unchanged 18-months later.
Torus palatinus, the most common intraoral exostosis among postmenopausal women, is a localized outgrowth of bone on the surface of the maxilla. The growth of torus palatinus is gradual, increasing during the second and third decades of life. Torus palatinus can be unilobular or polylobular and can be flat, nodular, or spindle-shaped.1 Removal of the nodules is rarely necessary.
Reference
1. Loukas M , HulsbergP, TubbsRS, et al. The tori of the mouth and ear: a review. Clin Anat. 2013;26(8):953-960. doi:10.100/ca.22264.10.1002/ca.22264Suche in Google Scholar PubMed
© 2016 American Osteopathic Association
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