Otolaryngology: Oral Exostosis

Definitions

• Exostosis: Outward Bony Growth from Existing Bone
• Torus Palatinus: Exostosis of the Hard Palate Along the Midline
• Torus Mandibularis: Exostosis of the Lingual Surface of the Mandible
  • Often Bilateral

Basics

• Benign Masses

Presentation

• Hard Mass
• Covered with Normal Mucosa
• Most are Small (< 2 mm)
• Most are Asymptomatic
• Can Interfere with Speech or Mastication

Treatment

• Primary Management: Nothing
• Consider Surgical Excision if Interfering with Daily Life (Speech, Mastication or Severe Anxiety)