Lingual osteoma is a very rare clinical entity. There are less than 100 cases reported in the literature, and the occurrence is even rarer in males. It is a benign lesion with a yet unknown pathogenesis. Lingual osteoma is usually a slow-growing tumor that can be incidentally detected after physical or radiological examination. The location of this tumor in the oral cavity is most commonly in the posterior third of the dorsum of the tongue. Treatment of choice is surgical excision, and definitive diagnosis is provided by histopathological analysis. We report a case of osteoma at the base of the tongue presenting as an incidental concurrent finding of a post-adenoidectomy inflammatory pseudotumor in a 9-year-old male patient, while briefly reviewing the literature. Highlights ? Lingual osteoma is a very rare clinical entity that most often presents as an incidental finding in adult females. ? Presumptive diagnosis may be suggested by imaging, but histopathology is mandatory for confirmation. ? Given the benign nature of the lesion and its extremely low risk of recurrence, resection is curative.
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