306 https://oamjms.eu/index.php/mjms/index Scientifc Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2022 Nov 26; 10(C):306-311. https://doi.org/10.3889/oamjms.2022.8368 eISSN: 1857-9655 Category: C - Case Reports Section: Case Report in Internal Medicine Management of Nasal Bone Osteoma with Columella Approach: A Case Report Al Hafz 1 * , Yunita Wulandari 1 , Aswiyanti Asri 2 1 Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Andalas University, Dr. M. Djamil Hospital, Padang, Indonesia; 2 Department of Anatomic Pathology, Faculty of Medicine, Andalas University, Dr. M. Djamil Hospital, Padang, Indonesia Abstract BACKGROUND: Osteoma is a benign bone tumor with an incidence rate of about 1% of primary bone tumors. Osteoma of the nasal bone is a rare case and the rate of recurrence reported in the literature after surgery is about 10%. Osteoma most often occurs in young people in the second and third decades, mostly in men. Osteoma can be treated surgically with an external approach or with an endoscopic approach. The surgical technique with an incision technique open rhinoplasty with transcolumella incision extensions is efective, because it can minimize surgical scars post-operative and correct the esthetic problems. CASE REPORT: Reported a case of a 11-year-old boy with chief complaint a lump on the right side of the nose that enlarged slowly in the last 2 months and diagnosed with suspected as nasal bone osteoma based on physical examination and CT Scan. Patient was performed management with tumor resection with columella approach technique and give the good result because can minimizes surgical scars postoperative. On the results of histopathological examination after operation were nasal bone osteoma. CONCLUSION: Osteoma of the nasal bone is a very rare benign bone tumor. One of the surgical techniques that can be performed in cases of nasal bone osteoma is tumor resection with columella approach. Although the case of nasal bone osteoma has a very rare recurrence; in this case, the recurrence occurred 4 months after tumor resection. Edited by: Ksenija Bogoeva-Kostovska Citation: Al Hafz, Wulandari Y, Asri A. Management of Nasal Bone Osteoma with Columella Approach: A Case Report. Open Access Maced J Med Sci. 2022 Nov 26; 10(C):306-311. https://doi.org/10.3889/oamjms.2022.8368 Keywords: Osteoma; Osteoma nasal bone; Tumor resection *Correspondence: Al Hafz, Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine Andalas University, Dr. M. Djamil Hospital, Padang. E-mail: alhafz@med.unand.ac.id; Received: 22-Dec-2021 Revised: 12-Nov-2022 Accepted: 16-Nov-2022 Copyright: © 2022 Al Hafz, Yunita Wulandari, Aswiyanti Asri Funding: This research did not receive any fnancial support Competing Interests: The authors have declared that no competing interests exist Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution- NonCommercial 4.0 International License (CC BY-NC 4.0) Introduction Osteoma is a benign bone tumor with an incidence rate of about 1% of primary bone tumors. Osteoma is a benign bone tumor that is most often found in the paranasal sinuses, usually found in the frontal sinus and rarely in the ethmoid sinus [1]. Osteoma can also be found in the craniofacial area, which is often in the maxilla and mandible, where osteoma on the nasal bone is a rare case [2]. Osteoma can be divided into three types: Central osteoma, peripheral osteoma, and extraskeletal osteoma. Peripheral osteoma occurs in the periosteum and its etiology is still unclear. Neoplasia, the mechanism of reaction of the hamartoma, trauma, or infection can be considered as the etiologic of this osteoma. Osteoma of the nasal bone is categorized as peripheral osteoma [2]. In the case of asymptomatic osteoma, It may not require surgery intervention [3]. Surgical resection of the tumor is performed in symptomatic cases. Osteoma of the nasal bone with a large diameter can cause cosmetic problems and complete surgical resection of the tumor has been reported to be successful [3]. There is no standard surgical procedure in cases of osteoma that occurs in the nasal bone, because it is a rare case. Surgery can be divided into external approach, endoscopy approach, or a combination of both [4]. However, excision of the tumor can be done through excision or direct incision right on the tumor lesion or using the incision technique columella approach [2]. Case Report A boy, 11 years old, came to the ENT-HNS outpatient clinic, Facial Plastic and Reconstructive Surgery subdivision, Dr. M. Djamil Hospital Padang on January 28, 2021 with chief complaints of lumps on the right side of the nose that getting bigger since 2 months ago (Figure 1). Previously, the lump had been complained of since 3 months ago, it appeared like a Since 2002