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Keywords:
Torus palatinus, hard palate, hard palate tumour
Abstract
A common bony protrusion that occurs over the hard palate is sometimes mistaken for a malignancy especially when it is large. This bony growth is a torus palatinus (TP), which is a benign bony prominence over the hard palate. It occurs most commonly in bilateral multiple form, and is often located at the canine to premolar area. A basic knowledge of the assessment and management of TP is important,, particularly for the first-line family physician to ensure that the correct information is given to the patient.
Case Summary
A 58-year-old Malay man came for followup for allergic rhinitis. His rhinitis was well controlled with regular nasal spray. There was no dysphagia or intra-oral bleeding. A clinical oral examination was performed as seen in (Figure 1).
Questions
1. State the diagnosis.
2. What problems can this cause to the patient?
3. What are the management options?
Answers
1: A large torus palatinus (TP) occupying most of the central part of the hard palate.
2: Difficulty in forming a food bolus during the first phase of swallowing with risk of food stuck at the edge of growth.
3: Conservative management can...