Dr. Tzvi Lidarleading specialist in minimally invasive spinal surgery
Israel annually welcomes thousands of people who come not to enjoy the beauty of this country, but to receive high-quality medical care. Among the leading countries in the world, Israel is rapidly establishing itself as a country with the highest level of medical tourism development. Patients from all corners of the world converge in Israel for miracles. And all thanks to highly qualified doctors and innovative technologies that equip all clinics in the country.
At Top Ichilov Clinic, only professionals in their field work, virtuously performing the most complex surgeries and masterfully making accurate diagnoses within 3-4 days. In their professional activities, Top Ichilov specialists use the latest equipment, which allows them to realize their talents in flawless diagnostics and successful treatment of the most complex diseases.
Osteoma: Traditions and Innovations in Treatment
At Top Ichilov, the foundation of treatment for any disease lies in the principle of an individual approach and the application of the latest or improved traditional methods.
- Chemotherapy and Radiation Therapy. The use of these methods in the treatment of osteoma is limited, as surgery remains the primary method. At the modern stage, these methods complement and enhance the effect of surgical treatment of osteoma. Chemotherapy for osteoma today involves the use of ultra-modern chemotherapeutic agents, monoclonal antibodies created from human immune system cells. The uniqueness of the new drugs lies in their receptors, which can recognize mutated cells by intracellular proteins. Upon detecting foreign antigens, chemotherapeutic agents engage in battle and win. Atypical cells constantly divide and mutate, and the body's defenses are insufficient to cope with their vast and ever-increasing numbers. Therefore, protective cells and killer cells are grown (cloned) in laboratory conditions in huge quantities, exceeding the number of atypical cells, so they can destroy them. The latest generation of antitumor drugs not only kills cancer cells (cytotoxic agents) but also contributes to the necrosis of the blood vessels feeding the tumour, slows down and completely stops the growth of the tumour, inhibits the division of atypical cells (cytostatics), and damages their DNA and RNA. These are targeted action drugs against tumour cells. Additionally, they possess immunomodulatory properties – stimulating the immune response to the disease and aiding in the restoration of bone tissue and normalization of its cellular composition. Radiation therapy for osteoma in Israel involves irradiation using the latest generation linear accelerators. The Novalis and TrueBeam systems are equipped with a unique and advanced navigation system for medicine – the system adjusts to any changes in the patient's body position, the shape of the tumour, and the patient's breathing. This system allows for the beam to be focused exclusively on the osteoma without damaging surrounding healthy tissues.
- Medication Support Treatment for Osteoma. Painkillers and non-steroidal anti-inflammatory drugs are prescribed, which effectively eliminate pain syndrome and suppress inflammation of the tissues surrounding the osteoma.
- Radiofrequency Ablation (Vaporization). An osteoma that has not yet destroyed the bone plate and the bone itself is ablated using an electronic knife and radio waves. After the procedure, pain and inflammation subside.
- Surgical Treatment. The primary method of treating osteoma remains surgery – the tumour is removed along with a part of the affected bone. After surgical treatment, osteoma rarely recurs or transforms into a malignant form. At Top Ichilov, the removed part of the bone is replaced with a graft – plastic surgeries are performed to restore bone tissue and replace the postoperative defect. This procedure restores the functional ability of the bone and improves the patient's quality of life. Osteoma can affect the joint. In such cases, after the removal of the osteoma along with the joint, endoprosthetics are performed.
- Spinal Stabilization. After surgical treatment of osteoma, spinal stabilization is performed using special devices (balloons) and materials (cement).
In some cases, osteoma can remain in the patient's body for many years without causing any trouble. If the osteoma does not increase, does not grow, does not damage the bone or surrounding tissues, and does not manifest with pain sensations, it is simply monitored.
- Radiotherapy
- Treatment with radiosurgery methods in Israel
- Chemotherapy
Osteoma: Accurate Diagnosis in Israel
To select the correct treatment, it is necessary to conduct a thorough diagnosis of the disease in the specific patient, identify the strengths and weaknesses of the tumour, and determine the overall condition of the body and vital signs.
The diagnostic process for osteoma at Top Ichilov is carried out over 3 days, during which leading specialists of the medical center accurately establish the diagnosis and prescribe treatment according to an individual plan.
Day One – Preliminary Visit to the Doctor
On the first day, the leading diagnostician of the clinic examines the patient. He meticulously studies the medical history, diagnostics and treatments conducted at the place of residence, and performs a general physical examination of the patient. Based on all the collected data, the doctor compiles the medical history and issues referrals for examinations.
Day Two – Actual Diagnosis
- Laboratory Blood Tests: general, detailed, for tumor markers; urine – to identify deviations from the norm indicating an inflammatory process in the body.
- X-ray Examination. Taking images in several projections allows for the determination of the location of the osteoma, the focus, and the degree of destruction of the bone tissue.
- CT. Conducted to clarify the localization of the osteoma, its size, and shape.
- MRI and PET-CT. These studies are performed to study the structure of the osteoma in more detail and determine its exact dimensions.
- Biopsy. During the biopsy, material is taken and sent to the laboratory for histological examination to confirm or refute the diagnosis of "osteoma" or the nature of the tumour – benign or malignant.
- Radioisotope Scanning of Bone Tissue allows for a detailed examination of the area of bone affected by the osteoma.
All of the above studies are performed on the latest equipment developed specifically to improve diagnostic methods. A unique method developed by Israeli doctors is positron emission tomography combined with CT. For its implementation, the latest generation of tomographs has been created, allowing for detailed and thorough study of tumours and areas of damage, detecting micrometastases and the slightest pathological changes in internal organs.
Day Three – Conclusion of the Expert Group
After the completion of diagnostic procedures, an expert group gathers to formulate a treatment program – comprehensive and individual.
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- Diagnosis — PET CT
Osteoma: Mechanisms of Development and Symptoms
Osteoma is a benign tumour affecting bone tissue and joints. It develops from osteoblasts – cells that form bone tissue. It is characterized by a slow course of development and may not manifest any symptoms for a long time. Osteoma can occur on both the outer surface of bones and the inner surface. If the osteoma affects the outer surface of the bone (skull, femur, humerus, tibia), manifestations will be obvious – a palpable painless bump under the skin. Osteoma on the inner surface of bones causes headaches, vision deterioration (affecting the paranasal sinuses), back pain, and spinal deformity.
Osteoma rarely transforms into a malignant tumour, but this does not mean it should not be treated. Although in some cases, osteoma may not require treatment due to its small size and lack of progression.
Among the causes of osteoma, scientists highlight hereditary predisposition (50% of cases), previously sustained injuries, as well as diseases such as gout, rheumatism, and chronic bone tissue pathologies.
Osteoma: Advantages of Treatment in Israel
Although osteoma is not a particularly severe and complex disease, it still needs to be treated only in reliable and certified clinics, such as Top Ichilov in Israel.
- Doctors of the highest qualification will do everything in their power and more to save the patient's life and improve its quality.
- Innovative equipment, allowing for any diagnostic or therapeutic procedure to be performed at a high level.
- Individual approach – a very important advantage of Israeli medicine, on which the entire therapeutic and diagnostic process is based.
- Medication treatment remains a priority in the treatment of tumours of various types and nature. Doctors in Israel use all the newest medications, develop them themselves, and boldly implement experimental drugs into practice if their high efficacy is proven.
- Minimally invasive diagnostic and surgical procedures are replacing wide open surgeries in medical practice. This is due to the minimization of postoperative complications and the absence of the risk of developing inflammatory and infectious processes.
- Comfortable stay is ensured by all clinic staff. Certified medical translator-curators from the International Department accompany patients everywhere from the moment of their arrival, helping to resolve all issues related to the therapeutic and diagnostic process and daily life. The friendliness of the staff plays a significant role in successful treatment.
- Price. The pricing policy is structured so that the patient pays for all procedures only after they are completed. At Top Ichilov, there is no prepayment. Payment can be made in any convenient form for the patient. Prices for osteoma treatment in Israel are significantly lower than in Western Europe and the USA. Prices for surgery are 30-50% lower compared to European and American prices.
Osteoma is a tumour that requires careful and precise diagnosis, as well as a professional approach to treatment. Medical services of such high quality are provided only at Top Ichilov Clinic in Israel.