Endoscopic Sinus Surgery in Cases of Cholesterol Granuloma of the Maxillary Sinus

Cholesterol granuloma is usually associated with middle ear disease and is very rare in the paranasal sinuses. We report a case of cholesterol granuloma originating in the maxillary sinus of a 52-year-old female. Endoscopic sinus surgery was performed on the left maxillary sinus, and the cholesterol...

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Published inThe Tohoku Journal of Experimental Medicine Vol. 197; no. 4; pp. 233 - 237
Main Authors KIKUCHI, TOSHIHIKO, SO, EIGO, ISHIMARU, KOTARO, MIYABE, YUKA, ABE, KUNIKO, KOBAYASHI, TOSHIMITSU
Format Journal Article
LanguageEnglish
Published Japan Tohoku University Medical Press 01.08.2002
Subjects
Cholesterol
cholesterol granuloma
Coloring Agents
endoscopic treatment
Endoscopy
Female
Granuloma - surgery
Humans
Maxillary Sinus - surgery
Middle Aged
middle meatal antrostomy
Paraffin Embedding
Paranasal Sinus Diseases - surgery
paranasal sinuses
pathology
Tomography, X-Ray Computed
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Summary:Cholesterol granuloma is usually associated with middle ear disease and is very rare in the paranasal sinuses. We report a case of cholesterol granuloma originating in the maxillary sinus of a 52-year-old female. Endoscopic sinus surgery was performed on the left maxillary sinus, and the cholesterol granuloma was successfully removed by the middle meatal antrostomy. Light microscopic examination showed granulomatous tissue with typical cholesterol clefts, multinucleated foreign body giant cells, small areas of hemorrhage, hemosiderin-laden macrophages and plasma cells. We also describe the details of the endoscopic surgical techniques employed in the treatment of this disorder.
Bibliography:ObjectType-Case Study-2
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ObjectType-Report-1
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ISSN:0040-8727
1349-3329
DOI:10.1620/tjem.197.233