Cholesterol granuloma of the maxillary sinus

Bibliographic Details
Main Author: Almada,Cinthya Bessa da Motta
Publication Date: 2008
Other Authors: Fonseca,Debora Rodrigues, Vanzillotta,Rachel Rego, Pires,Fábio Ramôa
Format: Article
Language: eng
Source: Brazilian Dental Journal
Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402008000200015
Summary: Cholesterol granuloma (CG) is a foreign body reaction to the deposition of cholesterol crystals, usually found in association to chronic middle ear diseases, being highly uncommon in the paranasal sinuses. This article reports a case of CG in the maxillary sinus of a 22-year-old man, manifesting as a swelling on the right maxilla associated with pain and nasal obstruction. Computed tomography (CT) imaging showed complete opacification of the right maxillary sinus with cortical bone expansion and destruction. Incisional biopsy showed a solid mass filling the sinus and histological examination showed foreign body reaction to cholesterol crystals. The microscopic findings associated to tooth vitality, CT images and absence of a cavity during the surgical procedure were compatible with the diagnosis of CG of the maxillary sinus. Complete surgical excision of the mass under general anesthesia was suggested, but the patient did not return to conclude the treatment. CG must be included in differential diagnosis of diseases that cause opacification on the paranasal sinuses, especially sinusitis, and cystic and tumoral lesions.
id FUNORP-1_c31b151f1f01626a116cfae1b65a5c09
oai_identifier_str oai:scielo:S0103-64402008000200015
network_acronym_str FUNORP-1
network_name_str Brazilian Dental Journal
repository_id_str
spelling Cholesterol granuloma of the maxillary sinuscholesterolgranulomamaxillary sinusCholesterol granuloma (CG) is a foreign body reaction to the deposition of cholesterol crystals, usually found in association to chronic middle ear diseases, being highly uncommon in the paranasal sinuses. This article reports a case of CG in the maxillary sinus of a 22-year-old man, manifesting as a swelling on the right maxilla associated with pain and nasal obstruction. Computed tomography (CT) imaging showed complete opacification of the right maxillary sinus with cortical bone expansion and destruction. Incisional biopsy showed a solid mass filling the sinus and histological examination showed foreign body reaction to cholesterol crystals. The microscopic findings associated to tooth vitality, CT images and absence of a cavity during the surgical procedure were compatible with the diagnosis of CG of the maxillary sinus. Complete surgical excision of the mass under general anesthesia was suggested, but the patient did not return to conclude the treatment. CG must be included in differential diagnosis of diseases that cause opacification on the paranasal sinuses, especially sinusitis, and cystic and tumoral lesions.Fundação Odontológica de Ribeirão Preto2008-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402008000200015Brazilian Dental Journal v.19 n.2 2008reponame:Brazilian Dental Journalinstname:Fundação Odontológica de Ribeirão Preto (FUNORP)instacron:FUNORP10.1590/S0103-64402008000200015info:eu-repo/semantics/openAccessAlmada,Cinthya Bessa da MottaFonseca,Debora RodriguesVanzillotta,Rachel RegoPires,Fábio Ramôaeng2008-06-12T00:00:00Zoai:scielo:S0103-64402008000200015Revistahttps://www.scielo.br/j/bdj/https://old.scielo.br/oai/scielo-oai.phpbdj@forp.usp.br||sergio@fosjc.unesp.br1806-47600103-6440opendoar:2008-06-12T00:00Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP)false
dc.title.none.fl_str_mv Cholesterol granuloma of the maxillary sinus
title Cholesterol granuloma of the maxillary sinus
spellingShingle Cholesterol granuloma of the maxillary sinus
Almada,Cinthya Bessa da Motta
cholesterol
granuloma
maxillary sinus
title_short Cholesterol granuloma of the maxillary sinus
title_full Cholesterol granuloma of the maxillary sinus
title_fullStr Cholesterol granuloma of the maxillary sinus
title_full_unstemmed Cholesterol granuloma of the maxillary sinus
title_sort Cholesterol granuloma of the maxillary sinus
author Almada,Cinthya Bessa da Motta
author_facet Almada,Cinthya Bessa da Motta
Fonseca,Debora Rodrigues
Vanzillotta,Rachel Rego
Pires,Fábio Ramôa
author_role author
author2 Fonseca,Debora Rodrigues
Vanzillotta,Rachel Rego
Pires,Fábio Ramôa
author2_role author
author
author
dc.contributor.author.fl_str_mv Almada,Cinthya Bessa da Motta
Fonseca,Debora Rodrigues
Vanzillotta,Rachel Rego
Pires,Fábio Ramôa
dc.subject.por.fl_str_mv cholesterol
granuloma
maxillary sinus
topic cholesterol
granuloma
maxillary sinus
description Cholesterol granuloma (CG) is a foreign body reaction to the deposition of cholesterol crystals, usually found in association to chronic middle ear diseases, being highly uncommon in the paranasal sinuses. This article reports a case of CG in the maxillary sinus of a 22-year-old man, manifesting as a swelling on the right maxilla associated with pain and nasal obstruction. Computed tomography (CT) imaging showed complete opacification of the right maxillary sinus with cortical bone expansion and destruction. Incisional biopsy showed a solid mass filling the sinus and histological examination showed foreign body reaction to cholesterol crystals. The microscopic findings associated to tooth vitality, CT images and absence of a cavity during the surgical procedure were compatible with the diagnosis of CG of the maxillary sinus. Complete surgical excision of the mass under general anesthesia was suggested, but the patient did not return to conclude the treatment. CG must be included in differential diagnosis of diseases that cause opacification on the paranasal sinuses, especially sinusitis, and cystic and tumoral lesions.
publishDate 2008
dc.date.none.fl_str_mv 2008-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402008000200015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402008000200015
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0103-64402008000200015
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Fundação Odontológica de Ribeirão Preto
publisher.none.fl_str_mv Fundação Odontológica de Ribeirão Preto
dc.source.none.fl_str_mv Brazilian Dental Journal v.19 n.2 2008
reponame:Brazilian Dental Journal
instname:Fundação Odontológica de Ribeirão Preto (FUNORP)
instacron:FUNORP
instname_str Fundação Odontológica de Ribeirão Preto (FUNORP)
instacron_str FUNORP
institution FUNORP
reponame_str Brazilian Dental Journal
collection Brazilian Dental Journal
repository.name.fl_str_mv Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP)
repository.mail.fl_str_mv bdj@forp.usp.br||sergio@fosjc.unesp.br
_version_ 1754204090871578624