Korean J Otolaryngol-Head Neck Surg.  2002 Apr;45(4):408-411.

Transnasal Endoscopic Treatment of Cholesterol Granuloma of Bilateral Maxillary Sinuses after Facial Trauma

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Yeungnam University, Taegu, Korea. ydkim@med.yu.ac.kr

Abstract

Cholesterol granuloma is formed by granulation reaction against cholesterol crystals that have been precipitated in the tissue. Cholesterol granuloma of the paranasal sinus is rare, but the closed cavities of paranasal sinuses provide favorable conditions for its development. The proposed pathogenesis of cholesterol granuloma seems to be borne by hemorrhages into the sinuses, liberation from degenerating tissue, or transudate. The paranasal sinuses provide closed cavities with a long lymphatic drainage pathway and consequently slow drainage. Since cholesterol granuloma of paranasal sinus have been reported first in 1978, there have been a few reports in this site. Traditional treatment of cholesterol granuloma of maxillary sinus has required complete excision by external approach such as a Caldwell-Luc operation. Recently, authors have experienced a case of cholesterol granuloma developed from the bilateral maxillary sinuses after facial trauma in 42 year-old male patient. We managed this case by transnasal endoscopic sinus surgery successfully. We report this case with literatures review.

Keyword

Cholesterol granuloma; Maxillary sinus; Endoscopic sinus surgery; Facial Trauma
Full Text Links
  • KJORL-HN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr