Journal List > J Rhinol > v.22(1) > 1044339

Kweon, Young, Sung, and Son: Cholesterol Granuloma of Nasal Septum

Abstract

Cholesterol granulomas are inflammatory deposits commonly found in the mastoid antrum and air cells of temporal bone. They rarely occur in the nose. Here, we report an extremely rare case of cholesterol granuloma in the nasal septum, and include a short literature review. The clinical characteristics, pathology, and surgical treatment are also discussed.

References

1). Graham J, Michaels L. Cholesterol granuloma of the maxillary antrum. Clin Otolaryngol Allied Sci. 1978; 3(2):155–60.
crossref
2). Kuperan AB, Gaffey MM, Langer PD, Mirani NM, Liu JK, Eloy JA. Nasoseptal cholesterol granuloma: a case report and review of pathogenesis. Arch Otolaryngol Head Neck Surg. 2012; 138(1):83–6.
3). 3) Jackler Rk1. Cho M. A new theory to explain the genesis of petrous apex cholesterol granuloma. Otol Neurotol. 2003; 24(1):96–106.
4). Bella Z1. Torkos A, Tiszlavicz L, Iván L, Jóri J. Cholesterol granuloma of the maxillary sinus resembling an invasive, destructive tumor. Eur Arch Otorhinolaryngol. 2005; 262(7):531–3.
crossref
5). Bütler S, Grossenbacher R. Cholesterol granuloma of the paranasal sinuses. J Laryngol Otol. 1989; 103(8):776–9.
crossref
6). Dilek FH, Kiriş M, Uğraş S. Cholesterol granuloma of the maxillary sinus. A case report. Rhinology. 1997; 35(3):140–1.
7). Marks SC, Smith DM. Endoscopic treatment of maxillary sinus cholesterol granuloma. Laryngoscope. 1995; 105(5 Pt 1):551–2.
crossref
8). Milton CM, Bickerton RC. A review of maxillary sinus cholesterol granuloma. Br J Oral Maxillofac Surg. 1986; 24(4):293–9.
crossref

Fig. 1.
Pre-operative nasal endoscopic findings. Right side of nasal cavity (A), left side of nasal cavity (B). The nasal septum is deviated to the left and the right inferior turbinate is hypertrophied. S: nasal septum, IT: inferior turbinate.
jr-22-44f1.tif
Fig. 2.
CT images of patient. Coronal view (A), Axial view (B). These CT images show septal deviation and concave depression at left bony septum (Black arrow).
jr-22-44f2.tif
Fig. 3.
Intraoperative finding. This figure shows bony septum (white arrow), right septal mucosa (black star), and cyst (black arrow). Cyst is filled with dark yellowish gel like material.
jr-22-44f3.tif
Fig. 4.
Microphotograph showing foci of previous hemorrhage and deposition of hemosiderin pigments in the stroma of a nasal septal cyst (H-E stain, ×400).
jr-22-44f4.tif
Fig. 5.
Microphotograph showing cholesterol clefts and associated foreign body giant cells in the fibrous stroma of a nasal septal cyst (H-E stain, ×100).
jr-22-44f5.tif
TOOLS
Similar articles