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- Title
Cholesterol granuloma of the maxillary sinus: a case report.
- Authors
Kavarthapu, Srilatha
- Abstract
Background: Cholesterol granuloma is not a common entity in the paranasal sinuses. It is a foreign body reaction to the cholesterol crystal deposition. Mostly associated with chronic middle ear diseases. Case presentation: This article reports a case of cholesterol granuloma in the maxillary sinus. A 23-year-old Asian man presented with cough, nasal obstruction, and postnasal discharge. On endoscopy, there was a mass protruding from the right maxillary ostium. On computed tomograpy imaging, there was a polypoidal mass in the right maxillary sinus. Endoscopic sinus surgery was performed, the cholesterol granuloma was removed from the right maxillary sinus, and the tissue was submitted for histopathological examination, which showed foreign body giant cell reaction to cholesterol crystals. Conclusion: Cholesterol granuloma of maxillary sinus is not common and often missed by clinicians. It is necessary to consider the cholesterol granuloma of maxillary sinus in the differential diagnosis sinonasal lesions. Histopathological analysis is required for confirmation and should be removed surgically. This case may help as a reference for clinician to approach these kinds of cases.
- Subjects
MAXILLARY sinus; MIDDLE ear diseases; PARANASAL sinuses; ASIANS; ENDOSCOPIC surgery; FOREIGN body reaction
- Publication
Journal of Medical Case Reports, 2024, Vol 18, Issue 1, p1
- ISSN
1752-1947
- Publication type
Case Study
- DOI
10.1186/s13256-024-04561-9