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Cholesterol granuloma of the frontal sinus

Published online by Cambridge University Press:  08 March 2006

M. E. Shykhon ,
M. I. Trotter ,
D. W. Morgan ,
T. T. Q. Reuser  and
M. J. Henderson
M. E. Shykhon
Affiliation:
Department of Otolaryngology, Birmingham Heartlands Hospital, Birmingham, UK.
M. I. Trotter
Affiliation:
Department of Otolaryngology, Birmingham Heartlands Hospital, Birmingham, UK.
D. W. Morgan
Affiliation:
Department of Otolaryngology, Birmingham Heartlands Hospital, Birmingham, UK.
T. T. Q. Reuser
Affiliation:
Department of Opthalmology, Birmingham Heartlands Hospital, Birmingham, UK.
M. J. Henderson
Affiliation:
Department of Radiology, Birmingham Heartlands Hospital, Birmingham, UK.
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Abstract

It is common to see cholesterol granuloma in the mastoid air cells, less common in the orbit, and uncommon in the paranasal sinuses. Cholesterol granuloma is thought to be due to an interruption to normal aeration with impaired lymphatic drainage, resulting in a closed cavity where it may form. These expanding cysts cause bone destruction and compression of the surrounding structures that lead to clinical symptoms. Diagnosis and management of cholesterol granuloma cysts can be challenging. Magnetic resonance imaging (MRI) and computed tomographic (CT) scans are usually diagnostic. We present a rare case of cholesterol granuloma in the frontal sinus, few cases have been reported in the literature.

Keywords

GranulomaCholesterolFrontal Sinus
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 12 , December 2002 , pp. 1041 - 1043
Copyright
© Royal Society of Medicine Press Limited 2002

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