scholarly journals Cholesterol granuloma of the maxillary sinus

2008 ◽  
Vol 19 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Cinthya Bessa da Motta Almada ◽  
Debora Rodrigues Fonseca ◽  
Rachel Rego Vanzillotta ◽  
Fábio Ramôa Pires
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Foreign Body Reaction ◽  
Surgical Excision ◽  
Cholesterol Granuloma ◽  
Cholesterol Crystals ◽  
Complete Surgical Excision ◽  
Bone Expansion ◽  
The Right

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.

Cholesterol Granuloma of the Maxillary Sinus

2002 ◽  
Vol 126 (2) ◽  
pp. 217-219 ◽  
Author(s):  
Marino E. Leon ◽  
Carlos Chavez ◽  
Billie Fyfe ◽  
Matthew J. Nagorsky ◽  
Fernando U. Garcia
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Surgical Excision ◽  
Inflammatory Cells ◽  
Lymphatic Drainage ◽  
Giant Cells ◽  
Resected Specimen ◽  
Cholesterol Granuloma ◽  
Arterial Blood ◽  
Foreign Body Giant Cells

Abstract Cholesterol granuloma is usually associated with chronic middle ear disease and is common in the mastoid antrum and air cells of the temporal bone. It has also been reported in other parts of the skull, such as the frontal and maxillary sinuses and orbit. Cholesterol granuloma is rare in the paranasal sinuses. We report a new case of cholesterol granuloma in the maxillary sinus of a 38-year-old man who underwent surgical excision. We also review the literature and discuss the mechanism of development for this lesion. The resected specimen showed fragments of respiratory mucosa with cholesterol clefts surrounded by multinucleated foreign-body giant cells. Some multinucleated foreign-body giant cells showed asteroid bodies. Hemorrhagic areas, hemosiderin-laden macrophages, chronic inflammatory cells, and dilated lymphatics vessels were seen as well. Increased intrasinus pressure due to drainage obstruction may affect venous and lymphatic drainage from the sinus cavity, leading to venule microhemorrhages while still allowing arterial blood into the sinus mucosa and further contributing to a large localized hemorrhage. Lymphatic drainage may be insufficient to completely remove the lipid components of the red blood cells, and the lipid accumulation may contribute to the formation of cholesterol crystals and their esters.

scholarly journals Extragnathic Sinonasal Ameloblastoma: A Rare Benign Intranasal Tumor with Malignant Features

2013 ◽  
Vol 28 (1) ◽  
pp. 19-23
Author(s):  
Jonel Donn Leo S. Gloria
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Malignant Tumors ◽  
Lateral Displacement ◽  
Surgical Excision ◽  
University Hospital ◽  
Intracranial Extension ◽  
Complete Surgical Excision ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Objective:       To report a case of extragnathic sinonasal ameloblastoma and discuss its clinical features, approach to diagnosis, pathology, and management.   Methods: Study Design:             Case report Setting:                       Tertiary government university hospital Subject:                      One   Results:  A 40-year-old female consulted for a rapidly enlarging right intranasal mass of 4 months duration associated with recurrent profuse epistaxis and nasal obstruction.  Previous specimens of the mass were histopathologically interpreted as ameloblastoma versus craniopharyngioma.  Examination revealed a pink, fleshy, smooth right intranasal mass with associated nasomaxillary bulge and supero-lateral displacement of the right eye.  Computed tomography (CT) scan and magnetic resonance imaging (MRI) of the nasal cavity and paranasal sinuses demonstrated a soft-tissue density occupying the entire nasal cavity with erosion but no invasion of the maxillary sinus and no intracranial extension despite erosion of the skull base.  The mass was completely excised via lateral rhinotomy and the final histopathologic diagnosis was ameloblastoma.   Conclusion:    Extragnathic sinonasal ameloblastoma is a benign but locally aggressive variant of ameloblastoma involving the nasal cavity and/or paranasal sinuses often mimicking malignant tumors.  Diagnosis is primarily based on histopathology but radiologic and intraoperative findings help distinguish it from differentials.  Complete surgical excision remains the treatment of choice, and coupled with good follow up, may improve the prognosis of patients.   Keywords: sinonasal ameloblastoma, extragnathic, craniopharyngioma

scholarly journals Maxillary sinus aspergillosis: A case report of the timely failure to treatment

2019 ◽  
Author(s):  
Asma Beyki ◽  
Mahmud Zardast ◽  
Zahra Nasrollahi
Keyword(s):  
Case Report ◽  
Invasive Aspergillosis ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Tooth Extraction ◽  
Histopathological Examination ◽  
Maxillary Sinusitis ◽  
Eye Pain ◽  
Lower Jaw ◽  
The Right

Invasive aspergillosis of the paranasal sinuses is a rare and often misdiagnosed disease. This study reported a case of max- illary aspergillosis with a complete  headache and eye pain after tooth extraction with a large abscess in the relative jaw. Tenderness in the right temporal, lower jaw numbness and right eye proptosis was found. Histopathological examination was the suggestion of maxillary sinusitis with a fungal ball of aspergillus.

scholarly journals Primary Tracheal Papilloma: A Case Report

2020 ◽  
Vol 49 (2) ◽  
pp. 44-47
Author(s):  
Md Hasanul Haque ◽  
Belayat Hossain Siddique ◽  
Abirvab Naha ◽  
Abdus Sattar ◽  
Nigar Sultana ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Current Standard ◽  
Epithelial Tumor ◽  
Delayed Treatment ◽  
Complete Surgical Excision ◽  
Current Standard Treatment ◽  
Squamous Cell Papilloma ◽  
The Right ◽  
Specific Symptoms ◽  
Histopathological Result

Solitary papilloma in the respiratory tract is a rare benign epithelial tumor which is complete surgical excision of the current standard treatment for this type of tumor. Here a case of solitary tracheal papilloma treated by surgical resection is reported. Due to rarity and non-specific symptoms, tracheal papilloma always subjected to misdiagnosed and suffer from delayed treatment. In this case, a forty two years male has been presented with a recurrent non-productive irritative cough, a progressive shortness of breath, expiratory stridor and occasional hemoptysis. The patient was previously diagnosed as a case of bronchial asthma by a Pulmonologist and wrongly treated as well. CT scan revealed an intraluminal tracheal mass arises from the right side of the tracheal wall opposite c6-c7 vertebrae. The tumour was removed by endoscopic excision. The histopathological result confirms the diagnosis of squamous cell papilloma. No complications occur during surgery and no recurrence was observed in six months after surgery on followup. Bangladesh Med J. 2020 May; 49(2) : 44-47

scholarly journals Recurrent giant cell tumour of the maxillary sinus and pterygoid process treated with denosumab

2018 ◽  
pp. bcr-2018-225095
Author(s):  
Duarte Rosa ◽  
Raquel Baptista Dias ◽  
João Cunha Salvador ◽  
Alexandra Borges
Keyword(s):  
Maxillary Sinus ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
Neck Surgery ◽  
Cell Tumour ◽  
Pterygoid Process ◽  
Bone Expansion ◽  
The Right ◽  
Denosumab Treatment

We report the case of a 74-year-old man with a giant cell tumour (GCT) of the right maxilla and pterygoid process. The patient presented to the maxillofacial and head and neck surgery clinic with an ulcerated lesion of the hard palate. Initial workup with CT revealed a mass within the right maxillary sinus and pterygoid process with associated bone expansion and erosion. Biopsy showed a GCT with mucosal ulceration. Two years after surgical resection, a follow-up CT revealed tumour recurrence involving the right pterygoid process and lateral pterygoid muscle. The patient was then proposed for therapy with denosumab. Under denosumab treatment, the lesion maintained stable dimensions and became sclerotic and heavily ossified.

scholarly journals Tympano-Mastoid Cholesterol Granuloma: Case Report and Review of the Literature

2020 ◽  
Vol 13 ◽  
pp. 117954762095872
Author(s):  
Annalisa Pace ◽  
Giannicola Iannella ◽  
Mara Riminucci ◽  
Alessandro Corsi ◽  
Giuseppe Magliulo
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Foreign Body Giant Cell ◽  
Cholesterol Granuloma ◽  
Review Of The Literature ◽  
Cell Reaction ◽  
Cholesterol Crystals ◽  
Specific Sign

Cholesterol granuloma (CG) is a rare condition histological consisting of a foreign body, giant cell reaction to cholesterol crystals and haemosiderin derived from the ruptured of the erythrocytes. A 25-year-old man came to our Department presenting signs and symptoms of tympano-mastoid cholesterol granuloma. He showed all the specific sign and symptoms of the disease. However, considering the lack of literature regarding TMCG, this study was performed with the aim of presenting the main characteristics of tympano-mastoid CG, describing the case report and reviewing the literature.

Inflammatory myofibroblastic tumour of the conjunctiva masquerading as ocular surface squamous neoplasia

2020 ◽  
pp. 112067212097361
Author(s):  
Manpreet Singh ◽  
Manu Saini ◽  
Debajyoti Chatterjee ◽  
Aditi Mehta ◽  
Manpreet Kaur ◽  
...  
Keyword(s):  
Amniotic Membrane ◽  
Ocular Surface ◽  
Surgical Excision ◽  
Excision Biopsy ◽  
Inflammatory Myofibroblastic Tumour ◽  
Complete Surgical Excision ◽  
Oral Steroids ◽  
Rare Site ◽  
The Right

A 63-year-male had painless, progressive, yellowish-pink, immobile conjunctival mass with prominent feeder vessels in the right eye of 1-year duration. The rest of the ophthalmic examination was unremarkable. MRI showed no extension into orbit or extraocular muscles. An excision biopsy with the amniotic membrane patch was performed. Histopathology confirmed inflammatory myofibroblastic tumour (IMT) with SMA and calponin positivity on immunohistochemistry. Complete surgical excision, amniotic membrane, and oral steroids provided long-term relief from recurrence. The conjunctiva is a rare site for IMT, and IMT should be kept in the differentials for atypical cases of ocular surface neoplasia.

scholarly journals Maxillary Antrum Carcinoma - A Wolf in Sheep’s Clothing

2021 ◽  
Vol 10 (33) ◽  
pp. 2870-2873
Author(s):  
Romita Gaikwad ◽  
Pranada Deshmukh ◽  
Ramhari Sathawane ◽  
Ashish Lanjekar
Keyword(s):  
Nasal Cavity ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Paranasal Sinuses ◽  
Maxillary Antrum ◽  
Locally Advanced ◽  
Neck Region ◽  
Advanced Stage ◽  
Malignant Tumours ◽  
The Right

Maxillary sinus squamous cell carcinoma is an invasive tumour that is usually diagnosed at an advanced stage, where the majority of patients have a very low prognosis and survival rate. We present a case of maxillary sinus carcinoma that affected the entire orbit, resulting in proptosis of the eye and nasal cavity. The patient was recommended for palliative treatment due to the high degree of its involvement and proximity to vital structures. It manifests with very mild to no signs, resulting in a late diagnosis. As a result, physicians must be mindful of maxillary sinus pathologies to make an early diagnosis. Paranasal sinuses are air-filled spaces located close to vital structures such as visual organs and the face. Maxillary, ethmoidal, frontal, and sphenoidal are the 4 paranasal sinuses that are named according to the bones in which they are situated. Nasal cavity and paranasal air sinus malignancies are uncommon. According to the literature, paranasal sinus malignancies account for less than 1 % of all human malignancies and 3 % of the total malignancies of the head and neck region. However, the maxillary sinus is the most frequent site of origin of primary malignant tumours amongst the paranasal sinuses.1 we need to raise general awareness among the oral stomatologists as Asian countries report a very high incidence of maxillary sinus carcinoma.2 The incidence of malignancies in maxillary sinus is high (60 % - 70 %) and less in the nasal cavity (12 % - 25 %), the Ethmoid (10 % - 15 %) and very rare in sphenoid / frontal sinuses (1 %).3 Further, not only the malignancies of maxillary sinuses are common, but they also incur the worst prognosis. Maxillary sinus carcinomas have very few symptoms and are similar to those of chronic paranasal sinusitis. They usually present themselves as locally advanced diseases. 4,5 Paranasal sinus malignancies are difficult to diagnose in the early stages and 90 % of cases are reported in T3 / T4 advanced stage.6 Environmental factors such as industrial pollutants, dust, smoke, and adhesives are the leading causes for the development of disease.7 Thus, sinonasal malignant tumours are rare and pose a challenge in diagnosis as well as treatment. Therefore, maxillofacial specialists should be aware of the signs and symptoms of this rarely occurring disease. This article presents a rare case of a 45-year-old female who reported to our OPD with a complaint of swelling in the right zygomatic area and proptosis of the right eye.

scholarly journals Removal of firearm projectile from the maxillary sinus: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Cristóvão Marcondes de Castro RODRIGUES ◽  
Izabella SOL ◽  
Daniela MENESES-SANTOS ◽  
Larissa Gonçalves Cunha RIOS ◽  
Jonas Dantas BATISTA ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Maxillary Sinus ◽  
Local Anesthesia ◽  
Paranasal Sinuses ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Hard Tissues ◽  
The Face ◽  
Maxillary Sinuses

ABSTRACT Foreign bodies in the paranasal sinuses after critical accidents are rare occurrences that have sporadically been reported worldwide. Firearm projectiles, daggers, knives, glass fragments, stones, teeth, and wood can get lodged in the soft and hard tissues of the face. The management and prognosis in these cases depend on the composition and location of the foreign body as well as on the presence or absence of infection. Although there are reports involving the soft tissues of the face, the ethmoid, sphenoid, frontal, and maxillary sinuses are the most frequently involved sites. The main manifestation of this condition is sinusitis arising from infection and/or inflammation caused by the foreign body, which is a contaminated object. We report a case of removal of a firearm projectile located in the maxillary sinus of a 34-year-old patient under local anesthesia.

scholarly journals Isolated schwannoma of maxillary sinus: a rare occurrence

2020 ◽  
Vol 6 (12) ◽  
pp. 2296
Author(s):  
Glynis Florence Francis ◽  
Vikram Raj Mohanam T. C. ◽  
Lakshanadeve V. M. ◽  
Mary Kurien ◽  
Anand Mohanraj
Keyword(s):  
Peripheral Nerve ◽  
Maxillary Sinus ◽  
Schwann Cells ◽  
Paranasal Sinuses ◽  
Nerve Fibers ◽  
Benign Tumors ◽  
Rare Occurrence ◽  
Nerve Sheath ◽  
The Right ◽  
Visual Disturbances

<p>Schwannomas are benign tumors originating from the neural crests (schwann cells), which are cells that form the nerve sheath of peripheral nerve fibers. Around 25-45% cases of schwannomas occur in the head and neck, of which less than 4% occurs in the nasal cavity and the paranasal sinuses. Isolated schwannomas of the maxillary sinus appear to be extremely rare. We report a case of an isolated maxillary schwannoma in a 45 years old lady who presented with swelling in the right cheek for 1 year and right sided nasal obstruction for 4 months. The swelling was not associated with epistaxis, fever, headache or visual disturbances. We report this case keeping in mind the rarity in occurrence of isolated maxillary schwannomas</p>

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