Cholesteatoma of the maxillary sinus

Paaske, Peter B.

doi:10.1017/s0022215100147048

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…Dead cells abnormally accumulate behind the damaged tympanic membrane from repeated infections or injuries and form a pearl-colored mass. Cholesteatomas within the paranasal sinus are extremely rare compared to those in the temporal bone [4] [5]. Cholesteatomas occur most frequently in the frontal nasal sinus, which was still lower frequency.…”

Section: Discussionmentioning

confidence: 98%

A Case of Maxillary Sinus Cholesteatoma Originating from the Retromaxillary Sinus Wall

Lee¹,

Ryu²,

Choi³

2015

IJOHNS

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Cholesteatomas are often observed in the middle ear or mastoid cavity. However, cholesteatomas in areas other than the middle ear or mastoid are extremely rare and thus are not often reported in the literature. We recently treated an 18-year-old female patient with an incidentally detected maxillary sinus mass. A paranasal sinus computed tomography examination revealed a cystic lesion in the left maxillary sinus infiltrating the posterolateral walls of the left maxillary sinus. An endoscopic operation was performed for definitive diagnosis. Histopathological examination of the mass confirmed the diagnosis of cholesteatoma. Despite the rarity of paranasal cholesteatoma in comparison with cholesteatomas in the tympanum, a few cases involving the frontal sinus have been reported. However, retromaxillary cholesteatoma is even less common than sinus cholesteatoma and is reported rarely. To our knowledge, this is the first reported case of a maxillary cholesteatoma originating from the retromaxillary area. For this reason, we present this case along with a literature review.

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Section: Discussionmentioning

confidence: 98%

A Case of Maxillary Sinus Cholesteatoma Originating from the Retromaxillary Sinus Wall

Lee¹,

Ryu²,

Choi³

2015

IJOHNS

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“…Cholesteatoma, also called keratoma, keratocyst, or epidermoid cyst, 1,2 is characterized by a mass formed by keratin layers within hyper-keratinized squamous epithelium that replaces normal mucus membrane. 3 Cholesteatoma is commonly found in mastoids and middle-ear cavities, but has been described in kidney, testicle, skin, breast, central nervous system (CNS), cranial vault, orbit, and mandible.…”

Section: Introductionmentioning

confidence: 99%

Sphenoid Sinus Cholesteatoma—Complications and Skull Base Osteomyelitis: Case Report and Review of Literature

Kanjanawasee

Chaowanapanja

Keelawat

et al. 2019

Clin Med Insights Case Rep

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Introduction: Cholesteatoma of the paranasal sinuses is uncommon. Its clinical characteristics are an expanding growth of the affected paranasal sinuses consisting of keratinizing squamous epithelium with bony wall destruction. Among involved paranasal sinuses, sphenoid sinus cholesteatoma is the least common. Case presentation: An 82-year-old female diabetic patient presented with subacute onset of fever after experiencing chronic progressive headaches for more than 20 years. Nasal endoscopy found purulent discharge from left sphenoethmoidal recess. Computed tomography (CT) scan of the paranasal sinus showed soft tissue lesions that totally filled the left sphenoid sinus with posterior and inferior wall destruction. There was no evidence of connection to the left mastoid cavity. Management and outcome: Left sphenoidotomy was performed. Histopathology revealed cholesteatoma. Two months after surgery, she became worse and CT showed extensive skull base destruction. The patient underwent bilateral sphenoidectomy and craniotomy with surgical debridement of osteomyelitis of the skull base. She received long-term intravenous ertapenam and sitafloxacin for treating drug-resistant Klebsiella infection. The osteomyelitis could not be controlled, and she died. Discussion: Progressive headache can be caused by an uncommon disease such as sphenoid sinus cholesteatoma, which is a surgical condition. Complicating osteomyelitis of the skull base requires extensive debridement surgery and should be anticipated.

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“…Keratocyst or more accurately known keratoma or cholesteatoma (Hopp & Montgomery, 1984;Passke, 1984) is a mass composed of keratin layers within hyper-keratinized squamous epithelium that replaces normal mucus membrane (Rand & Reeves, 1943). It is generally a pathology of middle ear cavity and mastoids, but has been described in skin, mandible, orbit and central nervous system.…”

Section: Introductionmentioning

confidence: 99%

An Interesting Case Report of Frontal Sinus Keratocyst

Mohebbi¹,

Aghajanpour²

2019

JMBR

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Purpose: To report an unusual case of frontal sinus keratocyst. Case Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely. Conclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.

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Cholesteatoma of the maxillary sinus

Abstract: A rare case of a cholesteattoma of the maxillary sinus is presented, together with a brief discussion of its aetiology.

Cited by 13 publications

References 7 publications

A Case of Maxillary Sinus Cholesteatoma Originating from the Retromaxillary Sinus Wall

A Case of Maxillary Sinus Cholesteatoma Originating from the Retromaxillary Sinus Wall

Sphenoid Sinus Cholesteatoma—Complications and Skull Base Osteomyelitis: Case Report and Review of Literature

An Interesting Case Report of Frontal Sinus Keratocyst

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