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Case Reports in Otolaryngology
Volume 2012, Article ID 515986, 3 pages
Case Report

Cholesterol Granuloma of the Frontal Sinus: A Case Report

1Otorhinolaryngology Department, S. Giovanni di Dio Hospital, Via Foggia, 85025 Melfi, Italy
2Ophthalmology Department, S. Francesco d’Assisi Hospital, S.S. Appia, 85029 Venosa, Italy
3Anatomical Pathology Department, IRCCS-CROB, Via Padre Pio, 85028 Rionero in Vulture, Italy

Received 13 September 2012; Accepted 10 October 2012

Academic Editors: D. G. Balatsouras and C. F. Hwang

Copyright © 2012 Manola Marco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cholesterol granulomas are common in the mastoid antrum and air cells of the temporal bone. In the paranasal sinuses, especially in the frontal sinus, they have occasionally been mentioned in the literature. The pathogenesis is unknown, but the majority of the authors support the concept of airway obstruction in the cells well pneumatised of temporal bone and paranasal sinuses. The authors report a case of cholesterol granuloma of the frontal sinus treated with radical surgical techniques, and they also recommend an endoscopic approach to frontal sinus to restore or enlarge the nose-frontal canal and promote drainage and ventilation of the frontal sinus.