Case Report

Cholesterol Granuloma in the Maxillary Sinus: Are Endodontically Treated Teeth Involved in Its Etiopathogenesis?

Table 1

Previously reported cases of cholesterol granuloma in maxillary sinus with clinical-radiographic findings (2005–2016).

Authors
(country)
AgeGenderSideSymptoms/signsRadiographic
characteristics
Tooth
vitality
TreatmentFollow-up
(without recurrence)

Bella et al., 2005
(Hungary) [1]
63FRPain, purulent discharge, obstruction of right nasal cavityHomogeneous , mass destroying the lateral nasal cavity wall [2]NISurgical excision (CL)12 months
Chao, 2006
(Taiwan) [3]
42
56
M
F
B
R
Blood-tinged sputum, an episode of left golden yellow nasal rhinorrhea
Blood-tinged sputum, foul smelling
Cystic l  
Cystic
NI
NI
Endoscopic sinus surgery
Endoscopic sinus surgery
14 months
2 months
Ko et al., 2006
(Taiwan) [4]
34FLNasal obstruction, facial painOpacity, NIFunctional endoscopic sinus approach36 months
Marina and Gendeh, 2006
(Malaysia) [5]
26MBHeadache, bilateral interchangeable nasal blockage, painCystic NISublabial antrostomies and surgical excision12 months
Ramani et al., 2006
(India) [6]
42MLHeadaches, pain, nasal congestion, mucosal NISurgical excision (CL)NI
Almada et al., 2008
(Brazil) [7]
22MRA tender painful swelling on the right maxilla, fistula, pain associated with nasal obstructionOpacity with bone expansion
and
YesNI
Astarci et al., 2008
(Turkey) [8]§
33MBDifficulty in nasal breathing
Sleeping with open mouth
NIEndoscopic approachNI
Alzahrani et al., 2010
(France) [9]
37MRAcute febrile sinusitisNIFunctional endoscopic sinus approach with marsupialization12 months
Karaky et al., 2010
(Jordan) [2]
60FRUpper posterior alveolar
ridge resorbed
No radiographic changesTeeth absentEnucleation, curettage6 months
Alkan et al., 2014
(Turkey) [10]
57
67
M
F
R
L
Asymptomatic, history of trauma
Painful expansion
Radiolucent with focal radiopaque , opacity with bone   
NI
NI
Surgical excision
Surgical excision
NSR
NI
Our cases, 2017
(Brazil)
45FRPain, swelling, nasal congestionOpacity, cystic DevitalizedSurgical excision (CL)76 months
NIFRFacial painCystic DevitalizedSurgical excision (CL)NI

M: male; F: female; R: right; L: left; B: bilateral; NI: not informed; STM: soft tissue mass; CL: Caldwell-Luc operation; NSR: no signs of recurrence; radiographic; tomography; only incisional biopsy; also presented CG in the ethmoid sinus.