Cholesterol granuloma of the maxillary antrum
Cholesterol granuloma of the maxillary antrum
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上颌窦胆固醇肉芽肿
DOI：
10.1017/s0022215100105936
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
E. Canbay
中科院分区：
文献类型：
--
作者：
H. Gunes;A. Almaç;E. Canbay
胆固醇肉芽肿是一种特殊形式的肉芽组织，作为各种组织反应的一部分，胆固醇肉芽肿与中耳炎无关，后者可能被视为中耳或颞骨的表皮样囊肿。胆固醇肉芽肿很少与此类病例相关（Friedmann，1976; Gherini等人，1985年）。显微镜下，胆固醇肉芽肿由致密的胆固醇晶体组成，呈裂隙状。它们被异物巨细胞、泡沫细胞、浆细胞和淋巴细胞包围。通常有一些新鲜血液和一些血色素（Wilhelm，1977; Beales，1979; Gibb，1979）。这似乎可能是炎症和长期阻塞骨腔，通常是通风，是胆固醇集中在鼻窦的主要途径。上颌窦和额窦中可能相对较常见，但文献中仅报告了少数病例，在过去22年中仅发表了9例影响上颌窦的病例（米尔顿和Bickerton，1986）。我们最近发现一个胆固醇肉芽肿发生在上颌窦。
The cholesterol granuloma is a particular form of granulation tissue developing as part of a variety of tissue reactions, Cholesterol granuloma is not related to cholesteatoma which may be regarded as an epidermoid cyst of the middle ear or temporal bone. Cholesterol granulomas are rarely associated with such cases (Friedmann, 1976; Gherini et al., 1985). Microscopically, the cholesterol granuloma consists of dense masses of cholesterol crystals which appear as clefts. They are surrounded by foreign body giant cells, foam cells, plasma cells and lymphocytes. There is frequently some fresh blood and some blood pigment (Wilhelm, 1977; Beales, 1979; Gibb, 1979). It seems probable that inflammation and prolonged obstruction of a bony cavity that is normally aerated, are the main ways in which cholesterol is concentrated in the paranasal sinuses. It could be expected to be relatively frequent in the maxillary and frontal sinus, but only a few cases have been reported in the literature and only nine cases affecting the maxillary sinus have been published over the last 22 years (Milton and Bickerton, 1986). We have recently found a cholesterol granuloma arising in the maxillary antrum.