A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass

Objective. A case of a skull base cholesterol granuloma (CG) of the squamosal temporal bone. This is the first ever reported case of CG in a well-pneumatized squamous temporal bone. Design. Case report and review of the literature. Discussion. CG is a cystic mass typically found in the petrous apex...

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Main Authors: Nathaniel Reeve, Jacob Kahane, Matthew Ng
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/8872270
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author Nathaniel Reeve
Jacob Kahane
Matthew Ng
author_facet Nathaniel Reeve
Jacob Kahane
Matthew Ng
author_sort Nathaniel Reeve
collection DOAJ
description Objective. A case of a skull base cholesterol granuloma (CG) of the squamosal temporal bone. This is the first ever reported case of CG in a well-pneumatized squamous temporal bone. Design. Case report and review of the literature. Discussion. CG is a cystic mass typically found in the petrous apex and occasionally in the paranasal sinuses and orbit. Experience with the treatment of these expansile and inflammatory processes has largely been garnered from those occurring in the petrous apex, where they are surgically drained, via a transtympanic, transmastoid, or middle fossa approach. We report a case of cholesterol granuloma situated in the temporal fossa presenting as a temporal mass. The accessible location of this particular lesion made it amenable to total excision, avoiding the need for surgical drainage and possibility for recurrence. Conclusion. This case supports the theory of pathogenesis of such lesions typically occurring where pneumatized air spaces interface with bone marrow, in this case, where the reaches of pneumatized cells in the squamous portion of the temporal bone meet diploic bone.
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spelling doaj-art-b3695a497d6143819f73954d9e31a57a2025-02-03T01:00:11ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/88722708872270A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal MassNathaniel Reeve0Jacob Kahane1Matthew Ng2University of Nevada Las Vegas, School of Medicine, Department of Otolaryngology—Head and Neck Surgery, Las Vegas, NO, USALouisiana State University, School of Medicine, Department of Otolaryngology—Head and Neck Surgery, New Orleans, LA, USAUniversity of Nevada Las Vegas, School of Medicine, Department of Otolaryngology—Head and Neck Surgery, Las Vegas, NO, USAObjective. A case of a skull base cholesterol granuloma (CG) of the squamosal temporal bone. This is the first ever reported case of CG in a well-pneumatized squamous temporal bone. Design. Case report and review of the literature. Discussion. CG is a cystic mass typically found in the petrous apex and occasionally in the paranasal sinuses and orbit. Experience with the treatment of these expansile and inflammatory processes has largely been garnered from those occurring in the petrous apex, where they are surgically drained, via a transtympanic, transmastoid, or middle fossa approach. We report a case of cholesterol granuloma situated in the temporal fossa presenting as a temporal mass. The accessible location of this particular lesion made it amenable to total excision, avoiding the need for surgical drainage and possibility for recurrence. Conclusion. This case supports the theory of pathogenesis of such lesions typically occurring where pneumatized air spaces interface with bone marrow, in this case, where the reaches of pneumatized cells in the squamous portion of the temporal bone meet diploic bone.http://dx.doi.org/10.1155/2020/8872270
spellingShingle Nathaniel Reeve
Jacob Kahane
Matthew Ng
A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass
Case Reports in Otolaryngology
title A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass
title_full A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass
title_fullStr A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass
title_full_unstemmed A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass
title_short A Case of a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass
title_sort case of a nonpetrous cholesterol granuloma presenting as a temporal mass
url http://dx.doi.org/10.1155/2020/8872270
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