Management of Mandibular Cholesterol Granuloma by Surgical Enucleation with Packing: A Rare Case Report

Saif Nabil Jawad Al-Mousawi

doi:10.54133/ajms.v9i2.2502

Authors

Saif Nabil Jawad Al-Mousawi Department of Oral and Maxillofacial Surgery, College of Dentistry, Al-Rafidain University, Baghdad, Iraq https://orcid.org/0000-0001-6042-7733

DOI:

https://doi.org/10.54133/ajms.v9i2.2502

Keywords:

Cholesterol granuloma, Enucleation, Maxillofacial Surgery

Abstract

Cholesterol granuloma is a rare clinical entity described as inflammatory granulation in response to the deposit of cholesterol crystals. It can develop in any portion of air cells within the temporal bone as a result of a lack of aeration and adequate drainage. Here, we report a 65-year-old edentulous male with a painless slight expansion on the lower right body of the mandible, with a history of previous multiple lower denture constructions. A panoramic radiograph showed a well-defined unilocular radiolucency on the right body region of the mandibular bone. An incisional biopsy was done, then the lesion was completely enucleated surgically with packing, and the final diagnosis was confirmed by a histopathological examination report.

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References

Alkan A, Etoz O, Candirli C, Ulu M, Dayisoylu EH. Cholesterol granuloma of the jaws: report of two cases. J Pak Med Assoc. 2014;64(1):86-88. PMID: 24605722

Fernández-Olarte H, Bustillo-Rojas J, Gomez-Delgado A, Morales-Fernandez J. An unusual case of cholesterol granuloma of the jaws. EC Dent Sci. 2017;12:83-86.

Lee JH, Alrashdan MS, Ahn KM, Hong SP, Kim SM. Cholesterol granuloma in the wall of a mandibular dentigerous cyst: a rare case report. J Clin Exp Dent. 2010. doi: doi: 10.4317/jced.2.e88. DOI: https://doi.org/10.4317/jced.2.e88

Kamboj M, Devi A, Gupta S. Cholesterol granuloma in odontogenic cyst: an enigmatic lesion. Case Rep Dent. 2016;2016(1):6105142. doi: 10.1155/2016/6105142. DOI: https://doi.org/10.1155/2016/6105142

Abdelkarim AZ, Fereir A, Elzayat AM, Lozanoff S, Paudyal S, Horio D. Cholesterol granuloma in the maxillary sinus: a rare presentation associated with an odontogenic cyst. Cureus. 2023 Aug 6;15(8). doi: 10.7759/cureus.43041. DOI: https://doi.org/10.7759/cureus.43041

Shin MJ, Shin JM, Huh KH, Yi WJ, Moon JW, Choi SC. Three cases of cholesterol granuloma in the mandible. Korean J Oral Maxillofac Radiol. 2007;37: 225-230.

Gosnell JM, Marwan H, Qiu S. Cholesterol granuloma: An unusual presentation within the mandible of a pediatric patient. Cureus. 2022;14(4). doi: 10.7759/cureus.24163. DOI: https://doi.org/10.7759/cureus.24163

Hellquist H, Lundgren J, Olofsson J. Cholesterol granuloma of the maxillary and frontal sinuses. ORL. 1984;46(3):153-158. doi: 10.1159/000275701. DOI: https://doi.org/10.1159/000275701

Ko MT, Hwang CF, Kao YF, Lui CC, Huang CC, Peng JP. Cholesterol granuloma of the maxillary sinus presenting as sinonasal polyp. Am J Otolaryngiol. 2006;27(5):370-372. doi: 10.1016/j.amjoto.2006.01.003. DOI: https://doi.org/10.1016/j.amjoto.2006.01.003

Saruhan N, Ozmutlu E, Aktas C, Ozkubat YA, Ozturk E, Tekin G. Dentigerous cyst with cholesterol clefts in the mandible: a rare case report. Ann Oral Health Dent Res. 2018;2(3):19-22. doi: 10.21276/aohdr.2133.

Hirshberg A, Dayan D, Buchner A, Freedman A. Cholesterol granuloma of the jaws: report of a case. Int J Oral Maxillofac Surg. 1988;17(4):230-231. doi: 10.1016/S0901-5027(88)80046-8 DOI: https://doi.org/10.1016/S0901-5027(88)80046-8

Kim JH, Hong SD, Hong SP. Cholesterol granuloma in the mandible. J Korean Assoc Oral Maxillofac Surg. 2007;31.