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KMID : 0896020070370040225
Korean Journal of Oral and Maxillofacial Radiology
2007 Volume.37 No. 4 p.225 ~ p.230
Three cases of cholesterol granuloma in the mandible
Shin Min-Jung

Shin Jae-Myung
Huh Kyung-Hoe
Yi Won-Jin
Moon Je-Woon
Choi Soon-Chul
Abstract
Cholesterol granuloma is an unusual clinical entity described as an 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 inadequate drainage, especially in the middle ear cavity. Here, we report very unusual three cases of cholesterol granuloma developed in mandible. In the first case a 68-year-old male with a large mass arising from the mandible was observed. Panoramic radiograph and computed tomography scans revealed a huge expanding lesion in the mandible. In the second case a 47-year-old female with a cystic lesion in the mandible was observed.
And in the third case a 19-year-old male complaining atypical facial pain had a large lesion in the mandibular ramus. The histopathologic examinations of the cases showed numerous cholesterol crystals surrounded by multinucleated foreign body giant cells. (Korean J Oral Maxillofac Radiol 2007; 37 : 225-30)
KEYWORD
Cholesterol Granuloma, Mandible, Diagnostic Imaging
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