Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Head and Neck Pathology
Published in: Head and Neck Pathology 2/2012

01-06-2012 | Case Report

Sinonasal Myospherulosis and Paraffin Retention Cysts Suggested by CT: Report of a Case

Authors: Bruno Coulier, Olivier Desgain, Isabelle Gielen

Published in: Head and Neck Pathology | Issue 2/2012

Login to get access

Abstract

Sinonasal myospherulosis is a foreign body reaction to lipid material used on nasal packing at the conclusion of paranasal sinus surgery. Rare cases have been sporadically reported. We report a case found in a 79-year-old female 8 months after functional endoscopic sinus surgery during which sinus cavities had been packed with gauze coated with Terra-Cortril (a paraffin-based tetracycline/steroid ointment). The preoperative diagnosis was suggested during CT of the paranasal sinuses by the presence of macroscopic paraffin retention cysts having a characteristic fat density. To our knowledge, our case represents the first report of sinonasal myospherulosis suggested by CT.
Literature
1.
Bassichis BA, Thomas JR. Foreign-body inclusion cyst presenting on the lateral nasal sidewall 1 year after rhinoplasty. Arch Facial Plast Surg. 2003;5:530–2.PubMedCrossRef
2.
Sindwani R, Cohen JT, Pilch BZ, Metson RB. Myospherulosis following sinus surgery: pathological curiosity or important clinical entity? Laryngoscope. 2003;113:1123–7.PubMedCrossRef
3.
Syed SP, Wat BY, Wang J. Pathologic quiz case: a 55-year-old man with chronic maxillary sinusitis. Synchronous occurrence of Aspergillosis and myospherulosis. Arch Pathol Lab Med. 2005;129:84–6.
4.
Rettinger G, Steininger H. Lipogranulomas as complications of septorhinoplasty. Arch Otolaryngol Head Neck Surg. 1997;123:809–14.PubMedCrossRef
5.
Urbach F, Wine SS, Johnson WC, Davies RE. Generalized paraffinoma (sclerosing lipogranuloma). Arch Dermatol. 1971;103:277–85.PubMedCrossRef
6.
Witschel H, Geiger K. Paraffin induced sclerosing lipogranuloma of eyelids and anterior orbit following endonasal sinus surgery. Br J Ophthalmol. 1994;78:61–5.PubMedCrossRef
7.
Bjurlin MA, Carlsen J, Grevious M, Jordan MD, Taylor A, Divakaruni N, Hollowell CM. Mineral oil-induced sclerosing lipogranuloma of the penis. J Clin Aesthet Dermatol. 2010;3:41–4.PubMed
8.
Kerendian J, Conn H. Lipogranuloma: a preventable complication of dacryocystorhinostomy. Ophthalmic Surg Lasers. 1996;27:713–5.PubMed
9.
Rosner M, Kurtz S, Shelah M, Rosen N. Orbital lipogranuloma after sinus surgery. Eur J Ophthalmol. 2000;10:183–6.PubMed
10.
Tasman AJ, Faller U, Möller P. Sclerosing lipogranulomatosis of the eyelids after ethmoid sinus surgery: a complication after ointment tamponade! Laryngorhinootologie. 1994;73:264–7.PubMedCrossRef
11.
Culviner WT, Leonard DW, Wilhelmsen CL, Bolger WE. Experimental myospherulosis of the paranasal sinuses: a histologic rabbit study. Am J Rhinol. 2000;14:131–7.PubMedCrossRef
12.
Lin HW, Handzel O, Faquin WC, Gopen Q. Myospherulosis from antibiotic ointment in the postoperative mastoid space. Am J Otolaryngol. 2010;31:205–8.PubMedCrossRef
13.
Kyriakos M. Myospherulosis of the paranasal sinuses, nose and middle ear. A possible iatrogenic disease. Am J Clin Pathol. 1977;67:118–30.PubMed
14.
Rupec M, Treeck W, Braun-Falco O. On paraffin granuloma (a clinical, histological and histochemical study). Dermatol Wochenschr. 1965;151:129–40.PubMed
Metadata
Title
Sinonasal Myospherulosis and Paraffin Retention Cysts Suggested by CT: Report of a Case
Authors
Bruno Coulier
Olivier Desgain
Isabelle Gielen
Publication date
01-06-2012
Publisher
Springer US
Published in
Head and Neck Pathology / Issue 2/2012
Electronic ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-011-0310-y

Other articles of this Issue 2/2012

Head and Neck Pathology 2/2012 Go to the issue

Original Paper

The Dynamics of Oral Lichen Planus: A Retrospective Clinicopathological Study

Sine qua non Radiology-Pathology

External Auditory Osteoma

Original Paper

Re-Evaluating Historic Cohort of Salivary Acinic Cell Carcinoma with New Diagnostic Tools

Original Paper

Cytoplasmic Ezrin and Moesin Correlate with Poor Survival in Head and Neck Squamous Cell Carcinoma

Original Paper

Sinonasal Tract Mucoepidermoid Carcinoma: A Clinicopathologic and Immunophenotypic Study of 19 Cases Combined with a Comprehensive Review of the Literature

Sine qua non Radiology-Pathology

Sclerosing Polycystic Adenosis