title: Orbitofrontal cholesterol granuloma: percutaneous endoscopic-assisted curettage.
abstract: This paper describes the use of endoscopic visualization in curettage of orbital cholesterol granuloma (OCG). Two males aged 54 and 50 years presented with orbitofrontal cholesterol granulomas arising in the superolateral frontal bone and abutting the dura. The granulomas were approached via a superior eyelid crease incision and a 70 degree rigid endoscope was used to visualize curettage of the granuloma from the inner surface of the frontal bone and the dura. Both patients made an uncomplicated recovery and there was no recurrence at eight months and two years follow up. Percutaneous endoscopic curettage is an alternative to blind curettage, lateral orbitotomy or frontal craniotomy for OCG.
authors.affiliation: Oculoplastic & Orbital Division, Department of Ophthalmology, Royal Adelaide Hospital, Adelaide University, Adelaide, SA, Australia. raheyes@mail.rah.sa.gov.au
authors.forename: Dinesh
authors.initials: D
authors.lastname: Selva
authors.forename: Tze
authors.initials: T
authors.lastname: Lai
authors.forename: Suren
authors.initials: S
authors.lastname: Krishnan
mesh_terms: D001847:Bone Diseases / Q000601:surgery*; D002784:Cholesterol; D003475:Curettage / Q000379:methods*; D004724:Endoscopy; D005624:Frontal Bone; D015745:Granuloma, Foreign-Body / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D002784:Cholesterol