Cholesterol granuloma

October 8, 2012 by Joseph A. Ursick, MD; Derald E. Brackmann, MD
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Otoscopic Clinic

 Cholesterol granulomas can cause bony expansion and typically become symptomatic when they encroach upon adjacent cranial nerves.

     A 68-year-old man presented with left-sided hearing loss that began after an accident 50 years earlier. He denied otorrhea and facial nerve symptoms. Otoscopy revealed a bulging left tympanic membrane with blue-colored fluid filling the middle ear space. A portion of the eardrum was herniating and filled with a chocolate-brown–colored fluid (figure).

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CitationEar Nose Throat J. 2012 October;91(10):E31