Presence of Cholesterol Clefts in Chronic tonsillitis

Title: Presence of Cholesterol Clefts in Chronic tonsillitis

Authors: Sujatha Nagari, Bharath CH. NV, Swayam Jothi S, Mani Maran D, Hemanth Kommuru

DOI: http://dx.doi.org/10.18535/jmscr/v4i6.35

Abstract

In the tonsils, as in the paranasal air sinuses and middle ear, cholesterol ester crystals with foreign body giant cell reaction may result from a focal haemorrhage. Some authorities suggest that cholesterol clefts accumulate in the tissues as a result of degeneration and disintegration of epithelial cells. On the other hand, some authors have suggested circulating plasma lipids as a more likely source, as cholesterol clefts are common in atherosclerotic plaques. In our study 7 cases showed cholesterol clefts, but the significance of cholesterol clefts of tonsils is unknown.

Key words: Cholesterol Clefts, Chronic tonsillitis, Giant cells

References

1. Beasly P. Anatomy of' the Pharynx and Oesophagus, In: Basic Sciences. Scott Brown's Orolarvngologv, 5th edn 1987:245-83.

2. Browne, R., 1971. The origin of cholesterol in odontogenic cysts in man. Archives of Oral Biology 16 (1), 107-113.

3. Korsrud FR, Brandtzaeg P. Immune system of human nasopharyngeal and palatine tonsils: histomorphometry of lymphoid components and quantification of immunoglobulin - producing cells in health and disease. Clin Exp Immunol. 1980; 39: 361-70. [PMC free article]PubMed.

4. Leslie Michaels, Henrick B, Hell-Quist - Ear, Nose and Throat Histopathology, 1^st Edition, Springer Science & Business Media, 06 Dec 2012, Medical 551 pages

5. Neville, B.W., Damm, D.D., Allen, C.M., Bouquot, J.E., 2002. Chapter 3: Pulpal and Periapical Disease, Oral & maxillofacial pathology, W.B. Saunders, Philadelphia, pp. 107-136.

6. Shear, M., 1963. Cholesterol in dental cysts. Oral Surgery, Oral Medicine, Oral Pathology 16 (12), 1465-1473.

7. Shear, M., Speight, P.M., 2007. Cysts of the oral and maxillofacial regions. 4th Edition. Blackwell Pub., Oxford; Ames, Iowa.

8. Skaug, N., 1976. Lipoproteins in fluid from non-keratinizing jaw cysts. European Journal of Oral Sciences 84 (2), 98-105.

9. Thoma, K.H., Goldman, H.M., Gorlin, R.J., 1970. Thoma's Oral pathology. 6^th Edition. Mosby, St. Louis.

Corresponding Author

Sujatha Nagari

Tutor, Department of Anatomy,

Shri Sathya Sai Medical College& Research Institute, Tiruporur - Guduvancherry Main Road, Ammapettai Village, Sembakkam Post - 603108. Chengalpet Taluk, Kancheepuram District. Chennai - India.

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