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Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft
BACKGROUND: Frontal sinus fractures have always been unique because of the controversy surrounding their ideal treatment protocol and the fatal complications that could follow if the wrong treatment opts. AIM: The purpose of this study was to assess clinically and radiographically frontal sinus obli...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Republic of Macedonia
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108793/ https://www.ncbi.nlm.nih.gov/pubmed/30159078 http://dx.doi.org/10.3889/oamjms.2018.295 |
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author | Eledeissi, Abla Ahmed, Mamdouh Helmy, Emad |
author_facet | Eledeissi, Abla Ahmed, Mamdouh Helmy, Emad |
author_sort | Eledeissi, Abla |
collection | PubMed |
description | BACKGROUND: Frontal sinus fractures have always been unique because of the controversy surrounding their ideal treatment protocol and the fatal complications that could follow if the wrong treatment opts. AIM: The purpose of this study was to assess clinically and radiographically frontal sinus obliteration technique utilising autogenous abdominal fat graft. PATIENTS AND METHODS: This study was carried out on 20 patients having anterior table fracture of their frontal sinuses indicated for sinus obliteration. All sinuses were obliterated using autogenous abdominal fat graft. Post-operatively, patients were clinically evaluated for any signs or symptoms of intracranial infections, wound dehiscence, sinus affections, or aesthetic deformity. Computerized tomography (CT) radiographic evaluations were carried out immediately and 12 months postoperatively to evaluate any uneventful healing of the graft. RESULTS: Clinical follow-up showed no cerebrospinal fluid leak, no postoperative infection or wound dehiscence in 18 cases. There were two cases however that showed infection. Radiographic follow-up revealed uneventful healing of the abdominal fat grafts with no abnormality detected in the sinus cavity throughout the whole postoperative period. CONCLUSION: Autogenous abdominal fat graft appears to be a successful obliteration material in the frontal sinus cavity and is beneficial in fractures of the anterior table. |
format | Online Article Text |
id | pubmed-6108793 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Republic of Macedonia |
record_format | MEDLINE/PubMed |
spelling | pubmed-61087932018-08-29 Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft Eledeissi, Abla Ahmed, Mamdouh Helmy, Emad Open Access Maced J Med Sci Dental Science BACKGROUND: Frontal sinus fractures have always been unique because of the controversy surrounding their ideal treatment protocol and the fatal complications that could follow if the wrong treatment opts. AIM: The purpose of this study was to assess clinically and radiographically frontal sinus obliteration technique utilising autogenous abdominal fat graft. PATIENTS AND METHODS: This study was carried out on 20 patients having anterior table fracture of their frontal sinuses indicated for sinus obliteration. All sinuses were obliterated using autogenous abdominal fat graft. Post-operatively, patients were clinically evaluated for any signs or symptoms of intracranial infections, wound dehiscence, sinus affections, or aesthetic deformity. Computerized tomography (CT) radiographic evaluations were carried out immediately and 12 months postoperatively to evaluate any uneventful healing of the graft. RESULTS: Clinical follow-up showed no cerebrospinal fluid leak, no postoperative infection or wound dehiscence in 18 cases. There were two cases however that showed infection. Radiographic follow-up revealed uneventful healing of the abdominal fat grafts with no abnormality detected in the sinus cavity throughout the whole postoperative period. CONCLUSION: Autogenous abdominal fat graft appears to be a successful obliteration material in the frontal sinus cavity and is beneficial in fractures of the anterior table. Republic of Macedonia 2018-07-21 /pmc/articles/PMC6108793/ /pubmed/30159078 http://dx.doi.org/10.3889/oamjms.2018.295 Text en Copyright: © 2018 Abla Eledeissi, Mamdouh Ahmed, Emad Helmy http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). |
spellingShingle | Dental Science Eledeissi, Abla Ahmed, Mamdouh Helmy, Emad Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft |
title | Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft |
title_full | Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft |
title_fullStr | Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft |
title_full_unstemmed | Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft |
title_short | Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft |
title_sort | frontal sinus obliteration utilizing autogenous abdominal fat graft |
topic | Dental Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108793/ https://www.ncbi.nlm.nih.gov/pubmed/30159078 http://dx.doi.org/10.3889/oamjms.2018.295 |
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