Magnetic resonance imaging following fat obliteration of the frontal sinus

The paper describes the evaluation of magnetic resonance imaging (MRI) following osteoplastic flap procedure with fat obliteration. MRI scans performed in patients after surgery between 1st January 1986 and 31st December 1997 were evaluated. Outcome parameters were time-dependent changes in the dist...

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Veröffentlicht in:Neuroradiology 2002, Vol.44 (1), p.52-58
Hauptverfasser: WEBER, R, DRAF, W, KEERL, R, KAHLE, G, KIND, M, SCHINZEL, S, THOMANN, S, WEBER, A
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container_issue 1
container_start_page 52
container_title Neuroradiology
container_volume 44
creator WEBER, R
DRAF, W
KEERL, R
KAHLE, G
KIND, M
SCHINZEL, S
THOMANN, S
WEBER, A
description The paper describes the evaluation of magnetic resonance imaging (MRI) following osteoplastic flap procedure with fat obliteration. MRI scans performed in patients after surgery between 1st January 1986 and 31st December 1997 were evaluated. Outcome parameters were time-dependent changes in the distribution of adipose or connective tissue, development of necroses or oil cysts, recurrences, inflammatory complications, or mucocoeles. Eighty-six postoperative MRI scans from 51 operations were evaluated. In 19 cases between two and five MRI scans were available. Time between surgery and the last MRI scan was 24.1 months on average. We found five mucocoeles. The amount of adipose tissue depictable on the last scan was less than 20% in the majority of cases (53%) and more than 60% in only 18% of cases. Statistical tests and modelling showed a significant decrease of adipose tissue with time, with a median half-life of 15.4 months in a subgroup with at least two MRIs. MRI is at times the most valuable diagnostic tool after frontal sinus obliteration using adipose tissue. The method has some limitations with regard to detection of small (recurrences of) mucocoeles and differentiation between vital adipose tissue and fat necroses in the form of oil cysts. In difficult cases long-term MRI follow-up is necessary for definitive evaluation.
doi_str_mv 10.1007/s002340100635
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subjects Adipose Tissue - transplantation
Adolescent
Adult
Aged
Biological and medical sciences
Female
Follow-Up Studies
Frontal Sinus - surgery
Frontal Sinusitis - surgery
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Non tumoral diseases
Otorhinolaryngology. Stomatology
Postoperative Care
Postoperative Complications - pathology
Surgical Flaps
Time Factors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Magnetic resonance imaging following fat obliteration of the frontal sinus
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