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利用自体腹部脂肪移植进行额窦闭塞术。

Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft.

作者信息

Eledeissi Abla, Ahmed Mamdouh, Helmy Emad

机构信息

Oral and Maxillofacial Surgery Department, Nasser Institute Hospital, Cairo, Egypt.

Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.

出版信息

Open Access Maced J Med Sci. 2018 Jul 21;6(8):1462-1467. doi: 10.3889/oamjms.2018.295. eCollection 2018 Aug 20.

DOI:10.3889/oamjms.2018.295
PMID:30159078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6108793/
Abstract

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.

摘要

背景

由于围绕额窦理想治疗方案存在争议，且如果选择错误治疗可能会引发致命并发症，额窦骨折一直较为特殊。

目的

本研究旨在通过临床和影像学评估利用自体腹部脂肪移植进行额窦闭塞术的技术。

患者与方法

本研究对20例因额窦前壁骨折而需行窦腔闭塞术的患者进行。所有窦腔均采用自体腹部脂肪移植进行闭塞。术后，对患者进行临床评估，查看是否有颅内感染、伤口裂开、鼻窦病变或美学畸形的任何体征或症状。术后即刻及术后12个月进行计算机断层扫描（CT）影像学评估，以评估移植组织的愈合情况是否顺利。

结果

临床随访显示，18例患者无脑脊液漏、术后感染或伤口裂开情况。然而，有2例出现感染。影像学随访显示，腹部脂肪移植组织愈合顺利，术后整个期间鼻窦腔内未检测到异常。

结论

自体腹部脂肪移植似乎是额窦腔内一种成功的闭塞材料，对前壁骨折有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/9d8d203b3358/OAMJMS-6-1462-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/767dada0145c/OAMJMS-6-1462-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/7c605e596f25/OAMJMS-6-1462-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/47683a04ef4f/OAMJMS-6-1462-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/737839f41970/OAMJMS-6-1462-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/ce5234063805/OAMJMS-6-1462-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/93881ae5c41e/OAMJMS-6-1462-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/9d8d203b3358/OAMJMS-6-1462-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/767dada0145c/OAMJMS-6-1462-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/7c605e596f25/OAMJMS-6-1462-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/47683a04ef4f/OAMJMS-6-1462-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/737839f41970/OAMJMS-6-1462-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/ce5234063805/OAMJMS-6-1462-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/93881ae5c41e/OAMJMS-6-1462-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adad/6108793/9d8d203b3358/OAMJMS-6-1462-g007.jpg

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