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Stromal Vascular Fraction-enriched Fat Grafting for the Treatment of Symptomatic End-neuromata
Published on: November 23, 2017
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Frontal Sinus Obliteration Utilizing Autogenous Abdominal Fat Graft
Abla Eledeissi1, Mamdouh Ahmed2, Emad Helmy2
1Oral and Maxillofacial Surgery Department, Nasser Institute Hospital, Cairo, Egypt.
Open Access Macedonian Journal of Medical Sciences
|August 31, 2018
Summary
Autogenous abdominal fat graft is a successful material for frontal sinus obliteration in anterior table fractures. This technique showed good clinical and radiographic outcomes, with minimal complications in most patients.
Area of Science:
- Neurosurgery
- Plastic Surgery
- Otolaryngology
Background:
- Frontal sinus fractures present unique treatment challenges.
- Controversy exists regarding optimal management protocols.
- Potential for fatal complications necessitates careful treatment selection.
Purpose of the Study:
- To evaluate the clinical and radiographic efficacy of autogenous abdominal fat graft for frontal sinus obliteration.
- To assess the suitability of autogenous fat grafts in managing anterior table frontal sinus fractures.
Main Methods:
- Twenty patients with anterior table frontal sinus fractures underwent obliteration using autogenous abdominal fat grafts.
- Postoperative clinical assessment monitored for infections, wound complications, and aesthetic deformities.
- Immediate and 12-month postoperative CT scans evaluated graft healing and sinus cavity status.
Main Results:
- 18 out of 20 patients experienced uneventful healing with no cerebrospinal fluid leak, infection, or wound dehiscence.
- Two patients developed postoperative infections.
- Radiographic evaluation confirmed successful graft healing without sinus cavity abnormalities.
Conclusions:
- Autogenous abdominal fat graft is a viable and effective material for frontal sinus obliteration.
- This technique demonstrates significant benefits in treating anterior table frontal sinus fractures.
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