Fate of autogenous fat implants in the frontal sinuses of cats

Cats (n = 4) were subjected to a bilateral osteotomy overlying the frontal sinuses. The right sinus of each cat served as a control, and the left sinus was filled with autogenous fat harvested from the subcutaneous region of the ventral part of the abdomen. All 4 cats were euthanatized at 200 days. The experiment was designed to determine whether satisfactory obliteration of the left frontal sinus could be accomplished without the benefit of intraoperative magnification. Grossly, obliteration of all 4 sinuses was accomplished in 3 of 4 cats. Light microscopy revealed fluid and/or regrowth of mucous membrane, both considered to be unfavorable sequelae. Although some fat retained viability in the sinus (50% in one cat, 40% in another), most of the obliteration was from mixed fibrous-adipose tissue or bony ingrowth. The clinical significance of this study was not determined, since all 4 cats were free of sinusitis before adipose tissue implantation.