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Research ArticleHEAD AND NECK

Incidence and Clinical Significance of Frontal Sinus or Orbital Entry during Pterional (Frontotemporal) Craniotomy

Rita S. Patel, David M. Yousem, Joseph A. Maldjian and Eric L. Zager
American Journal of Neuroradiology August 2000, 21 (7) 1327-1330;
Rita S. Patel
aFrom the Departments of Radiology (R.S.P., J.A.M.) and Neurosurgery (E.L.Z.), University of Pennsylvania Medical Center, Philadelphia, PA, and the Department of Radiology (D.M.Y.), Johns Hopkins Hospital, Baltimore, MD.
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David M. Yousem
aFrom the Departments of Radiology (R.S.P., J.A.M.) and Neurosurgery (E.L.Z.), University of Pennsylvania Medical Center, Philadelphia, PA, and the Department of Radiology (D.M.Y.), Johns Hopkins Hospital, Baltimore, MD.
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Joseph A. Maldjian
aFrom the Departments of Radiology (R.S.P., J.A.M.) and Neurosurgery (E.L.Z.), University of Pennsylvania Medical Center, Philadelphia, PA, and the Department of Radiology (D.M.Y.), Johns Hopkins Hospital, Baltimore, MD.
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Eric L. Zager
aFrom the Departments of Radiology (R.S.P., J.A.M.) and Neurosurgery (E.L.Z.), University of Pennsylvania Medical Center, Philadelphia, PA, and the Department of Radiology (D.M.Y.), Johns Hopkins Hospital, Baltimore, MD.
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    fig 1.

    Orbital entry. A, Axial CT soft-tissue window image obtained from a 48-year-old woman with a basilar-tip aneurysm shows violation of the right lateral orbital wall (arrow).

    B, The CT scan of the same patient filmed in bone windows shows displacement of the lateral orbital bone fragment (arrow), medial into the orbit.

  • fig 2.
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    fig 2.

    Sinus entry. A and B, These axial CT images filmed in bone windows are from a 56-year-old with an anterior communicating artery aneurysm who had extensive pneumatiztion of the frontal sinus and thick calvarium. Owing to frontal sinus entry during a right pterional craniotomy, the patient required frontal sinus mucosal exenteration with antibiotic-laden gelfoam (arrows) placed in the sinus. A pericranial graft over the entrance of the frontal sinus was also required

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American Journal of Neuroradiology
Vol. 21, Issue 7
1 Aug 2000
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Incidence and Clinical Significance of Frontal Sinus or Orbital Entry during Pterional (Frontotemporal) Craniotomy
Rita S. Patel, David M. Yousem, Joseph A. Maldjian, Eric L. Zager
American Journal of Neuroradiology Aug 2000, 21 (7) 1327-1330;

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Incidence and Clinical Significance of Frontal Sinus or Orbital Entry during Pterional (Frontotemporal) Craniotomy
Rita S. Patel, David M. Yousem, Joseph A. Maldjian, Eric L. Zager
American Journal of Neuroradiology Aug 2000, 21 (7) 1327-1330;
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