By Daniel Thomas Ginat
As as a result of the expanding variety of surgeries at the mind, head, neck, and backbone, postoperative adjustments are being encountered extra often on neuroradiological examinations. besides the fact that, those findings are usually strange to neuroradiologists and neurosurgeons and will be tough to interpret. This ebook, which includes various photographs and to-the-point case descriptions, is a complete but concise reference advisor to postsurgical neuroradiology. it is going to allow the reader to spot the kind of surgical procedure played and the implanted and to distinguish anticipated sequelae from problems. themes reviewed contain trauma, tumors, vascular problems, and infections of the pinnacle, neck, and backbone; cerebrospinal fluid abnormalities; and degenerative illnesses of the backbone. This booklet will function a different and handy source for either neuroradiologists and neurosurgeons.
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Extra resources for Atlas of Postsurgical Neuroradiology: Imaging of the Brain, Spine, Head, and Neck
16). The enlarged orbital fat and rectus muscles can bulge through these defects. A transnasal endoscopic approach is commonly implemented for inferior and medial wall decompression. As a result, resection of portion of the 2 42 a b c d Imaging the Postoperative Orbit Fig. 17 Cerebrospinal fluid leak complicating orbital decompression. The patient has a history of thyroid orbitopathy and marked proptosis. Right medial and lateral bony orbital decompression was attempted. During reduction of the superior lateral orbital wall, clear fluid was encountered and there was a suspicion for a rent in the dura, causing a CSF leak, confirmed by positive beta-2transferrin.
27), and fillers Fig. 23 Lateral osteotomy rhinoplasty. Axial CT image shows bilateral in-fractures of the frontal processes of the maxilla, which are characteristic of the procedure (arrows) 15 (Fig. 28). The implants are sometimes purposefully positioned such that they appear asymmetric on imaging, but the cosmetic results are considered satisfactory. Kirschner (K) wires may also be used for support when there is total nasal collapse or septal cartilage warping. Although some complications are clinically evident, imaging after rhinoplasty is occasionally requested to evaluate complications related to olfactory dysfunction, retained foreign body (Fig.
Sagittal (a) and coronal (b) CT images show dorsal bone graft (arrows) secured via metallic microfixation plate and screws. 4 Rhinoplasty a 17 b c d Fig. 26 Rhinoplasty with a silicone dorsal tip and columellar nasal implant. Axial (a), sagittal (b), and coronal (c) CT images show an L-shaped silicone implant that provides dorsal, tip, and columella augmentation. A a Fig. 27 Rhinoplasty with polytetrafluoroethylene implant. Sagittal (a) and axial (b) CT images show the thin sheet of slightly hyperdense implant material used for smaller additional piece of silicone is present to the right of the main implant (arrow).