[Computed tomography following surgery of cerebellopontile angle tumors].
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Biomedical subjects
Publications and source records attributed to C Eggert.
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During the first four to six weeks after surgery, a reaction in the paranasal sinuses can be demonstrated by CT. Similar opacifications appearing later were due to tumor recurrency. Tumor recurrency leads to an increase of soft tissue structures, disappearance of vascular structures, and an increase of bone destruction. The bone destruction can show characteristic fragmentation, with the fragments at a certain distance from each other. If the recurrence is known, CT shows the extension, similar to normal preoperative CT. Follow-up examinations improve safety of interpretation.
The authors analyzed the computerized tomograms of 17 patients who had been operated on for tumors in the sellar region. After pituitectomy from a transnasal approach the following was observed: bone defects in the area of the posterior ethmoid cells and at the sphenoid sinus (1), partial absence of the sellar floor (4), a shadow on the ethmoid and sphenoid sinuses (2), an empty sella (1), damaged tissue in the sellar region (1) and blood in the area operated on (1). After pituitectomy from a transcranial approach, the following was seen: trepanation damage frontoparietally on the right (6), trepanation damage frontoparietally on the left (3), brain substance damage below the trepanation (4), and an empty sella (5). The following had occurred as a result of the primary disorder: expansion of the sella (twice), a displacement of the middle structures (twice), bone arrosion in the sella area (once) and a tumor picture in the pituitary area (in eight cases). Air may be encountered postoperatively in the various regions within the calvaria. For the first two weeks at least, its existence is not indicative of the presence of a liquor fistula.