Edemas of the face and lymphoscintigraphic examination

Abstract Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (plana...

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Autores principales: Pierre Bourgeois, E. Peters, A. Van Mieghem, A. Vrancken, G. Giacalone, A. Zeltzer
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/5f4e5e2e8868410fb964ebeacc01d09a
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spelling oai:doaj.org-article:5f4e5e2e8868410fb964ebeacc01d09a2021-12-02T13:17:56ZEdemas of the face and lymphoscintigraphic examination10.1038/s41598-021-85835-w2045-2322https://doaj.org/article/5f4e5e2e8868410fb964ebeacc01d09a2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85835-whttps://doaj.org/toc/2045-2322Abstract Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema.Pierre BourgeoisE. PetersA. Van MieghemA. VranckenG. GiacaloneA. ZeltzerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Pierre Bourgeois
E. Peters
A. Van Mieghem
A. Vrancken
G. Giacalone
A. Zeltzer
Edemas of the face and lymphoscintigraphic examination
description Abstract Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema.
format article
author Pierre Bourgeois
E. Peters
A. Van Mieghem
A. Vrancken
G. Giacalone
A. Zeltzer
author_facet Pierre Bourgeois
E. Peters
A. Van Mieghem
A. Vrancken
G. Giacalone
A. Zeltzer
author_sort Pierre Bourgeois
title Edemas of the face and lymphoscintigraphic examination
title_short Edemas of the face and lymphoscintigraphic examination
title_full Edemas of the face and lymphoscintigraphic examination
title_fullStr Edemas of the face and lymphoscintigraphic examination
title_full_unstemmed Edemas of the face and lymphoscintigraphic examination
title_sort edemas of the face and lymphoscintigraphic examination
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/5f4e5e2e8868410fb964ebeacc01d09a
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AT avanmieghem edemasofthefaceandlymphoscintigraphicexamination
AT avrancken edemasofthefaceandlymphoscintigraphicexamination
AT ggiacalone edemasofthefaceandlymphoscintigraphicexamination
AT azeltzer edemasofthefaceandlymphoscintigraphicexamination
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