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Pediatr Radiol. 2015 Jul;45(8):1244-8. doi: 10.1007/s00247-014-3272-x. Epub 2015 Jan 31.

Facial vein thrombophlebitis: an uncommon complication of sinusitis.

Author information

1
Department of Radiology, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555-0709, USA, cccotes@utmb.edu.

Abstract

Facial vein thrombophlebitis is an uncommon complication of sinusitis. In cases where periorbital swelling complicating sinusitis is diagnosed, clinical findings of swelling and erythema extending beyond the orbital region into the cheek should alert the physician about this unusual complication and the need for further contrast-enhanced imaging and venography. The radiologist must be particularly careful in the evaluation of vascular structures of the face and neck in these children. CT and MRI with contrast material and MR venography are studies that clearly demonstrate the vascular anatomy and possible complications. However, MR venography confirms flow abnormalities within the venous system with the advantage of avoiding radiation exposure to the pediatric patient.

PMID:
25636529
DOI:
10.1007/s00247-014-3272-x
[Indexed for MEDLINE]

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