Manejo de pseudoaneurisma de la arteria esfenopalatina posterior a osteotomía LeFort I

Jorge Barona Terán, Christian Salvador Rodríguez Gómez, Ángel Alvarado Lema, Fernando Sandoval Vernimmen

Resumen

La formación de pseudo-aneurismas en el complejo vascular de la región maxilofacial no son comunes, los reportes encontrados en la bibliografía indican que los mecanismos romos (iatrogenia) es la causa principal. Se describe caso de paciente masculino de 17 años de edad con desarmonía dentofacial, que presentó un pseudo-aneurisma de la arteria esfenopalatina derecha, como una rara y seria complicación a una ostetomía Lefort I, misma que se trató con embolización trans-arterial mediante la liberación de dos coils. Se revisó los conceptos de aneurismas, así como las modalidades para su tratamiento. Sugiriendo la intervención endovascular como primera línea de manejo, relegando a la intervención quirúrgica a situaciones de trauma penetrante, con instalaciones y habilidades adecuadas.

Texto completo:

PDF

Referencias

Cunningham, L.; Van Sickels, J. y Brandt, M. Angioghapic Evaluation of the Head and Neck. Atlas of the Oral and Maxillofacial Surgery Clinics North America. 2003; 11(1) 73-86.

Carmo Galindo, C; Augusto Lima C; Galindo Filho, G y Marcondes Penha F. True atherosclerotic aneurysm of the facial artery. International Journal of Oral and Maxillofacial Surgery. 2006; 35 (6) 566–568.

Corvino A.; Catalano O.; Corvino F.; Sandomenico F.; Setola, S.; and Petrillo. A. Superficial temporal artery pseudoaneurysm: what is the role of ultrasound?. Journal Ultrasonographic. 2016; 19 (3) 197-201.

Pappa, H; Richardson D and Niven S. False Aneurysm of the Facial Artery as Complication of Sagittal Split Osteotomy. Journal of Cranio-Maxillofacial Surgery. 2008; 36 (3) 180-182.

Pourdanesh, F; Salehian M; Dehghan, P; Dehghani, N and Dehghani, S. Pseudoaneurysm of the Superficial Temporal Artery Following Penetrating Trauma. The Journal of Craniofacial Surgery. 2013; 24 (4) 334-337.

Silva A; O’Ryan F; Beckley M; Young H and Poor D. Pseudoaneurysm of a branch of the maxillary artery following mandibular sagittal split ramus osteotomy: case report and literature review, Journal of Oral and Maxillofacial Surgery. 2007; 65(9) 1807-1816.

Morken M; Cappelen Johan; Kvistad K; Sovik E and Stenseath K. Acute Endovascular Repair of Iatrogenic Rigth Internal Carotid Arterial Laceration. Acta Radiologica Short Reports. 2013; 2 (5) 1-3.

Chirichella T; Little J and Gruber B. Lingual Artery Pseudoaneurysm with Arteriovenous Fistula Formation Following a Gun Shot Wound. Journal Surgery Radiology. 2011;1(2)166-169.

Elton V; Turnbull I and Foster M. An Overview of the Management of Pseudoaneurism of the Maxillary Artery: A Report of a Case Following Mandibular Subcondylar Osteotomy. Journal of Craniomaxillofacial Surgery. 2007; 35(1) 52-56.

Masella P; Megan H; Hall B; Verghese J. and Kellicut D. Posttraumatic Lingual Artery Pseudoaneurysm Treated with Ultrasound- Guided Percutaneous Thrombin Injection. Annals Vascular Surgery. 2014; 28 (5) 1317-1322.

Osborne, P.; Sverzut T; Trivellato, A; Matias, C; Sverzut C and Sverzut, A. Carotid Jugular Fistula after Le Fort I Osteotomy. International Journal of Oral & Maxillofacial Surgery. 2017; 46(7) 845-850.

Fonseca, Raymond J. Oral and Maxillofcial Surgery. Volumen III. Volumen Editor: Timothy A. Turvey. Second Edition. El Sevier Saunders. 2009 pp 185-187

Múnera, F.; Soto J.; Palacio, D; Velez S and Medina, E. Diagnosis of Arterial Injuries Caused by Penetrating Trauma to the Neck: Comparison of Helical CT Angiography and Conventional Angiography. Radiology 2000; 216 (2) 356–362.

Lucas O; Naseem H-u-R, Davies J; Reynold R. and Bass K. Endovascular treatment of a carotid artery pseudoaneurysm due to penetrating trauma in a pediatric patient, Journal of Pediatric Surgery Case Reports. 2017; 19 19-21.

Serio, S. and Beeman, B. Delayed Presentation of a Common Carotid Pseudo-aneurysm Following Penetrating Trauma with Retrograde open Carotid Stent graft (ROCS). Annals of Vascular Surgery. 2014; 28 (7) 1799-1804.

Goksu, E; Senay, E and Aksoy C. Superficial temporal artery pseudoaneurysm: ultrasonographic diagnosis in the ED. American Journal of Emergency Medicine. 2009; 27 (5) 627-630.

Noy, D; Rachmiel, A; Emodi, O; Amsalem, Y; Israel, Y. and Nagler, R. Transarterial Embolization in Maxillofacial Intractable Potentially Life-Threatening Hemorrhage. Journal Oral Maxillofacial Surgery. 2017; 75(6) 1223-1231.

Shu-jun, C; Ning, J.; Yu-xuan, C, Xiao-xian, H.; Xue-mei, L.; Yan-kun, L and Xiao-zong,W. A Clinical Study of Large Cervical Vascular Injury in Penetrating Neck Trauma: Report of 6 Cases. China Journal of Oral and Maxillofacial Surgery. 2011: 9(2) 138-142.

Enlaces refback

  • No hay ningún enlace refback.