Management of a pseudoaneurysm of the sphenopalatine artery following a Le Fort I osteotomy

Article Sidebar

PDF (Español (España))

Downloads

Download data is not yet available.
Published: Oct 19, 2018

DOI: https://doi.org/10.18272/oi.v4i2.1282
Issue
Vol. 4 No. 2 (2018)
Section
Artículos Rehabilitación Oral

Main Article Content

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

Abstract

The formation of pseudo-aneurysms in the vascular complex of the maxillofacial region are not common, reports found in the literature indicate that blunt mechanisms (iatrogenesis) is the main cause. We describe the case of a 17-year-old male patient with dentofacial disharmony, who presented a pseudo-aneurysm of the right sphenopalatine artery, as a rare and serious complication to a Lefort I osteotomy, which was treated with trans-arterial embolization by means of the release of two coils. We reviewed the concepts of aneurysms as well as the modalities for their treatment. Suggesting endovascular intervention as the first line of management, relegating surgical intervention to situations of penetrating trauma, with adequate facilities and skills.

Article Details

How to Cite
Barona Terán, J., Rodríguez Gómez, C. S., Alvarado Lema, Ángel, & Sandoval Vernimmen, F. (2018). Management of a pseudoaneurysm of the sphenopalatine artery following a Le Fort I osteotomy. OdontoInvestigación, 4(2). https://doi.org/10.18272/oi.v4i2.1282

References

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.

Most read articles by the same author(s)