Pseudoaneurysm of the facial artery following mandibular bilateral sagittal split osteotomy: A case report

被引:0
作者
Bogaert, Constantijn [1 ]
Singfer, Uri [2 ]
De Kock, Lisa [1 ]
Vanlangenhove, Peter [2 ]
Coopman, Renaat [1 ,3 ]
机构
[1] Ghent Univ Hosp, Dept Oral & Craniomaxillofacial Surg, C Heymanslaan 10, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Dept Vasc & Intervent Radiol, C Heymanslaan 10, B-9000 Ghent, Belgium
[3] Univ Ghent, Canc Res Inst Gent CRIG, Corneel Heymanslaan 10, B-9000 Ghent, Belgium
关键词
Pseudoaneurysm; Orthognathic surgery; Sagittal split ramus osteotomy; DESCENDING PALATINE ARTERY; INTERNAL MAXILLARY ARTERY; ENDOVASCULAR TREATMENT; ORTHOGNATHIC SURGERY; COMPLICATIONS; EMBOLIZATION;
D O I
10.1016/j.jormas.2025.102385
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This article presents a case involving a 16-year-old female patient in whom a pseudoaneurysm of a facial artery branch was diagnosed two weeks after initial orthognathic surgery. The patient presented with a sensation of pressure, accompanied by pulsations synchronised with her heartbeat, located on the right side of the mandible. Ultrasound imaging, followed by CT angiography, confirmed the diagnosis of a pseudoaneurysm within the parotid region. Endovascular embolization effectively stopped blood flow to the pseudoaneurysm, leading to rapid recovery without any lasting complications. A pseudoaneurysm is a rare complication following orthognathic surgery. This complication, as a result of anatomical variation, can have serious consequences if not recognised and treated in time. (c) 2025 Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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页数:5
相关论文
共 35 条
[1]   Pseudoaneurysm in the inferior alveolar artery following a bad split in bilateral sagittal split osteotomy [J].
AbuKaraky, A. ;
Al Mousa, M. ;
Samara, O. A. ;
Baqain, Z. H. .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2021, 50 (06) :798-800
[2]   Embolization of Pseudoaneurysm of the Internal Maxillary Artery After Orthognathic Surgery [J].
Avelar, Rafael Linard ;
Goelzer, Juliana Goncalves ;
Becker, Otavio Emmel ;
de Oliveira, Rogerio Belle ;
Raupp, Eduardo Floriani ;
Correa de Magalhaes, Pedro Silva .
JOURNAL OF CRANIOFACIAL SURGERY, 2010, 21 (06) :1764-1768
[3]  
Baik FM, 2011, Laryngoscope, V121, pS61
[4]   Superselective embolization for control of facial haemorrhage [J].
Baqain, ZH ;
Thakkar, C ;
Kalavrezos, N .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2004, 35 (04) :435-438
[5]   Pseudoaneurysm of facial artery after bilateral sagittal split osteotomy, complicated by infection after embolization [J].
Cho, Jungsuk ;
Kim, Jay ;
Israel, Howard ;
Momtahen, Shabnam ;
Behrman, David .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY MEDICINE AND PATHOLOGY, 2016, 28 (06) :513-516
[6]   Anatomic mapping of the collateral branches of the external carotid artery with regard to daily clinical practice [J].
Cobiella, Rosana ;
Quinones, Sara ;
Aragones, Paloma ;
Leon, Xavier ;
Abramovic, Anto ;
Vazquez, Teresa ;
Ramon Sanudo, Jose ;
Maranillo, Eva ;
Olewnik, Lukasz ;
Simon de Blas, Clara ;
Parkin, Ian ;
Konschake, Marko .
ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER, 2021, 238
[7]   A cadaveric study on variations in branching pattern of external carotid artery [J].
Devadas, Deepa ;
Pillay, Minnie ;
Sukumaran, Tintu Thottiyil .
ANATOMY & CELL BIOLOGY, 2018, 51 (04) :225-231
[8]   Endovascular treatment of a pseudoaneurysm of the descending palatine artery after orthognathic surgery:: technical note [J].
Fernández-Prieto, A ;
García-Raya, P ;
Burgueño, M ;
Muñoz-Caro, J ;
Frutos, R .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2005, 34 (03) :321-323
[9]   Complications in orthognathic surgery: A retrospective study of 5025 cases [J].
Ferri, Joel ;
Druelle, Charles ;
Schlund, Matthias ;
Bricout, Nicolas ;
Nicot, Romain .
INTERNATIONAL ORTHODONTICS, 2019, 17 (04) :789-798
[10]  
Hunsuck E E, 1968, J Oral Surg, V26, P250