Document Detail


False aneurysm of the facial artery as complication of sagittal split osteotomy.
MedLine Citation:
PMID:  18313935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: False aneurysms are rare complications of orthognathic surgery, or other surgical procedures in the head and neck regions. PATIENTS AND METHODS: The following report describes a false aneurysm of the facial artery that occurred after sagittal split mandibular osteotomy. A 17-year-old male presented with a class II skeletal deformity and vertical maxillary excess. A bimaxillary osteotomy was carried out and the immediate postoperative course was uneventful. One week later, the patient was admitted with severe intraoral bleeding. RESULTS: Surgical exploration and temporary occlusion of the facial artery failed to arrest the bleeding. A pressure dressing was reapplied for temporary control of the bleeding, and angiography performed with favourable results. CONCLUSION: Interventional radiology has an important role in the management of false aneurysms and is recommended as the treatment of choice for such cases.
Authors:
Helena Pappa; David Richardson; Sasha Niven
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-07
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  36     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-04     Completed Date:  2008-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  180-2     Citation Subset:  D; IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, University Hospital Aintree, Liverpool, UK. pappaelena@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aneurysm, False / etiology*
Aneurysm, Ruptured / etiology*
Angiography
Arteries
Embolization, Therapeutic
Face / blood supply*
Follow-Up Studies
Humans
Male
Malocclusion, Angle Class II / surgery
Mandible / surgery*
Oral Hemorrhage / etiology
Osteotomy / adverse effects*
Postoperative Complications
Retrognathism / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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