Document Detail

Intraparotid arterial aneurysm treated with embolization followed by surgical resection.
MedLine Citation:
PMID:  23288829     Owner:  NLM     Status:  In-Data-Review    
We describe the case of a 41-year-old woman who presented to a local facial plastic surgeon for evaluation of a cosmetic defect of the cheek of 1 month's duration. When imaging revealed the presence of a vascular mass, the patient was referred to us. Further imaging identified the mass as an intraparotid external carotid artery aneurysm. The decision was then made to treat the patient with embolization of the lesion followed by surgical resection the next day. During the resection, the lateral-most aspect of the aneurysm was found to be adherent to and splaying the facial nerve. The embolized mass and the surrounding fascial layer were removed, and the branches of the facial nerve were retracted superiorly and inferiorly. Dissection proceeded around the aneurysm in this plane. Blood loss during the procedure was minimal. On postoperative day 1, the patient exhibited minimal lower facial asymmetry. In this case, performing embolization prior to surgical resection appeared to be a prudent and efficacious strategy. The preoperative embolization greatly reduced the risk of damage to the facial nerve.
Daniel T Ganc; Charles Prestigiacomo; Soly Baredes
Related Documents :
24481249 - Hemodiafiltration does not have additional benefits over hemodialysis on arterial stiff...
24184459 - Open repair of superior mesenteric artery mycotic aneurysm in an adolescent girl.
23993019 - Tendon xanthomas as indicators of atherosclerotic burden on coronary arteries.
23537849 - Self-expandable transcatheter aortic valve implantation for aortic stenosis after mitra...
23804919 - Totally anomalous pulmonary venous connection draining through an intrapulmonary vertic...
25058779 - Delayed arterial hemorrhage after pancreaticoduodenectomy.
877869 - Peripheral atheromatous embolization following blunt abdominal trauma.
12507149 - Rotational vertebral artery occlusion from occipital bone anomaly: a rare cause of embo...
8181619 - Subintimal and intraluminal recanalisation of occluded crural arteries by percutaneous ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  91     ISSN:  1942-7522     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E4-6     Citation Subset:  IM    
ENT Associates of South Florida, 1601 Clint Moore Rd., Suite 105, Boca Raton, FL 33487, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Low-grade B-cell lymphoma presenting as a uvular mass.
Next Document:  An unusual cause of vertigo, tinnitus, and hyperacusis: Vogt-Koyanagi-Harada syndrome.