| Intraparotid arterial aneurysm treated with embolization followed by surgical resection. | |
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MedLine Citation:
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PMID: 23288829 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Daniel T Ganc; Charles Prestigiacomo; Soly Baredes |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ear, nose, & throat journal Volume: 91 ISSN: 1942-7522 ISO Abbreviation: Ear Nose Throat J Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2013-01-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7701817 Medline TA: Ear Nose Throat J Country: United States |
Other Details:
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Languages: eng Pagination: E4-6 Citation Subset: IM |
Affiliation:
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ENT Associates of South Florida, 1601 Clint Moore Rd., Suite 105, Boca Raton, FL 33487, USA. gancmail-t@yahoo.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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