Document Detail

Maxillary artery pseudoaneurysm after Le Fort I osteotomy: treatment using transcatheter arterial embolization.
MedLine Citation:
PMID:  20613567     Owner:  NLM     Status:  MEDLINE    
Life-threatening hemorrhage is a rare complication after Le Fort I osteotomy. However, owing to the gravity of this complication, all surgeons who perform Le Fort I osteotomy should be aware of the potential for this complication and options for its resolution. The following case report describes an episode of subacute, life-threatening bleeding, after a Le Fort I osteotomy for the treatment of midface hypoplasia. Emergent angiographic evaluation demonstrated an internal maxillary artery pseudoaneurysm with fistulous drainage via the cavernous sinus. This was treated by arterial embolization in which the pseudoaneurysm was packed with microcoils. This report reaffirms the importance of maintaining a high clinical suspicion for pseudoaneurysm as a possible etiology of delayed postoperative bleeding in patients after craniomaxillofacial surgery.
Kyle J Chepla; Ali Totonchi; Daniel P Hsu; Arun K Gosain
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  21     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1079-81     Citation Subset:  D    
Department of Plastic Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
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MeSH Terms
Aneurysm, False / etiology*,  therapy*
Embolization, Therapeutic / methods*
Maxillary Artery / injuries*
Maxillofacial Abnormalities / surgery
Osteotomy, Le Fort / adverse effects*

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