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Treatment protocol of traumatic pseudoaneurysm of the superficial temporal artery.
MedLine Citation:
PMID:  23348304     Owner:  NLM     Status:  In-Data-Review    
ABSTRACT: Pseudoaneurysm of the superficial temporal artery is an unusual complication. Diagnosis is based on clinical findings and radiologic study. The standard treatment is surgical ligation and resection, and other treatment options include radiologic intervention, thrombin injection, and conservative treatment. In this article, the authors report several cases of pseudoaneurysm and suggest a treatment protocol to manage pseudoaneurysm of the superficial temporal artery.We conducted a retrospective review of 11 patients who underwent treatment of superficial temporal artery pseudoaneurysm between April 2002 and July 2011. According to the duration of the aneurysm, we divided the superficial temporal artery pseudoaneurysms into 3 stages: "Acute" stage is less than 3 weeks, "Subacute" stage is from 3 weeks to 3 months, and "Chronic" stage is more than 3 months.Among the 11 patients who were diagnosed with superficial temporal artery pseudoaneurysms, 7 cases were treated by surgical resection, 2 cases by conservative treatment, 2 cases by thrombin injection, and 1 case by radiologic intervention. There was no recurrence during the follow-up periods.The most successful standard treatment is surgical resection. More recently, many nonsurgical treatments have been used, such as conservative treatment, thrombin injection, endovascular embolization, or coiling. Every method has its advantages and disadvantages and should be chosen according to the chronicity and size of the pseudoaneurysm, patient's clinical status, including hemodynamic stability, patient's aesthetic preferences, and compliance. The authors suggest a systematic treatment protocol depending on the stage of the pseudoaneurysm, patients' status, and preferences.
Sang Wha Kim; Eui Jong Kim; Kun-Yong Sung; Jeong Tae Kim; Youn Hwan Kim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  24     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-8     Citation Subset:  D    
From the *Department of Plastic and Reconstructive Surgery, The Catholic University of Korea; †Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital; and ‡Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea.
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