Document Detail

An overview of the management of pseudoaneurysm of the maxillary artery: a report of a case following mandibular subcondylar osteotomy.
MedLine Citation:
PMID:  17261370     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Aneurysms, pseudoaneurysms, and arteriovenous malformations of the maxillary artery are rare. This is why this case report and current opinions regarding therapy are presented. PATIENT: A 41 year old woman presented in 1991 with recurrent pain and swelling in the right infra-auricular region of 3 years duration which was unresponsive to antibiotics. She had undergone subcondylar osteotomies elsewhere 5 years previously. Imaging revealed a rounded radiolucency of the upper posterior border of the right mandibular ramus with calcification posterior to the radiolucency. The lesion was surgically treated by packing, diathermy and ligation of the external carotid artery and has now resolved completely. Methods for the management of pseudoaneurysms, arteriovenous fistulae and haemorrhage from the maxillary artery include angiography both for initial diagnosis of pseudoaneurysm, arteriovenous malformation and haemorrhage and, if suitable their treatment with endovascular occlusants. The advantages and drawbacks of surgery versus endarterial occlusion are rehearsed. CONCLUSION: Although endovascular intervention has become the first line approach, particulate embolization is more commonly used as a pre-operative technique. Lesions like one described here can of course be managed by surgery alone if sophistizated facilities and skill were not available.
Victoria J F Elton; Ian W Turnbull; Murray E Foster
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-01-29
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  35     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-03-02     Completed Date:  2007-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  52-6     Citation Subset:  D; IM    
Department of Oral and Maxillofacial Surgery, North Manchester General Hospital, Manchester, UK.
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MeSH Terms
Aneurysm, False / surgery*
Bone Remodeling / physiology
Calcinosis / etiology
Carotid Artery, External / surgery
Mandible / surgery*
Mandibular Diseases / etiology
Maxillary Artery / surgery*
Postoperative Complications

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