Arteriovenous Fistula of the Middle Meningeal Artery—A Rare Complication After Arthroscopic Temporomandibular Joint Surgery Readily Amenable to Endovascular Treatment

Sacho, Raphael; Kryshtalskyj, B; Krings, Timo

doi:10.1016/j.joms.2014.03.007

Cited by 13 publications

(17 citation statements)

References 10 publications

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“…Possibly the patient's prior facial trauma may have stimulated the lesion to grow in size or caused an orbital wall defect through which it herniated (17). AVFs are acquired lesions that can occur spontaneously or following trauma (18), but again, we could not find any reports of an AVF crossing the lateral orbital wall. If the lesion was an AVF, we speculate that it may have occurred following facial trauma and either involved a vessel that traversed the orbital wall or herniated through an acquired defect in the wall.…”

Section: Discussionmentioning

confidence: 66%

Orbito-Masticatory Syndrome

Mettu¹,

Bhatti

El-Dairi

et al. 2016

Journal of Neuro-Ophthalmology

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We describe two unique cases of visual symptoms occurring during mastication in patients with lateral orbital wall defects. A 57-year old male reported intermittent double vision and oscillopsia after a right fronto-temporal-orbito-zygomatic craniotomy with osteotomy of the lesser wing of the sphenoid for a complex invasive pituitary adenoma. Proptosis of the right globe was present only during mastication. Computed tomography (CT) revealed a bony defect in the right lateral orbital wall. A 48-year-old man presented with transient diplopia and scotoma in the right eye elicited by chewing. CT and magnetic resonance imaging demonstrated a bilobed lesion connecting the temporal fossa to the orbit through a defect in the right lateral orbital wall. The regional neuroanatomy and pathophysiology as pertaining to the cases are discussed.

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Section: Discussionmentioning

confidence: 66%

Orbito-Masticatory Syndrome

Mettu¹,

Bhatti

El-Dairi

et al. 2016

Journal of Neuro-Ophthalmology

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“…15) In traumatic arteriovenous fistula, also, new secondary inflow vessels may develop over time, allowing an initially invisible anastomotic network of the external carotid artery system to open. 16) Since, as in our patient, traumatic pseudoaneurysm and arteriovenous fistula may progress rapidly, 10) and their pathology may become complicated during the course, making the treatment difficult, early intervention is recommended if they are treated surgically. 10,16) Recently, occlusion of the parent artery with the lesion by endovascular procedures is selected frequently as a radical treatment of pseudoaneurysm or arteriovenous fistula arising in the trunk and branches of the external carotid artery.…”

Section: Resultsmentioning

confidence: 77%

“…16) Since, as in our patient, traumatic pseudoaneurysm and arteriovenous fistula may progress rapidly, 10) and their pathology may become complicated during the course, making the treatment difficult, early intervention is recommended if they are treated surgically. 10,16) Recently, occlusion of the parent artery with the lesion by endovascular procedures is selected frequently as a radical treatment of pseudoaneurysm or arteriovenous fistula arising in the trunk and branches of the external carotid artery. 4,17) However, caution is needed in occluding the parent artery on the proximal side of the lesion alone because of the risk of recurrence or bleeding due to the retrograde blood flow from collaterals.…”

Section: Resultsmentioning

confidence: 77%

Traumatic Pseudoaneurysm of the External Carotid Artery with Arteriovenous Fistula Treated with Endosaccular Embolization

Ikeda

Imamura

Adachi

et al. 2016

JNET

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Objective: A patient with very rare traumatic pseudoaneurysms of the external carotid artery with an arteriovenous fistula in whom rerupture could be prevented by endosaccular embolization is reported as the first of such cases. Case Presentation:A 32-year-old male underwent angiography for close examination of pulsating swelling in the left cheek 4 days after bilateral mandibular sagittal split ramus osteotomy and was found to have pseudoaneurysms in the left external carotid artery accompanied by an arteriovenous fistula. To preserve the parent vessel, emergency endosaccular embolization was performed. Complete occlusion of the pseudoaneurysms and arteriovenous fistula could be achieved, resulting in complete disappearance of the symptoms and an uneventful postoperative course. Conclusion:Endosaccular embolization is considered to be useful as a preventive measure against rerupture of pseudoaneurysms of the external carotid artery with arteriovenous fistula in which preservation of the parent artery is desirable if the lesions are distant from the skin or mucosal surface.Keywords▶ traumatic pseudoaneurysm, arteriovenous fistula, endosaccular embolization Case Presentation History and examinationThe patient was a 32-year-old male complaining of swelling of the left cheek. He had no history of trauma and no particular family history. He underwent bilateral mandibular sagittal split ramus osteotomy under general anesthesia for mandibular prognathism. In abrasion of the medial side of the left

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“…In this line, trauma is the most frequent cause of arteriovenous fistulas ( 2 ). Notwithstanding, the occurrence of a traumatic fistula after arthroscopic surgery of TMJ is an uncommon event ( 3 ). In fact, only few case reports described this rare complication ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…Notwithstanding, the occurrence of a traumatic fistula after arthroscopic surgery of TMJ is an uncommon event ( 3 ). In fact, only few case reports described this rare complication ( 3 ). For instance, Sacho et al reported a case of arteriovenous fistula of the middle meningeal artery as complication of TMJ arthroscopic surgery ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Traumatic arteriovenous fistula as consequence of TMJ arthroscopic surgery. A case report

et al. 2016

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The ocurrence of a traumatic arteriovenous fistula after arthroscopic surgery of TMJ represents an extremely rare event. Specifically, this uncommon complication has been described only in a few case reports. In this light, the most frequent symptoms showed by this disease are thrills, bruits, pulsatile tinnitus, and an expansible vascular mass. Importantly, the severity of these symptoms is also dependent on the vessels involved. With regard to the management, is important to note that the vessel ligation with surgery as well as vessel emolization with endovascular procedures have been shown to be effective in the treatment of these cases. In view of that, the present study describes a case of superficial temporal arteriovenous fistula that arose as a postoperative complication of a bilateral arthroscopic eminoplasty of TMJ. The aim of the present report is to characterize this rare syndrome with the goal of proposing suitable treatments. Key words:Arteriovenous fistula, arthroscopic surgery, eminoplasty of TMJ, temporal vessels.

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Arteriovenous Fistula of the Middle Meningeal Artery—A Rare Complication After Arthroscopic Temporomandibular Joint Surgery Readily Amenable to Endovascular Treatment

Cited by 13 publications

References 10 publications

Orbito-Masticatory Syndrome

Orbito-Masticatory Syndrome

Traumatic Pseudoaneurysm of the External Carotid Artery with Arteriovenous Fistula Treated with Endosaccular Embolization

Traumatic arteriovenous fistula as consequence of TMJ arthroscopic surgery. A case report

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