Life-threatening pseudoaneurysm of the facial artery after dental extraction: successful treatment with emergent endovascular embolization

Lucas, Enrique Marco de; Gutiérrez, Agustín; González-Mandly, Andrés; García-Pire, Francisco; Lucas, María Teresa Marco de; Parra, José Antonio; Saiz-Bustillo, Ramón C.

doi:10.1016/j.tripleo.2007.09.031

Cited by 37 publications

(19 citation statements)

References 9 publications

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“…The evaluation of the facial vessels of this anatomic region with MDCTA prior to orbital, facial, dental surgery may prevent intraoperatively vascular injuries (Marco de Lucas et al, 2008). Preoperative evaluation is especially important in flap surgery and mandibular fractures.…”

Section: Discussionmentioning

confidence: 99%

The Mandibular Landmarks about the Facial Artery and Vein with Multidetector Computed Tomography Angiography (MDCTA): an Anatomical and Radiological Morphometric Study

2012

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SUMMARY:The aim of this study was to investigate the course of the facial vessels according to several mandibular landmarks in living individuals using multidetector computed tomography angiography (MDCTA) to determine these related to sex and side. This study was conducted in the Radiology Department, Meram Faculty of Medicine, Necmettin Erbakan University (Konya, Turkey). In total, sixty faces from 30 specimens (15 males and 15 females) with symptoms and signs of vascular disease were evaluated for the facial vessels by MDCTA scan. The facial vessel parameters were measured according to the reference points (mandibular angle, mental protuberance, mental foramen and facial midline). The distance from the point at which the facial artery first appears in the lower margin of the mandible to the mandibular angle for right and left facial artery were observed as 3.53±0.66 cm and 3.31±0.73 cm in males, respectively. These distances were determined as 2.91±0.52 cm and 3.35±0.48 cm in females. MDCTA is a new, powerful, safe and noninvasive test to demonstrate the vasculature of the head. Bony structures and neighboring vessel morphology can be evaluated by this technique in cases of trauma with suspected vessel injuries and when considering patient selection for flap surgery.

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Section: Discussionmentioning

confidence: 99%

The Mandibular Landmarks about the Facial Artery and Vein with Multidetector Computed Tomography Angiography (MDCTA): an Anatomical and Radiological Morphometric Study

2012

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“…d CTA with 3D vascular reconstruction Oral Radiol injury, dental extraction [8,17], orthognathic surgery, and mandibular fracture repair surgery [3,7,12,18]. Such pseudoaneurysms can present as a pulsatile mass, with systolic bruits.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the facial artery territory in an odontogenic infection setting

et al. 2015

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A pseudoaneurysm of the facial artery is a rare event. It results from vessel wall disruption with blood tamponade from the surrounding tissues, and is usually caused by blunt facial trauma, with other etiologies rarely reported. We present two cases of a pseudoaneurysm in the facial artery territory in an odontogenic infection setting, highlighting the importance of computed tomography angiography for diagnosis and hastening treatment by vascular embolization.

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“…Pseudoaneurysm in the facial area is very rare, and it normally occurs due to surgical procedures in the maxillofacial trauma [5], dental extraction [6, 7], or orthoganthic surgery [3, 4, 8]. According to literature review, cases in which pseudoaneurysm occurred after orthognathic surgery are extremely rare, with only 15 cases reported [2–4, 8–19].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the facial artery occurred after mandibular sagittal split ramus osteotomy

Kim

Kang

et al. 2012

Oral Maxillofac Surg

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IntroductionPseudoaneurysms are caused by rupture of arteries with extravasation of blood. The compressed perivascular tissue forms the wall of aneurysmal sac. Pseudoaneurysm directly related with surgical procedure of sagittal split ramus osteotomy (SSRO) was reported quite rarely especially related with facial artery during the vertical osteotomy.Case reportSSRO was carried out for a 19-year-old male; the patient visited the emergency room with notable swelling 3 weeks after the surgery. We experienced severe intra-oral bleeding with surgical exploration. Angiography revealed a pseudoaneurysm of the right facial artery that might be related with vertical osteotomy over lateral cortex of the mandibular body during orthognathic surgery. This implies that the minor vascular trauma from vertical osteotomy of the mandibular body during the conventional orthognathic surgery might cause later development of pseudoaneurysm.

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Life-threatening pseudoaneurysm of the facial artery after dental extraction: successful treatment with emergent endovascular embolization

Cited by 37 publications

References 9 publications

The Mandibular Landmarks about the Facial Artery and Vein with Multidetector Computed Tomography Angiography (MDCTA): an Anatomical and Radiological Morphometric Study

The Mandibular Landmarks about the Facial Artery and Vein with Multidetector Computed Tomography Angiography (MDCTA): an Anatomical and Radiological Morphometric Study

Pseudoaneurysm of the facial artery territory in an odontogenic infection setting

Pseudoaneurysm of the facial artery occurred after mandibular sagittal split ramus osteotomy

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