Major vascular complications of orthognathic surgery: False aneurysms and arteriovenous fistulas following orthognathic surgery

Lanigan, Dennis T.; Hey, Juliana H.; West, Roger A.

doi:10.1016/0278-2391(91)90337-l

Cited by 159 publications

(102 citation statements)

References 27 publications

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“…The treatment of choice for traumatic aneurysms of the face is transcatheter embolization (Lanigan et al, 1991). Surgical resection can also be used for treatment of this entity.…”

Section: Discussionmentioning

confidence: 99%

Aneurysm of the distal facial artery from a penetrating oral prosthesis

et al. 2005

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We report a 94-year-old male who died of pneumonia. During the routine dissection of the head and neck for a gross anatomy course at our institution a mass was noted in the region of the right cheek. Macroscopic and microscopic observation of this mass revealed an aneurysm of the facial artery. A traumatic defect was noted at the apex of the aneurysmal wall related to an intraoral prosthetic clasp that had penetrated the buccinator muscle. Traumatic aneurysms of the face have been caused by blunt trauma to the jaw with or without fracture, surgical manipulation around the teeth and jaw, and following missile injury. Some have described compression of neighboring structures such as cranial nerves and other blood vessels with resultant compromise. We believe our case to be the first report of a facial artery aneurysm in a cadaver and we are unaware of other reports from the literature describing the production of a facial artery aneurysm from a puncture of an intraoral prosthesis through the medially placed buccinator muscle. Although seemingly rare, health care professionals should make efforts to ensure that oral prostheses do not develop sharp or irregular edges that could potentially perforate the lateral oral cavity with potential perforation of the overlying vasculature.

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“…The treatment of choice for traumatic aneurysms of the face is transcatheter embolization (Lanigan et al, 1991). Surgical resection can also be used for treatment of this entity.…”

Section: Discussionmentioning

confidence: 99%

Aneurysm of the distal facial artery from a penetrating oral prosthesis

et al. 2005

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“…Once discharged from hospital, a patient who experiences a life-threatening haemorrhage has an urgent condition and will not always be treated in the hospital where the orthognathic surgery was performed 11 . Furthermore, the patient may consult an ear, nose, and throat surgeon instead of the surgeon that performed the orthognathic surgery.…”

Section: Discussionmentioning

confidence: 99%

Life-threatening haemorrhage after 750 Le Fort I osteotomies and 376 SARPE procedures

Politis¹

2012

International Journal of Oral and Maxillofacial Surgery

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“…Aunque infrecuentes, las complicaciones de una fístula arteriovenosa no tratada en el sistema carotídeo incluyen fallo cardíaco, ruptura y hemorragia, accidentes embólicos e incluso signos de isquemia locorregional 2,13 . No obstante, una fístula arteriovenosa localizada puede ser relativamente indolente y permanecer largo tiempo asintomática sin presentar crecimiento progresivo, con el consiguiente riesgo de sangrado.…”

Section: Discussionunclassified