Severe delayed posttonsillectomy haemorrhage due to a pseudoaneurysm of the lingual artery

Cruijsen, Nynke van; Gravendeel, Joost; Dikkers, Frederik G.

doi:10.1007/s00405-007-0391-0

Cited by 39 publications

(36 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the pseudoaneurysm may not present immediately, but may slowing enlarge and present at a later time. Many cases of hemorrhage from pseudoaneurysm have presented in the range of 1–3 weeks after tonsillectomy [2,4–6,10,11]. This suggests the possibility of a pseudoaneurysm even in the absence of early hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Choi

Cheng

Cobb

et al. 2017

Acta Oto-Laryngologica Case Reports

View full text Add to dashboard Cite

This is a report of an illustrative case of recurrent post-tonsillectomy bleeding that was caused by an iatrogenic facial artery pseudoaneurysm and controlled by endovascular embolization. A 37 year-old female who underwent bilateral tonsillectomy for chronic tonsillitis had recurrent secondary hemorrhage despite multiple operative interventions to control the bleeding. Because of the recurrent nature of the bleeding, an angiography of the external carotid artery was performed demonstrating a pseudoaneurysm of the left facial artery with active extravasation. This was successfully embolized with ethylene vinyl alcohol copolymer and the bleeding did not recur. Most post-operative bleeds can be managed with bedside or intraoperative interventions. However, pseudoaneurysms should be considered in the differential diagnosis of recurrent bleeds refractory to surgical control.

show abstract

Section: Discussionmentioning

confidence: 99%

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Choi

Cheng

Cobb

et al. 2017

Acta Oto-Laryngologica Case Reports

View full text Add to dashboard Cite

show abstract

“…There have been only a limited number of reports describing pseudoaneurysm of the lingual artery 4–13. Most of them were secondary to surgery including tonsillectomy8, 9, 13 and total pharyngolaryngectomy 9, 12. Although there are reports describing a pseudoaneurysm of the common, internal, or external carotid artery after radiotherapy, none have been reported in the lingual artery.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the lingual artery after concurrent intra‐arterial chemotherapy with radiotherapy for advanced tongue cancer

et al. 2011

View full text Add to dashboard Cite

show abstract

“…The tongue receives blood supply primarily from the lingual arteries, each of which provides collateral supply to the contralateral artery. Embolization of the lingual artery is most commonly performed in instances of posttonsillectomy bleeding or pseudoaneurysm [15][16][17] or uncontrolled hemorrhage from oropharyngeal carcinoma. 18,19 Unilateral embolization is generally well tolerated due to the collateral supply, but bilateral lingual artery embolization is not advisable due to risk of tongue necrosis, particularly distally where collateral supply is diminished.…”

Section: Tongue and Oropharyngeal Mucosamentioning

confidence: 99%

Dangerous Extracranial–Intracranial Anastomoses: What the Interventionalist Must Know

Rinaldo

Brinjikji

2020

Semin intervent Radiol

View full text Add to dashboard Cite

The extracranial and intracranial circulations are richly interconnected at numerous locations, a functional connectivity which underlies their impressive capacity for adaptive plasticity in the setting of vasoocclusive disease. While evolutionarily beneficial, these connections can also result in inadvertent communication with the intracranial circulation during embolization of extracranial vessels, potentially resulting in stroke or cranial nerve palsy. While these anastomoses are always present to a certain extent, flow through them occurs under predictable circumstances, and thus embolization of the extracranial vasculature can be performed safely when knowledge of functional anatomy is combined with adherence to basic principles. Herein, we will review the anatomy of known extracranial–intracranial anastomoses and strategies for avoidance of unwanted intracranial embolization. We will also review the vascular supply to cranial nerves most at risk during common neurointerventional procedures, as well as blood supply to mucosal structures.

show abstract

Severe delayed posttonsillectomy haemorrhage due to a pseudoaneurysm of the lingual artery

Cited by 39 publications

References 6 publications

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Pseudoaneurysm of the lingual artery after concurrent intra‐arterial chemotherapy with radiotherapy for advanced tongue cancer

Dangerous Extracranial–Intracranial Anastomoses: What the Interventionalist Must Know

Contact Info

Product

Resources

About