True atherosclerotic aneurysm of the facial artery

Huge true aneurysm of the facial artery treated with internal trapping and surgical excision: a case report

“…Although there are no clinical symptoms initially, their rupture may be a cause of death in middle-aged and elderly people. A true aneurysm is the enlargement of the wall structure of the artery without traumatic injury in which the blood is retained inside the circulatory system [ 1–5 ]. It involves all three layers of the arterial wall (intima, media and adventitia).…”

“…A rupture of the arterial walls leads to overflow of blood into the surrounding tissue in cases of false aneurysm. Therefore, a false aneurysm is described as an extravascular hematoma that communicates with the intravascular space via a rupture of the vessel wall [ 1 , 7–9 ]. The report of true aneurysms is uncommon, especially true aneurysms of the facial artery that branches from the external carotid artery are extremely rare.…”

“…To date, only five cases of true aneurysm have been reported [ 1–5 ]. In the previously reported cases, the sizes of the reported aneurysms ranged from 1.5 to 5 cm, the median age of the patients was 68 years old, and three of the five cases [ 2–4 ] had no history of cardiovascular disease.…”

Excision of true facial artery aneurysm using facial nerve monitoring

“…Although traumatic pseudoaneurysms of the superficial arteries are not uncommon, true aneurysms of the branches of the external carotid artery are rare, with only a few isolated case reports in the literature. 1 , 2 , 3 , 4 Treatment options include surgical excision and embolization. We describe a novel approach that allows effective treatment while minimizing the risk of complications.…”

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

“…The compressed perivascular tissue forms the wall of the aneurysmal sac and develops to the mass with active pulsation. Pseudoaneurysm differ from true aneurysm in that the latter involves abnormal expansion of the arteries due to the weakening of the vessel walls and blood accumulates between the layer of arterial wall [1]. …”