| Autor: |
Victoria Chen, Supritha Nilam, Alexander McMahon, Brennan Leininger, Nora Kahenasa |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Oral and Maxillofacial Surgery Cases, Vol 10, Iss 1, Pp 100341- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2214-5419 |
| DOI: |
10.1016/j.omsc.2023.100341 |
| Popis: |
Background: The Le Fort I osteotomy is a commonly employed and predictable surgical technique used to treat maxillofacial deformities. While considered technically safe, orthognathic surgery can cause significant vascular complications. Presentation: This case report describes a 20-year old male who had undergone a routine Le Fort I osteotomy to treat maxillo-mandibular discrepancy, and subsequently developed an internal maxillary artery pseudoaneurysm that caused uncontrolled hemorrhage and hemodynamic instability. The patient ultimately required interventional radiology coil embolization for source control. Discussion: Although rare, internal maxillary artery pseudoaneurysms continue to be reported as postoperative complications in Le Fort I osteotomies, wherein coil-embolization technique remains a viable option for treatment. Additionally, the presentation of temporal swelling and retrobulbar pain may be useful in diagnosing the existence of a maxillary artery pseudoaneurysm. Conclusion: Pseudoaneurysm of the internal maxillary artery is a possible sequela of orthognathic surgery, and proper monitoring and management can avoid morbid outcomes. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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