Carotid artery injury during mandibular distraction

Sigler, Alicia; Gutiérrez, Manuel Gómez; Harris, A. D.; Capiz, Manuel; Uriarte, F J

doi:10.1016/j.bjoms.2007.11.005

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…There are no reported occurrences of ICA dissection in association with surgical management of TMJ ankylosis. There are, however, several case reports of ICA injury after other orthognathic procedures (Lanigan, 1988; Suzuki et al, 1997; Singhal et al, 1998; Sigler et al, 2008; Nout et al, 2010). Injury occurs either from direct intraoperative trauma or indirect injury from forceful stretching of the ICA and cervical hyperextension with contralateral rotation of the head (Lanigan, 1988; Suzuki et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

Carotid Artery Dissection and Stroke Complicating Treatment of Postmandibular Distraction Ankylosis: A Case Report

Arnspiger

Felder

Wood

et al. 2015

The Cleft Palate Craniofacial Journal

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Mandibular distraction osteogenesis is an increasingly accepted treatment option for severe upper airway obstruction in grade 3 Robin sequence. Complications are rarely reported but can include fracture, pin dislodgement, tooth bud damage, and temporomandibular joint ankylosis. Operative correction of these complications can carry inherent risks of their own. We present a patient who incurred carotid artery dissection and stroke after release of postdistraction coronoid-zygomatic ankylosis for the treatment of mandibular micrognathia.

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