Dissecting aneurysm of the internal carotid artery after a mandibular osteotomy

Suzuki, Hiroyuki; Saito, Etsuro; Hashimoto, Kenji

doi:10.1016/s0278-2391(97)90591-7

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…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). Although rare, awareness and recognition of the potential for this complication are paramount in the treatment of this patient population.…”

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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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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“…1 Although relatively rare, there are multiple reports of internal carotid artery injury following the Le Fort I osteotomy. Previous reports of carotidcavernous sinus fistula [6][7][8][9] and internal carotid artery dissection, 10 aneurysm, 11,12 thrombosis, 13 and laceration 14 following the Le Fort I osteotomy all exist, mostly in the oral and maxillofacial surgery literature.…”

Section: Discussionmentioning

confidence: 99%

“…1,[3][4][5] Injuries to the internal carotid artery during the Le Fort I osteotomy have been reported in the literature. [6][7][8][9][10][11][12][13][14] Although rare, these complications can have severe consequences. The purpose of this study is to examine the anatomy of the extracranial skull base and the potential mechanisms by which internal carotid artery injury may occur during the Le Fort I osteotomy.…”

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confidence: 99%

Importance of Complete Pterygomaxillary Separation in the Le Fort I Osteotomy: An Anatomic Report

Kang¹,

Lin²,

Marentette³

2009

Skull Base

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This article reports on the presence of an anatomic feature of the extracranial skull base that may result in internal carotid artery injury if secure and complete pterygomaxillary separation is not achieved before maxillary downfracture in the Le Fort I osteotomy. The extracranial skull base of 129 adult skulls and 10 pediatric skulls was examined in the region near the foramen lacerum. This region was inspected for the presence or absence of a bony protrusion that projected posteriorly from the base of the sphenoid, lying inferior to the foramen lacerum. The bony protrusion was present bilaterally in 71% of the adult skulls and 60% of the pediatric skulls. The protrusion was a bony ''spike'' that pointed posteriorly and was located inferior to the foramen lacerum on the extracranial skull base. Due to its size, shape, and location, the bony protrusion described in this study poses considerable risk to the internal carotid artery if the protrusion is displaced superiorly through the foramen lacerum. In the Le Fort I osteotomy, secure and complete pterygomaxillary separation is crucial to avoid injury to the internal carotid artery during maxillary downfracture.

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Complications Associated with Orthognathic Surgery

Posnick¹

2014

Orthognathic Surgery

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Dissecting aneurysm of the internal carotid artery after a mandibular osteotomy

Cited by 7 publications

References 5 publications

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

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

Importance of Complete Pterygomaxillary Separation in the Le Fort I Osteotomy: An Anatomic Report

Complications Associated with Orthognathic Surgery

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