Giant life-threatening external carotid artery pseudoaneurysm caused by a mandibular condylar fracture

Ribeiro, André Luís Ribeiro; Silva, Walessa Brasil da; Alves-Júnior, Sérgio de Melo; Pinheiro, João de Jesus Viana

doi:10.1016/j.oooo.2014.08.017

Cited by 7 publications

(14 citation statements)

References 31 publications

(46 reference statements)

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“…However, with advances in infection control and antimicrobial therapy, aneurysms caused by infections are uncommon nowadays 9. Trauma, penetrating or blunt, is currently the most common cause of head and neck pseudoaneurysms, representing nearly half of the reported cases 12–14. Pseudoaneurysms occurring as a consequence of surgical procedures such as orthognathic, temporomandibular joint (TMJ), dental and ear, nose and throat surgeries have been reported in recent years as iatrogenic causes of maxillofacial pseudoaneurysms 4–6,10,11,15–18…”

Section: Discussionmentioning

confidence: 99%

“…In addition, facial fractures involving the mandibular condyle may contribute to vascular injury of the maxillary artery due to its close proximity, making it vulnerable to injury by the fracture fragments during the initial trauma or during surgical reduction 7,18. Orthognathic and TMJ surgeries are the most common procedures performed close to the infra-temporal region, which poses a risk to the maxillary artery; however, vascular injuries during these surgeries are uncommonly reported 11,14…”

Section: Discussionmentioning

confidence: 99%

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Maxillary Artery Pseudoaneurysm as a Complication of Maxillofacial Injuries: Report of three cases and literature review

Al-Saadi

Bakathir

Al-Mashaikhi

et al. 2019

Sultan Qaboos Univ Med J

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Traumatic maxillary artery pseudoaneurysm is an uncommonly reported complication in the field of oral and maxillofacial surgery. It is usually discovered incidentally, either early after trauma or weeks-to-months later. Quick recognition and prompt management are essential to avoid devastating consequences. In this paper, we report three uncommon cases of maxillary artery pseudoaneurysm recognised during the surgical management of maxillofacial injuries in Muscat, Oman. All cases presented as sudden brisk bleeding during the intraoperative surgical repair and were subsequently diagnosed and successfully managed by endovascular embolisation with platinum coils. This case report highlights the clinical presentation, diagnosis and management of maxillary artery pseudoaneurysm, in addition to a brief review of the literature.Keywords: Maxillofacial Injuries; Maxillary Artery; Pseudoaneurysm; Mandibular Condyle; Angiography; Therapeutic Embolization; Case Report; Oman.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maxillary Artery Pseudoaneurysm as a Complication of Maxillofacial Injuries: Report of three cases and literature review

Al-Saadi

Bakathir

Al-Mashaikhi

et al. 2019

Sultan Qaboos Univ Med J

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“…While hematoma liquefies and blood flow is restored, the risk of life-threatening bleeding after aneurismal sac rupture increases. 4 Pseudoaneurysms of the extracranial carotid system are extremely uncommon. 6 External carotid artery (ECA) branches are cushioned from injury in most locations by soft tissue.…”

Section: Discussion Pertinent Anatomymentioning

confidence: 99%

Lingual Artery Pseudoaneurysm after Severe Facial Trauma

Margallo

Zárate

Franco

et al. 2018

Craniomaxillofacial Trauma & Reconstruction

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The mortality associated with high-energy trauma has several time peaks and variable prognosis. In the particular case of isolated head and neck trauma, management initially includes stabilizing the patient, especially the airway and circulation, and then proceeding to treat injured structures with debridement and often fracture fixation and coverage. We present a case of a male patient who suffered a severe facial trauma at his workplace. He underwent an initial uneventful emergency surgery for control of bleeding and mandibular osteosynthesis. At 2 weeks postoperatively, a second emergency surgery was required to treat a previously undiagnosed lingual pseudoaneurysm that ruptured spontaneously, with massive oral bleeding. The case highlights the clinical significance and timing of pseudoaneurysm formation, and the surveillance and high index of suspicion required for potentially life-threatening bleeding at later time peaks. Diagnostic and therapeutic angiography effectively treated the late complication. Multidisciplinary management options are reviewed, emphasizing the need for rapid decision making and collaboration to improve outcomes in such significant surgical trauma patients.

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“…In two cases [ 16 , 20 ], the presence of persistent swelling 1 month after the traumatic event led to the incorrect diagnosis of infection, so incision and drainage were attempted, and in both cases massive haemorrhage occurred.…”

Section: Discussionmentioning

confidence: 99%

“…Ligation of the external carotid artery or its distal branches may be considered, but remains a controversial manoeuvre [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the internal maxillary artery secondary to subcondylar fracture: case report and literature review

Moro

Todaro

Pedicelli

et al. 2018

Journal of Surgical Case Reports

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Pseudoaneurysms are an uncommon complication of mandibular condylar-subcondylar fractures; however, if present, their recognition and management is mandatory to avoid life-threatening situations. The authors report a case of internal maxillary artery pseudoaneurysm rupture that occurred after an open reduction and internal fixation of a mandibular subcondylar fracture, along with a review of the literature.

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Giant life-threatening external carotid artery pseudoaneurysm caused by a mandibular condylar fracture

Cited by 7 publications

References 31 publications

Maxillary Artery Pseudoaneurysm as a Complication of Maxillofacial Injuries: Report of three cases and literature review

Maxillary Artery Pseudoaneurysm as a Complication of Maxillofacial Injuries: Report of three cases and literature review

Lingual Artery Pseudoaneurysm after Severe Facial Trauma

Pseudoaneurysm of the internal maxillary artery secondary to subcondylar fracture: case report and literature review

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