Abstract:A pseudoaneurysm (PA) is a vascular lesion occurring along an artery most often associated with previous trauma. It presents clinically as a compressible, pulsatile mass, which can be painful, growing, and associated with headaches. We report a series of 4 pediatric patients referred for management of a "cyst" who had superficial craniofacial PAs arising in a variety of different locations with a variable history of antecedent trauma.This is an institutional review board-approved study of 4 consecutive patient… Show more
“…The diagnosis mainly included clinical manifestations such as pulsating masses and systolic murmurs and imaging examinations. Magnetic Resonance Angiography (MRA) and Computed Tomography Angiography (CTA) can comprehensively display the shape and branch of the facial artery while excluding more extensive lesions ( 6 ), but this latter requires radiation and needs to be braked during the inspection, so it has relatively poor practicality in children. Ultrasonography is the best modality to assess these pseudoaneurysms ( 7 ), as a non-invasive examination method, requires no radiation and the patient does not need to remain stationary; thus, has diagnostic value for pseudoaneurysms, particularly for the detection of facial artery pseudoaneurysms in children ( 8 , 9 ).…”
Facial artery pseudoaneurysms are rare and mostly a result of blunt injury. Since the facial arteries are well protected by facial soft tissue and the lumen of the facial artery is thin and small in diameter, a sharp injury usually leads to complete transection rather than partial laceration of the blood vessel. As a non-invasive method, ultrasound does not involve radiation and sedation. Diagnosis of facial artery pseudoaneurysms is most commonly made with ultrasound, and Doppler ultrasound is essential. On grayscale imaging, facial artery pseudoaneurysms often appearanced of a fluid collection, Color Doppler imaging often show a well-defined swirl pattern named “yin and yang sign,” the Spectral Doppler showed a diagnostic “to and fro” two-phase bidirectional arterial blood flow spectrum. It’s particularly for the examination of facial artery pseudoaneurysms in children. Here, we report a case of facial foreign body abscess and facial artery pseudoaneurysm in a 19-month-old child 1 week after a sharpness injury that was diagnosed by ultrasound.
“…The diagnosis mainly included clinical manifestations such as pulsating masses and systolic murmurs and imaging examinations. Magnetic Resonance Angiography (MRA) and Computed Tomography Angiography (CTA) can comprehensively display the shape and branch of the facial artery while excluding more extensive lesions ( 6 ), but this latter requires radiation and needs to be braked during the inspection, so it has relatively poor practicality in children. Ultrasonography is the best modality to assess these pseudoaneurysms ( 7 ), as a non-invasive examination method, requires no radiation and the patient does not need to remain stationary; thus, has diagnostic value for pseudoaneurysms, particularly for the detection of facial artery pseudoaneurysms in children ( 8 , 9 ).…”
Facial artery pseudoaneurysms are rare and mostly a result of blunt injury. Since the facial arteries are well protected by facial soft tissue and the lumen of the facial artery is thin and small in diameter, a sharp injury usually leads to complete transection rather than partial laceration of the blood vessel. As a non-invasive method, ultrasound does not involve radiation and sedation. Diagnosis of facial artery pseudoaneurysms is most commonly made with ultrasound, and Doppler ultrasound is essential. On grayscale imaging, facial artery pseudoaneurysms often appearanced of a fluid collection, Color Doppler imaging often show a well-defined swirl pattern named “yin and yang sign,” the Spectral Doppler showed a diagnostic “to and fro” two-phase bidirectional arterial blood flow spectrum. It’s particularly for the examination of facial artery pseudoaneurysms in children. Here, we report a case of facial foreign body abscess and facial artery pseudoaneurysm in a 19-month-old child 1 week after a sharpness injury that was diagnosed by ultrasound.
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