Post-traumatic pseudoaneurysm of the superficial temporal artery: A rare cause of facial mass

Mizouni, Habiba; Hedhli, M.; Zainine, R.; Sahtout, S.; Besbes, G.; Menif, E.

doi:10.1016/j.ejrex.2011.03.015

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…7,8 Other treatment options are embolization (using particles, micro coils, balloons, or liquids such as alcohol, isobutyl-2cyanoacrylate and iophendylate) or ultrasound guided percutaneous thrombin injection. [7][8][9]…”

Section: Discussionmentioning

confidence: 99%

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

Sarma¹

2019

Int Surg J

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Ultrasound Doppler revealed a vascular lesion suggestive of Aneurysm; there was no thrombus in the lesion. CT angiography demonstrated a localized cystic dilatation of ABSTRACT Pseudo aneurysms of the superficial temporal artery (STA) are very rare (less than 1% of aneurysms), and usually occur after blunt head injury. It usually presents as a slow growing, pulsatile mass in the temporal area. Other symptoms that may occur are headache, ear pain, facial palsy or haemorrhage. Arteriography is the diagnostic investigation and computed tomography angiography will exclude other conditions such as arteriovenous malformation and fistula and confirm the diagnosis. Surgery with ligation of the proximal and the distal parts of the vessel and resection of the aneurysm is the treatment of choice. We report the case of a 10-year-old child, with a pseudo aneurysm of the STA secondary to trauma, who underwent surgical resection of the lesion with good outcome.

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Section: Discussionmentioning

confidence: 99%

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

Sarma¹

2019

Int Surg J

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“…Pseudoaneurysm of the STA is an uncommon cause of a facial mass, in the majority of cases caused after head trauma [1]. Thomas Bartholin reported the first STA pseudoaneurysm case in 1740, and since then over 400 cases have been described [2]. It often caused after arterial trauma, resulting in arterial wall disruption, with development of a hematoma and pseudocapsule.…”

Section: Discussionmentioning

confidence: 99%

“…It paths superficially from the temporalis muscle to the lateral margin of the frontalis muscle. On the gap between the thin muscles, it lies directly against the skull with less defense from injury [2,4,5]. The case of this study is a pseudoaneurysm of anterior superficial branch of temporal artery, occurring within weeks after a blunt trauma due to falling down.…”

Section: Discussionmentioning

confidence: 99%

“…Doppler ultrasound is a non-invasive method with high sensitivity and specificity. Selective arteriography is the most effective procedure for examination, but is invasive with risk of stroke [2,4,7]. CT and MR angiography are non-invasive technique, which can measure the true size of the STA pseudoaneurysm and the relationship of trunk and distal branches of STA.…”

Section: Discussionmentioning

confidence: 99%

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Forehead Pseudoaneurysm after Falling Down: A Case Report

Kuo¹,

Pao²

2017

Vasc Med Surg

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Forehead pseudoaneurysm after falling down is a rare condition. We report a case of a patient with a 2-month history of a forehead growing mass after falling down and bumping her right forehead. The 3-dimensional computed tomography (CT) angiography showed a hyperdense lesion with internal enhancing focus and supplying by one small branch of right superficial temporal artery (STA). Surgical resection of the pseudoaneurysm with coagulation of the feeding artery was performed. However, there was profuse bleeding complication while drainage tube removal, an emergent explored surgical hemostasis was done. In this article, in addition to presenting the clinical course of an unusual case, we wanted to give emphasis to that ligation of the proximal and distal vessels are necessary while surgical resection of the pseudoaneurysm.Keywords: Pseudoaneurysm; Superficial temporal artery; Threedimensional CT angiography; Surgery Case ReportA 75-year-old woman presented with a 2-month history of a growing mass in her forehead. Two months previously, she had fallen and bumped her right forehead. There was a contusion area on the right side of the forehead, and finally resolved three weeks after the trauma. However, a small pulsatile nodule persevered and increased in size gradually. The physical examination revealed a 15 × 15 mm sized pulsatile mass on the right frontal region. The pulsation decreased while pressuring on the proximal part of the STA. Ultrasonography showed 15 × 5 mm of the lesion with intralesional vascularity. CT and 3-dimensional CT angiography showed a hyperdense lesion, measuring 12 × 16 mm with internal marked enhancing focus and supplying by one small branch of right STA (Figure 1). Based on above findings, pseudoaneurysm of the STA was suspected. We described the tract of branches of STA for operative planning (Figure 2). The pseudoaneurysm was dissected carefully by sharp dissection, and clear margin was noted (Figure 3). The distal feeding artery was cut and coagulated by bipolar coagulation. The pseudoaneurysm was totally removed. However, there was profuse bleeding while Combination Waste Vent (CWV) drain removal three days after operation. We performed emergent explored surgical hemostasis of the CWV tract and STA branches. Hemovac drain was inserted through a new tract. The patient recovered uneventfully, and there was no bleeding or recurrence of the lesion. The final pathological findings confirmed a pseudoaneurysm (Figure 4).

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“…Surgical resection under general or local anesthesia is considered the standard therapy [1,2,4,9]. The pseudoaneurysm is localized with subsequently ligation of the proximal and distal STA; next, the pseudoaneurysm is completely resected [10].…”

Section: Discussionmentioning

confidence: 99%

Palpable Pulsatile Mass of the Forehead: A Case Series of Superficial Temporal Artery Pseudoaneurysms

Vleeschauwer¹

2017

AVS

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Post-traumatic pseudoaneurysm of the superficial temporal artery: A rare cause of facial mass

Cited by 7 publications

References 17 publications

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

Forehead Pseudoaneurysm after Falling Down: A Case Report

Palpable Pulsatile Mass of the Forehead: A Case Series of Superficial Temporal Artery Pseudoaneurysms

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