Pseudoaneurysm of the facial artery occurred after mandibular sagittal split ramus osteotomy

Jo, Hyunwoo; Kim, Y.-S.; Kang, Dong Hoon; Lee, S.-H.; Kwon, Tae-Geon

doi:10.1007/s10006-012-0339-4

Cited by 23 publications

(19 citation statements)

References 23 publications

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“…The purpose of this retractor is to avoid the buccal soft tissues including the FA and this is well documented in anatomical studies (Hong et al, 2020;Lee et al, 2020). Pseudoaneurysm of the FA after SSRO has also been reported (Jo et al, 2013). Thus, osteotomy of the mandible, especially SSRO seems to be another procedure that might injure the FA.…”

Section: Application To the Osteotomy Of The Mandiblementioning

confidence: 89%

The potential for facial artery injury during mandibular third molar extraction. An anatomical study using contrast‐enhanced computed tomography

et al. 2021

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The purpose of this study was to evaluate the risk of injury to the facial (FA) and related arteries during mandibular third molar (MTM) extraction using contrastenhanced computed tomography (CE-CT). CE-CT images of the MTM region were retrospectively reviewed. The area of the MTM was equally divided into three zones in the coronal images from mesial to distal, that is, zone 1, zone 2, and zone 3. The FA, submental artery (SMA), and sublingual artery (SLA) were identified. The distance from the mandible to FA, SMA, and SLA and the diameter of the FA, SMA, and SLA was measured in three zones, respectively. The thickness of the facial soft tissues and width of the mandible were measured at their maximum. The mean distance from the FA to the buccal cortical bone in zone 1, zone 2 and zone 3 was 2.24 mm, 2.39 mm and 1.67 mm, respectively. The SMA and SLA were found to be distal to the mandible. The mean diameter of the FA was 1.26 mm in males and 1.04 mm in females, respectively (p < 0.0001). The distance between the FA and buccal cortical bone of the mandible, and the patients' weight showed moderate correlation in zones 1 and 2. Based on our findings, the FA can be damaged if the surgical invasion reaches the facial soft tissues during MTM surgery. The patients' weight might be a good predictor for FA injury when CE-CT is not available.

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Section: Application To the Osteotomy Of The Mandiblementioning

confidence: 89%

The potential for facial artery injury during mandibular third molar extraction. An anatomical study using contrast‐enhanced computed tomography

et al. 2021

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“…Pseudo aneurysm and arteriovenous fistulae of the facial artery as well as the external carotid artery are reported. 8 , 9 It is believed that arteriovenous shunting is caused by incomplete laceration of an artery with simultaneously laceration of a vein. 3 The subsequent formation of a hematoma is subjected to endothelial proliferation and formation of endothelial lined channels between the artery and the vein.…”

Section: Discussionmentioning

confidence: 99%

A rare complication of an Arteriovenous shunt after bimaxillary surgery

et al. 2021

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Summary The most common complications following bimaxillary surgery are inferior alveolar nerve damage, hemorrhage, and relapse. Severe complications are rare, but few cases of vascular arteriovenous malformation, cavernous sinus thrombosis, formation of an aneurysm or arteriovenous shunting are reported in literature. We present a case of a 20-year-old male patient who developed a right sided tinnitus and visible pulsations close to the mandibular angle on the right side after bimaxillary surgery. CT-angiography and subsequent digital subtraction angiography (DSA) six months after surgery showed an arteriovenous fistula (AVF) from the external carotid artery to the external jugular vein. The AVF was treated by endovascular coil embolization. At six months after intervention there were no residual complaints. We discuss the possible etiology and trauma mechanisms that might have caused this pathology and present recommendations to avoid this type of complications.

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“…d CTA with 3D vascular reconstruction Oral Radiol injury, dental extraction [8,17], orthognathic surgery, and mandibular fracture repair surgery [3,7,12,18]. Such pseudoaneurysms can present as a pulsatile mass, with systolic bruits.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the facial artery territory in an odontogenic infection setting

et al. 2015

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A pseudoaneurysm of the facial artery is a rare event. It results from vessel wall disruption with blood tamponade from the surrounding tissues, and is usually caused by blunt facial trauma, with other etiologies rarely reported. We present two cases of a pseudoaneurysm in the facial artery territory in an odontogenic infection setting, highlighting the importance of computed tomography angiography for diagnosis and hastening treatment by vascular embolization.

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Pseudoaneurysm of the facial artery occurred after mandibular sagittal split ramus osteotomy

Cited by 23 publications

References 23 publications

The potential for facial artery injury during mandibular third molar extraction. An anatomical study using contrast‐enhanced computed tomography

The potential for facial artery injury during mandibular third molar extraction. An anatomical study using contrast‐enhanced computed tomography

A rare complication of an Arteriovenous shunt after bimaxillary surgery

Pseudoaneurysm of the facial artery territory in an odontogenic infection setting

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