Surgical Treatment of Facial Artery Pseudoaneurysm Following Blunt Trauma: Report of a Case

Case Report: A Case of a Child With Facial Foreign Body Abscess and Facial Artery Pseudoaneurysm

“…Previously reported injury factors include sudden trauma, gunshot wounds, glass, intraoral stents, infections, etc. ( 3 – 5 ). In this case, the pseudoaneurysm was close to the foreign body, the abscess surrounded the upper part of the pseudoaneurysm, and the pulsatile mass on the face appeared after suture removal; so risk factors included iatrogenic injury, glass foreign body injury, and infection, which have not been reported previously.…”

“…The utility of ultrasound can also be applied intraoperatively, allowing the surgeon to locate the foreign body in real-time. In the case of a false facial artery aneurysm, facial artery ligation is the preferred treatment method as it has the advantage of a simple operation and low complication rates ( 3 , 4 ).…”

Pseudoaneurysm of the Superficial Temporal Artery—Two Case Reports of a Rare Entity

“…9 STAP accounts for only 1% of all traumatic aneurysms, but it is the most commonly involved (85%) branch of the external carotid, largely related to its anatomical course. 10 Other vessels involved with less frequency are the internal maxillary and facial arteries. 10 The superficial temporal artery originates from a terminal branch of the external carotid artery anterior to the helix before diverging into two branches: anterior and posterior.…”

“…10 Other vessels involved with less frequency are the internal maxillary and facial arteries. 10 The superficial temporal artery originates from a terminal branch of the external carotid artery anterior to the helix before diverging into two branches: anterior and posterior. As the anterior branch crosses medial to the temporalis and lateral to the frontalis muscles, it is situated directly over the calvarium without soft tissue protection.…”

“…A surgeon may opt for more detailed radiography in the setting of a suspected pseudoaneurysm with potential involvement of the parotid gland or facial nerve to decide between surgical excision or interventional embolization. 10 While patients are typically concerned with the cosmetic deformity of an aneurysmal dilatation of temporal vessels, potential for enlargement of the lesion or hemorrhage serves as the primary indication for resection. 13,15 Studies have shown that 89% of pseudoaneurysms self-resolve within 5 to 90 days; however, medical management is not recommended as the risks of hemorrhage, progressive symptomology, and poor cosmesis cannot be understated.…”