CAROTID-CAVERNOUS SINUS FISTULA (C.C.F.) OCCURRED AFTER ORAL AND MAXILLOFACIAL INJURIES.

악안면 손상후 발생된 경동맥해면동루에 대한 증례보고

  • Park, Yong-Geen (Dept. of Oral & maxillofacial Sur., college of dentistry, Chosun university) ;
  • Yeo, Hwan-Ho (Dept. of Oral & maxillofacial Sur., college of dentistry, Chosun university) ;
  • Kim, Kwang-Jin (Dept. of Oral & maxillofacial Sur., college of dentistry, Chosun university)
  • 박용근 (조선대학교 치과대학 악안면 구강외과학교실) ;
  • 여환호 (조선대학교 치과대학 악안면 구강외과학교실) ;
  • 김광진 (조선대학교 치과대학 악안면 구강외과학교실)
  • Published : 1989.06.30

Abstract

As carotid-cavernous fistula is the major complication that can be occurred uncommonly after maxillofacial injuries, it is abnormal arteriovenous communication between cavernous sinus and internal carotid artery. Such an arteriovenous communication is most often the result of injuries, but need not be associated with bony fracture. It usually begins soon after an injury, but it may be delayed for as long as several months. It begins undramatically with eye pain, headache and slow protrusion of eye ball. A bruit may be heard above the eye with stethoscope. Close examination will reveal dilatation of superficial veins of the eyelid and forehead and periorbital edema. There will be complete or partial ophthalmoplesia of the affected eye. Compression of the common carotid artery on the ipsilateral side will reduce or obliterate the bruit. The lesion in the cavernous sinus is them demonstrable by angiography.

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