Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Pseudoaneurysm of the Inferior Alveolar Artery after Surgical Curettage for Keratocystic Odontogenic Tumor: A Case Report

치성각화낭의 외과적 소파술 후 하치조 동맥에 발생한 가성 동맥류: 증례보고

  • Lee, Sang-Chang (Department of Oral and Maxillofacial Surgery, Kyungpook National University School of Dentistry) ;
  • Kim, Jong-Bae (Department of Dentistry, Keimyung University College of Medicine) ;
  • Chin, Byung-Rho (Department of Dentistry, Yeungnam University College of Medicine) ;
  • Kim, Jin-Wook (Department of Oral and Maxillofacial Surgery, Kyungpook National University School of Dentistry) ;
  • Kim, Chin-Soo (Department of Oral and Maxillofacial Surgery, Kyungpook National University School of Dentistry) ;
  • Kwon, Tae-Geon (Department of Oral and Maxillofacial Surgery, Kyungpook National University School of Dentistry)
  • 이상창 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김종배 (계명대학교 의과대학 치과학교실) ;
  • 진병로 (영남대학교 의과대학 치과학교실) ;
  • 김진욱 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김진수 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 권대근 (경북대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2013.02.28
  • Accepted : 2013.05.20
  • Published : 2013.05.31
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Abstract

Pseudoaneurysms are rare complications of orgthognathic surgery, trauma or other surgical procedures in the head and neck regions. Surgical approach is a routine procedure of bleeding control. However, bleeding control using angiography and embolization can also be an excellent method. We experienced pseudoaneurysm of the inferior alveolar artery occurring after surgical curettage of cystic lesion. The 33-year-old man who underwent surgical curettage of keratocystic odontogenic tumor was presented with severe bleeding in the right mandible ramal inner surface 14 days after the surgical curettage. After hemostasis with vaseline gauze packing and pressure, bleeding temporarily stopped. However, bleeding started after 14 days and soon it has been continued. Finally, the patient was diagnosed as pseudoaneurysm of the inferior alveolar artery from the enhanced-computed tomography images, and angiographic embolization was performed successfully. We report a rare case of pseudoaneurysm of the inferior alveolar artery after benign tumor curettage and review of the previewer's literature.

Keywords

References

  1. Orihovac Z, Virag M, Manojlovic S. Traumatic facial artery aneurysm: case report. J Oral Maxillofac Surg 1999;57:199-201. https://doi.org/10.1016/S0278-2391(99)90240-9
  2. Lutcavage GJ. Traumatic facial artery aneurysm and arteriovenous fistula: case report. J Oral Maxillofac Surg 1992;50:402-5. https://doi.org/10.1016/0278-2391(92)90407-Q
  3. Gerbino G, Roccia F, Grosso M, Regge D. Pseudoaneurysm of the internal maxillary artery and Frey's syndrome after blunt facial trauma. J Oral Maxillofac Surg 1997;55:1485-90. https://doi.org/10.1016/S0278-2391(97)90657-1
  4. Pham N, Sivapatham T, Hussain MS, Bhalla T, Masaryk TJ, Hui FK. Particle embolization of the bilateral superior and inferior alveolar arteries for life threatening dental socket hemorrhage. J Neurointerv Surg 2012;4:e20. https://doi.org/10.1136/neurintsurg-2011-010044
  5. Schwartz HC, Kendrick RW, Pogorel BS. False aneurysm of the maxillary artery. An unusual complication of closed facial trauma. Arch Otolaryngol 1983;109:616-8. https://doi.org/10.1001/archotol.1983.00800230052012
  6. Rich NM, Hobson RW 2nd, Collins GJ Jr. Traumatic arteriovenous fistulas and false aneurysms: a review of 558 lesions. Surgery 1975;78:817-28.
  7. Cooperband BR, Friedel W, Bhatt GM, Eisig S. False aneurysm of the facial artery. J Oral Maxillofac Surg 1989;47:1327-9. https://doi.org/10.1016/0278-2391(89)90735-0
  8. van den Akker HP, van der Lijn F. A false aneurysm of the facial artery as a complication of circumferential wiring. Oral Surg Oral Med Oral Pathol 1974;37:514-7. https://doi.org/10.1016/0030-4220(74)90281-3
  9. Schwartz SH, Blankenship BJ, Stout RA. False aneurysm of the facial artery: report of case. J Oral Surg 1971;29:672-3.
  10. Cohen MA. False (traumatic) aneurysm of the facial artery caused by a foreign body. Int J Oral Maxillofac Surg 1986;15:336-8. https://doi.org/10.1016/S0300-9785(86)80096-5
  11. Roberson GH, Reardon EJ. Angiography and embolization of the internal maxillary artery for posterior epistaxis. Arch Otolaryngol 1979;105:333-7. https://doi.org/10.1001/archotol.1979.00790180031006
  12. D'Orta JA, Shatney CH. Post-traumatic pseudoaneurysm of the internal maxillary artery. J Trauma 1982;22:161-4. https://doi.org/10.1097/00005373-198202000-00017
  13. Rogers SN, Patel M, Beirne JC, Nixon TE. Traumatic aneurysm of the maxillary artery: the role of interventional radiology. A report of two cases. Int J Oral Maxillofac Surg 1995;24:336-9. https://doi.org/10.1016/S0901-5027(05)80485-0
  14. Lanigan DT, Hey JH, West RA. Major vascular complications of orthognathic surgery: false aneurysms and arteriovenous fistulas following orthognathic surgery. J Oral Maxillofac Surg 1991;49:571-7. https://doi.org/10.1016/0278-2391(91)90337-L
  15. Pappa H, Richardson D, Niven S. False aneurysm of the facial artery as complication of sagittal split osteotomy. J Craniomaxillofac Surg 2008;36:180-2. https://doi.org/10.1016/j.jcms.2007.08.002
  16. Conner WC 3rd, Rohrich RJ, Pollock RA. Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998. Ann Plast Surg 1998;41:321-6. https://doi.org/10.1097/00000637-199809000-00019
  17. Banks P, Redpath TH. Closed carotid artery hemorrhage as a complication of minor gunshot wounds of the face and jaws. J Oral Surg 1972;30:176-83.
  18. Pick TP. On partial rupture of arteries from external violence. St. Georges Hosp Rep 1871-1872;6:161-9.
  19. Allen GW. Ligation of the internal maxillary artery for epistaxis. Laryngoscope 1970;80:915-23. https://doi.org/10.1288/00005537-197006000-00005
  20. Mehrotra ON, Brown GE, Widdowson WP, Wilson JP. Arteriography and selective embolisation in the control of life-threatening haemorrhage following facial fractures. Br J Plast Surg 1984;37:482-5. https://doi.org/10.1016/0007-1226(84)90135-8