Y-W Kim1, M-J Baek, H-D Kim, K-S Cho. 1. Department of Otorhinolaryngology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea.
Abstract
OBJECTIVE: To introduce pseudoaneurysm of the sphenopalatine artery as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy. METHODS: Case report and literature review. RESULTS: This paper reports a case of acute life-threatening epistaxis following Le Fort I osteotomy. Computed tomography and angiography showed a pseudoaneurysm of the sphenopalatine artery, which was successfully treated by endovascular embolisation. CONCLUSION: Although a pseudoaneurysm of the sphenopalatine artery following Le Fort I osteotomy is extremely rare, it should be considered as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.
OBJECTIVE: To introduce pseudoaneurysm of the sphenopalatine artery as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy. METHODS: Case report and literature review. RESULTS: This paper reports a case of acute life-threatening epistaxis following Le Fort I osteotomy. Computed tomography and angiography showed a pseudoaneurysm of the sphenopalatine artery, which was successfully treated by endovascular embolisation. CONCLUSION: Although a pseudoaneurysm of the sphenopalatine artery following Le Fort I osteotomy is extremely rare, it should be considered as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.
Authors: Alisa Girard; Christopher D Lopez; Jonlin Chen; David Perrault; Nikhil Desai; Karl C Bruckman; Scott P Bartlett; Robin Yang Journal: Craniomaxillofac Trauma Reconstr Date: 2021-04-08
Authors: S Nicolay; T Van Der Zijden; M Voormolen; O d'Archambeau; J Maes; F De Belder; P M Parizel Journal: J Belg Soc Radiol Date: 2015-12-30 Impact factor: 1.894