Pseudoaneurysm of the internal maxillary artery secondary to subcondylar fracture: case report and literature review

Abstract Introduction: When performing a Le Fort 1 osteotomy, there is always a risk of injuring the internal maxillary artery or one of its branches. This diagnosis should be considered when confronted to recurrent or massive epistaxis following surgery.Case presentation: The authors present a case of a life-threatening, delayed and massive epistaxis caused by a ruptured pseudoaneuvrysm of the right sphenopalatine artery as a post-operative complication of a Le Fort I osteotomy successfully managed by anterior and posterior nasal packing.Conclusion: Despite its simplicity and attested reliability, Le Fort I osteotomy is not completely free of complications.

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Internal maxillary artery pseudoaneurysm in a case of mandibular fracture

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699179 ◽

2007 ◽

Vol 40 (01) ◽

pp. 51-53

Author(s):

K. Karanth Siddharth ◽

Jagannathan Mukund ◽

S. G. Mahesh ◽

Devale Maksud

Keyword(s):

Rare Case ◽

Mandibular Fracture ◽

Warning Sign ◽

Maxillary Artery ◽

Internal Maxillary Artery ◽

Rare Presentation ◽

Artery Pseudoaneurysm ◽

Facial Region ◽

Subcondylar Fracture ◽

Traumatic Pseudoaneurysm

ABSTRACTWe report a rare case of internal maxillary artery pseudoaneurysm in a patient with a subcondylar fracture of the mandible. Though traumatic pseudoaneurysm in the craniofacial region is a known entity, a situation in which a closed mandibular fracture presents as a rapidly growing swelling in the neck and facial region is a rare presentation. Such a warning sign should be taken seriously and investigated further.

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Pseudoaneurysm of Internal Maxillary Artery—An Untold Complication Following Distraction Osteogenesis—A Case Report

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2013.11.009 ◽

2014 ◽

Vol 72 (3) ◽

pp. 605.e1-605.e7 ◽

Cited By ~ 5

Author(s):

Deepak Abraham Pandyan ◽

Pearlcid Siroraj ◽

Nandakumar ◽

C.D. Narayanan

Keyword(s):

Case Report ◽

Distraction Osteogenesis ◽

Maxillary Artery ◽

Internal Maxillary Artery

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Pseudoaneurysm in internal maxillary artery after gunshot wound: Critical review and case report

Journal of Clinical and Experimental Dentistry ◽

10.4317/jced.54849 ◽

2018 ◽

pp. 0-0 ◽

Cited By ~ 1

Author(s):

B Neres ◽

E Figueiredo ◽

C Aires ◽

E Nogueira ◽

E Andrade

Keyword(s):

Case Report ◽

Critical Review ◽

Gunshot Wound ◽

Maxillary Artery ◽

Internal Maxillary Artery

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Treatment of Pseudoaneurysm of Internal Maxillary Artery: A Case Report

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0030-1254378 ◽

2010 ◽

Vol 3 (2) ◽

pp. 87-89 ◽

Cited By ~ 6

Author(s):

Jimmy Charles Melo Barbalho ◽

Eliardo Silveira Santos ◽

José Maria Sampaio Menezes ◽

Fabricio Rocha Gonçalves ◽

Otacilio Luiz Chagas

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Orthognathic Surgery ◽

Penetrating Trauma ◽

Maxillary Artery ◽

Internal Maxillary Artery ◽

Zygomatic Bone ◽

Joint Surgery ◽

Acrylic Glue ◽

Temporomandibular Joint Surgery

Pseudoaneurysms are rare lesions secondary to blunt or penetrating trauma, temporomandibular joint surgery, or orthognathic surgery. Nonsurgical interventions are the treatment of choice for pseudoaneurysms. In the case reported here, endovascular injection of acrylic glue was successful in the treatment of a pseudoaneurysm of the internal maxillary artery secondary to fracture of the zygomatic bone.

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