scholarly journals Life-threatening, delayed epistaxis after Le Fort I osteotomy: a case report

2021 ◽  
Author(s):  
Amir Eleuch ◽  
Maha Ben Rejeb ◽  
Anis Ayadi ◽  
Samia Ayachi ◽  
Ramzi Moatemri ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Artery ◽  
Internal Maxillary Artery ◽  
Le Fort I Osteotomy ◽  
Case Presentation ◽  
Le Fort ◽  
Operative Complication ◽  
Life Threatening ◽  
The Right ◽  
Le Fort I

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.

Severe late-onset epistaxis following le Fort I osteotomy: angiographic localization and embolization

1988 ◽  
Vol 102 (3) ◽  
pp. 260-263 ◽  
Author(s):  
Neil B. Solomons ◽  
Ray Blumgart
Keyword(s):  
Late Onset ◽  
Maxillofacial Surgery ◽  
Severe Trauma ◽  
Maxillofacial Trauma ◽  
Maxillary Artery ◽  
Internal Maxillary Artery ◽  
Le Fort I Osteotomy ◽  
Artery Ligation ◽  
Le Fort ◽  
Le Fort I

AbstractEpistaxis following maxillofacial trauma or maxillofacial surgery is uncommon. It usually occurs within 24 hours of the injury and can usually be controlled by packing. Rarely internal maxillary artery ligation is necessary and embolization has been used in some cases of severe trauma.We present a case of severe late-onset epistaxis following Le Fort I osteotomy. The diagnostic approach and treatment are discussed.

Massive epistaxis due to pseudoaneurysm of the sphenopalatine artery: a rare post-operative complication of orthognathic surgery

2013 ◽  
Vol 127 (6) ◽  
pp. 610-613 ◽  
Author(s):  
Y-W Kim ◽  
M-J Baek ◽  
H-D Kim ◽  
K-S Cho
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Orthognathic Surgery ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Sphenopalatine Artery ◽  
Life Threatening ◽  
History Of ◽  
Le Fort I

AbstractObjective: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.

Life-threatening hemorrhage from a Le Fort I osteotomy

1982 ◽  
Vol 40 (2) ◽  
pp. 117-119 ◽  
Author(s):  
Ricney F. Newhouse ◽  
Sterling R. Schow ◽  
Richard A. Kraut ◽  
John C. Price
Keyword(s):  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Life Threatening ◽  
Le Fort I

scholarly journals A Case Report of Adult Unilateral Cleft Lip and Palate Treated with Closure of Wide Alveolar Cleft by le Fort I Osteotomy

2010 ◽  
Vol 20 (3) ◽  
pp. 258-265
Author(s):  
AYA HONDA ◽  
YOSHIYUKI BABA ◽  
KEIICHI KATAOKA ◽  
SHOICHI SUZUKI ◽  
KEIICHI MORITA ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Alveolar Cleft ◽  
Le Fort I

scholarly journals Le Fort I osteotomy facilitated nasotracheal intubation in a patient with concha bullosa and septal deviation: a case report

2021 ◽  
Keyword(s):  
Case Report ◽  
Nasal Cavity ◽  
Orthognathic Surgery ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Septal Deviation ◽  
Concha Bullosa ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Le Fort I

Introduction: Nasotracheal intubation (NTI) is preferred for general anesthesia in maxillofacial surgery. However, NTI is often traumatic or even unsuccessful, particularly in patients with a narrow nasal pathway. In this case report, we describe a less traumatic NTI approach using maxillary downfracture of Le Fort I osteotomy. Case presentation: A 19-year-old woman was admitted with a skeletal Class III malocclusion and scheduled to undergo bimaxillary orthognathic surgery. A preoperative evaluation revealed no other medical history and abnormal laboratory findings. Preoperative computed tomography showed nasal septal deviation, concha bullosa, and turbinate hypertrophy. A nasal Ring-Adair-Elwyn endotracheal tube and a tube exchanger could not be inserted via NTI because of her narrow nasal cavity. An oral intubation was performed temporarily and surgery was started. After a maxillary downfracture was performed, which made the nasal cavity wider than before, NTI was successfully conducted without difficulty. The patient was ventilated without any problems, and the operation was continued. Postoperatively, the patient had no further complications and her vital parameters were all stable. Conclusions: This case report suggests that NTI after maxillary downfracture of Le Fort I osteotomy can be a good alternative that can be successfully performed with less trauma in patients undergoing orthognathic surgery who are preoperatively evaluated as having a narrow nasal cavity.

scholarly journals Le Fort I osteotomy to enucleation of grand proportions fissural cyst—presentation of case report

2016 ◽  
Vol 29 ◽  
pp. 80-84 ◽  
Author(s):  
Rafael Correia Cavalcante ◽  
Fernanda Durski ◽  
Tatiana Miranda Deliberador ◽  
Allan Fernando Giovanini ◽  
Nelson Luís Barbosa Rebellato ◽  
...  
Keyword(s):  
Case Report ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Le Fort I
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