양악 수술 후 발생한 가성동맥류로 인한 대량 비출혈 치험 1예
A Case of Pseudoaneurysm Causing Massive Epistaxis after Le Fort I Osteotomy
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Orthognathic surgery is widely used to correct congenital and acquired dentofacial deformities. In a variety of orthognathic procedure, Le Fort I osteotomy is procedure performed between posterior wall of maxilla and pterygoid process of sphenoid bone. Although rare, iatrogenic pseudoaneurysm can be occurred in this procedure. As a result, life-threatening hemorrhage can be happened as a rare complication. The following case report describes an episode of delayed massive epistaxis, after a Le Fort I osteotomy for the treatment of cosmetic problem. Emergent angiographic evaluation demonstrated an internal maxillary artery pseudoaneurysm into maxillary sinus and embolization was successfully perfomed. This report reconfirms the importance of maintaining a high clinical suspicion for pseudoaneurysm as a possible etiology of delayed postoperative bleeding in patients after Le Fort I osteotomy.
Abstract
Orthognathic surgery is widely used to correct congenital and acquired dentofacial deformities. In a variety of orthognathic procedure, Le Fort I osteotomy is procedure performed between posterior wall of maxilla and pterygoid process of sphenoid bone. Although rare, iatrogenic pseudoaneurysm can be occurred in this procedure. As a result, life-threatening hemorrhage can be happened as a rare complication. The following case report describes an episode of delayed massive epistaxis, after a Le Fort I osteotomy for the treatment of cosmetic problem. Emergent angiographic evaluation demonstrated an internal maxillary artery pseudoaneurysm into maxillary sinus and embolization was successfully perfomed. This report reconfirms the importance of maintaining a high clinical suspicion for pseudoaneurysm as a possible etiology of delayed postoperative bleeding in patients after Le Fort I osteotomy.
참고문헌 (7)
- Panula K, "Incidence of complications and problems related orthognathic surgery: a review of 655 patients", J Oral Maxillofac Surg, 59(10), pp.1128~1136 (2001)
- Chepla KJ, "Maxillary artery pseudoaneurysm after Le Fort I osteotomy: treatment using transcatheter arterial embolization", J Craniofac Surg, 21(4), pp.1079~1081 (2010)
- Krishnan DG, "Internal carotid artery pseudoaneurysm after Le Fort I osteotomy: report of a case and its management", J Oral Maxillofac Surg, 69(6), pp.242~245 (2011)
- Avelar RL, "Embolization of pseudoaneurysm of the internal maxillary artery after orthognathic surgery", J Cranifac Surg, 21(6), pp.1764~1768 (2010)
- Clark S, "Traumatic aneurysms of the internal maxillary artery and their treatment by embolisation: a report of two cases", Br J Oral Maxillofac Surg, 28(5), pp.302~305 (1990)
- Allen GW, "Ligation of the internal maxillary artery for epistaxis", Laryngoscope, 80(6), pp.915~923 (1970)
- Woo CK, "A case of pseudoaneurysm of the sphenopalatine artery presenting intractable epistaxis", J Clinical Otolaryngol, 20(2), pp.243~246 (2009)