Pseudoaneurysm Of Facial Artery Research Articles

Post traumatic facial artery pseudoaneurysm-A case report

Facial artery a branch of external carotid artery rarely develops an aneurysm due to its superficial location and small size that mostly leads to complete dissection rather than laceration of the vessel. Pseudo-aneurysms develop in the superficial temporal arteries in this region. Rupture of this aneurysm can lead to extravasation of blood within the adjacent soft tissues resulting in hemorrhage in some cases. Only a few cases of facial artery aneurysms have been reported in publications. We are therefore discussing here a case of left facial artery pseudoaneurysm secondary to trauma and its radiological imaging findings on CT angiogram.

A rare cause of recurrent massive post-tonsillectomy bleed: facial artery pseudoaneurysm

A rare cause of recurrent massive post-tonsillectomy bleed: facial artery pseudoaneurysm

Facial Artery Pseudoaneurysm in a Child Diagnosed With Point-of-Care Ultrasound

This case describes a 3-year-old boy who was brought to the pediatric emergency department for evaluation of facial swelling. The patient's history was remarkable for a deep facial laceration 5 days prior that required surgical repair in the operating room. On the day of presentation, he was noted to have mild swelling and tenderness to palpation of the left jaw below the mandible, in the same location as his recent laceration repair. Point-of-care ultrasound (POCUS) revealed a pseudoaneurysm with an arterial feeding vessel. This was confirmed by radiology-performed ultrasound, and the patient underwent a coil embolization procedure. To our knowledge, this is the first reported case of a pseudoaneurysm being diagnosed by POCUS in a pediatric patient. This case demonstrates the utility of POCUS in facilitating the timely recognition of vascular mass lesions and guiding management in the emergency department to avoid complications.

Endovascular Embolization of Facial Artery Pseudoaneurysm following Lancing of a Subperiosteal Abscess: Case Report

Pseudoaneurysms of the facial artery are the rare complications of traumatic injuries and surgical interventions in the area of head and neck. One of the vessels of the external carotid system, which suffers from this pathology most frequently, is the facial artery. The article describes a clinical case of the facial artery pseudoaneurysm, which was formed as a result of subperiosteal abscess lancing (synonym: periosteotomy) performed in the area of a tooth #36. The features of the clinical picture, diagnostic algorithms and the choice of treatment approach in such cases are discussed. The successful experience of angiography application and endovascular embolization of the facial artery in this patient is presented.

Endovascular Embolization of Post-tonsillectomy Pseudoaneurysm: A Single-Center Case Series.

The aim of this study was to evaluate the efficacy and safety of endovascular embolization of post-tonsillectomy pseudoaneurysm with the usage of monomeric n-butyl-2-cyanoacrylate (NBCA) glue as a first intention. We retrospectively analyzed the technical details and clinical outcome of ten consecutive children presented with delayed post-tonsillectomy bleeding, caused by lingual or facial artery pseudoaneurysm, which was treated by endovascular embolization. Seven patients had lingual artery pseudoaneurysm, and three patients had injury of a common linguo-facial trunk. Eight patients were treated by endovascular embolization using NBCA glue, and two patients had to be embolized using microcoils. All patients were successfully embolized with no clinical complications. One patient suffered from bleeding during the interventional procedure that was controlled by NBCA which infiltrated normal branches with no clinical sequelae. NBCA glue can be used as an effective appropriate embolizing material in endovascular embolization of post-tonsillectomy pseudoaneurysm. However, certain precautions are mandatory to avoid distal infiltration of normal arteries or proximal reflux that may endanger the internal carotid artery. Level 4, case series.

Surgical Treatment of Facial Artery Pseudoaneurysm Following Blunt Trauma: Report of a Case

There are few reports of pseudoaneurysm of the facial artery in the literature and very little attention has been paid to their surgical management. Practitioners should be aware of this unusual complication of facial trauma and of the alternatives for treatment of pseudoaneurysms. Surgical resection of selective head and neck pseudoaneurysms provides a safe and effective method for the treatment of these vascular lesions.

Pseudoaneurysm of the Facial Artery. Diagnosis and Management

Pseudoaneurysm of the Facial Artery. Diagnosis and Management

Management of Late Post-traumatic Facial Artery Pseudoaneurysmal Cyst: Review of Literature.

Pseudoaneurysms of the branches of the external carotid artery as a result of trauma are rare in oral and maxillofacial surgery practice. The most affected branches are the superficial temporal artery, internal maxillary artery and distal part of facial artery, usually where they pass over the bone. Very few cases of facial artery pseudoaneurysms of proximal parts (from external carotid artery up to the lower border of the mandible) are reported in the literature. We present a review of literature for management of late post-traumatic pseudoaneurysmal cyst and a case report involving proximal part of facial artery in the submandibular region following open reduction and rigid fixation of the condylar fracture in a 25-year-old male. To our knowledge this is the fourth reported case of proximal facial artery pseudoaneurysm.

Delayed Transcutaneous Extrusion of Embolic Coils after Embolization of Facial Artery Pseudoaneurysm

External carotid artery (ECA) pseudoaneurysm is a known complication of treatment for head and neck cancer. We report a case of facial artery pseudoaneurysm arising after irradiation and salvage surgery for advanced tonsillar cancer, that was treated with endovascular embolization. The case was complicated by delayed transcutaneous extrusion of embolization coils through the skin of the anterior neck. We review the literature for related cases of coil extrusion in the head and neck, and discuss the implications for pseudoaneurysm surveillance.

Pseudoaneurysm of the facial artery occurred after mandibular sagittal split ramus osteotomy

IntroductionPseudoaneurysms are caused by rupture of arteries with extravasation of blood. The compressed perivascular tissue forms the wall of aneurysmal sac. Pseudoaneurysm directly related with surgical procedure of sagittal split ramus osteotomy (SSRO) was reported quite rarely especially related with facial artery during the vertical osteotomy.Case reportSSRO was carried out for a 19-year-old male; the patient visited the emergency room with notable swelling 3 weeks after the surgery. We experienced severe intra-oral bleeding with surgical exploration. Angiography revealed a pseudoaneurysm of the right facial artery that might be related with vertical osteotomy over lateral cortex of the mandibular body during orthognathic surgery. This implies that the minor vascular trauma from vertical osteotomy of the mandibular body during the conventional orthognathic surgery might cause later development of pseudoaneurysm.

Novel Endovascular Treatment of Enlarging Facial Artery Pseudoaneurysm Resulting From Molar Extraction: A Case Report

A novel endovascular therapy to treat a pseudoaneurysm as a complication of molar tooth extraction is described. A 20-year-old man presented 2 weeks after third molar tooth extraction with an enlarging pulsatile jaw mass, identified as a facial artery pseudoaneurysm. Endovascular embolization with microcoils and a liquid embolic agent, Onyx, was performed. The use of Onyx in this manner is an off-label use. Immediately after treatment, the pulsatile mass resolved and remained obliterated at 2 months of follow-up. Onyx embolization of facial artery vascular lesions can be safely accomplished while avoiding microvascular complications and provides a satisfactory and durable result.

Facial artery pseudoaneurysm without evidence of trauma

False aneurysm or pseudoaneurysm is usually a result of blunt trauma causing laceration of part of the vessel wall and extravasation of blood into surrounding tissue, followed by tamponade and clot formation. The wall of the pseudoaneurysm consists of perivascular fibrous tissue. Extracranial carotid artery pseudoaneurysms are relatively rare because trauma to external carotid artery branches usually results in total transection rather then partial laceration of blood vessel. Most affected branches are the superficial temporal artery, internal maxillary artery and distal facial artery, usually where they pass over the bone (zygoma or mandible). The authors present the case of a 78-year-old male patient with facial artery pseudoaneurysm in its proximal part in the submandibular region with no known evidence of trauma. To the authors' knowledge this is the first case in the literature of facial artery pseudoaneurysm without traumatic origin and the third case of proximal facial artery pseudoaneurysm. Although formation of pseudoaneurysm in the region of face and neck is rare, the authors consider that inclusion of pseudoaneurysm in the differential diagnosis of a neck mass is important.

Facial artery pseudoaneurysm as a result of surgical intervention

I read with great interest the article by Nardis et al.2 regarding an uncommon complication following facial trauma. From the title, a reader would have assumed the uncommon complication to be a facial artery pseudoaneurysm as a result of facial trauma.

Pseudoaneurysm of the facial artery as a late complication of bilateral sagittal split osteotomy and facial trauma

Pseudoaneurysms, or arteriovenous fistulas, of the extracranial arterial system, particularly the facial artery, are rare. Its occurrence after reconstructive facial surgery has been reported rarely in the literature. In this article we describe a rare case of pseudoaneurysm developing over 4 weeks after an uneventful Le Fort I maxillary osteotomy, sagittal split osteotomy, and advancement genioplasty. A 22-year-old man presented with a severe class III skeletal deformity, mandibular hyperplasia, and maxillary hypoplasia. The patient's immediate postoperative course was uneventful for a 2-week period after surgery. Then the patient, while at home, experienced an accidental injury to his jaw and started to bleed from his left retromandibular side. He was taken to a local hospital where his bleeding was controlled by topical coagulant and pressure. During this short hospital visit he was given 3 units of blood and was subsequently discharged. He had no further bleeding and was monitored on a regular basis. One month after his double jaw surgery and 2 weeks after his bleeding episode, the left facial swelling diminished in size but was still visible. This mass was soft and pulsatile with a palpable thrill and auditory machinery murmur on auscultation. Although the patient was totally asymptomatic at this time, he was sent to the emergency room for a computerized tomography scan with 3-dimensional reconstruction. A Doppler ultrasound was also ordered. The ultrasound revealed the mass to be a pseudoaneurysm. Angiography revealed a pseudoaneurysm of the left facial artery. Coil embolization of the left facial artery was performed with a Cordis Trufill complex coil. The patient tolerated the procedure well and a repeat angiogram demonstrated no further evidence of aneurysm, arteriovenous malformation, vasospasm, or feeding branches to the fistula. The patient made an uneventful recovery and was discharged the day after the procedure. In this article, we review the anatomy of the extracranial arterial system of the head and neck, discuss the pathogenesis and clinical presentation of pseudoaneurysm, and present diagnostic imaging and treatment options for pseudoaneurysms of the face.

Facial Artery Pseudoaneurysm Following Surgical Removal of a Mandibular Molar

Arterial vascular injuries after dental extractions are very rare, but they may be associated with significant morbidity and mortality. 1,2 Aneurysms are defined as abnormal and localized dilations of blood vessel walls. These lesions can be caused by trauma or may result from a weakened vessel wall with preservation of all vascular layers. The former type is known as a false aneurysm, and the latter is regarded as a true aneurysm. 3 False arterial aneurysms or pseudoaneurysms usually produce a pulsating hematoma and develop after rupture of an arterial wall and extravasation of blood into surrounding tissues. Perivascular connective tissues form the sac of false aneurysms, which may gradually expand and rupture, leading to life-threatening hemorrhage. 4 Surgical removal of impacted third molars can damage the facial artery wall and produce pseudoaneurysms due to retention of effused blood in surrounding tissues. 5 Color Doppler ultrasonography plays a key role in the management of traumatic vascular lesions by locating the aneurysm sac and establishing its relation to the adjacent arteries. 6 To the best of our knowledge, we report the second case of facial artery pseudoaneurysm after extraction of a mandibular first molar. The first case was reported in 2008, which occurred after surgical removal of a third molar. 7 The management of this lesion and a brief review of the literature are described.

The dangers of kite flying: pseudoaneurysm of the facial artery following blunt trauma

Pseudoaneurysms of the facial artery are an extremely rare development after blunt trauma. This paper aims to demonstrate the challenges faced during the diagnosis and subsequent management of this unusual cause of neck swelling. We report the presentation, examination, investigation, management and potential complications of a case of facial artery pseudoaneurysm secondary to blunt arterial trauma, sustained from the string of a flying kite. We also review some of the relevant literature on this subject. Although a traumatic pseudoaneurysm is a rare occurrence in the facial region, the inclusion of this lesion in the differential diagnosis of soft tissue lesions caused by blunt trauma is important if the serious consequences of haemorrhage or thromboembolic disease are to be avoided. Prompt access to radiological imaging, and multi-disciplinary team input, are essential for effective diagnosis and management.

Diagnosis of a Facial Artery Pseudoaneurysm Using Emergency Bedside Ultrasound

Pseudoaneurysms of the extracranial arterial system are rare. We report a case of a facial artery pseudoaneurysm initially mistaken for an abscess. With bedside ultrasound performed in the Emergency Department (ED) by the treating physician, the mass was identified as a pseudoaneurysm. In this report we review the anatomy of the extracranial arterial system of the head and neck, discuss the pathogenesis and clinical presentation of pseudoaneuryms, and present diagnostic imaging and treatment options for pseudoaneurysms of the face. A 51-year-old man presented with facial swelling and pain at the site of a laceration that he had sustained 1 month previously. Before incision and drainage, bedside ultrasound was performed in the ED by the treating physician to confirm the presumptive diagnosis of abscess with possible foreign body. The ultrasound revealed the mass to be a pseudoaneurysm. Although pseudoaneurysms of the head and neck are rare, a history of trauma should prompt the consideration of a vascular injury with the need for imaging before drainage procedures of a presumed abscess. To our knowledge, the use of clinician-performed bedside ultrasound to detect facial artery pseudoaneurysms has never been reported.