Abstract
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.
Similar content being viewed by others
References
Feliciano DV, Cruse PA, Burch JM, Bitondo CG (1987) Delayed diagnosis of arterial injuries. Am J Surg 154:579–584
Hertzer NR (2000) Extracranial carotid aneurysms: a new look at an old problem. J Vasc Surg 31:823–825
Yuen JC, Gray DJ (2000) Endovascular treatment of a pseudoaneurysm of a recipient external carotid artery following radiation and free tissue transfer. Ann Plast Surg 44:656–659
Conner WC III, Rohrich RJ, Pollock RA (1998) Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998. Ann Plast Surg 41:321–326
Cooperband BR, Friedel W, Bhatt GM et al (1989) False aneurysm of the facial artery. J Oral Maxillofac Surg 47:1327–1329
Hettige R, Snelling J, Bleach N (2010) The dangers of kite flying: pseudoaneurysm of the facial artery following blunt trauma. J Laryngol Otol 124:223–225
Pappa H, Richardson D, Niven S (2008) False aneurysm of the facial artery as complication of sagittal split osteotomy. J Craniomaxillofac Surg 36:180–182
Rayati F, Parsa H, Abed PF, Karagah T (2010) Facial artery pseudoaneurysm following surgical removal of a mandibular molar. J Oral Maxillofac Surg 68:1683–1685
Germiller JA, Myers LL, Harris MO, Bradford CR (2001) Pseudoaneurysm of the proximal facial artery presenting as oropharyngeal hemorrhage. Head Neck 23:259–263
Quinn JH (1978) Aneurysmal atherosclerosis of the inferior labial artery with segmental arteriectomy. J Am Dent Assoc 96:663–665
Miller SH, Petro JA, Latshaw RF (1980) Postmentoplasty hemorrhage from pseudoaneurysm of the inferior labial artery. Plast Reconst Surg 65:353–355
Bresner M, Brekke J, Dubit J, Finizio T (1972) False aneurysm of the facial region. J Oral Surg 30:307–313
Dediol E, Manojlovic S, Biocic J, Franceski D, Ivanac G (2011) Facial artery pseudoaneurysm without evidence of trauma. Int J Oral Maxillofac Surg 40:988–990
Gerbino G, Roccia F, Grosso M et al (1997) Pseudoaneurysm of the internal maxillary artery and Frey’s syndrome after blunt facial trauma. J Oral Maxillofac Surg 55:1485–1490
Kraus RR, Bergstein JM, DeBord JR (1999) Diagnosis, treatment, and outcome of blunt carotid arterial injuries. Am J Surg 178:190–193
Karas DE, Sawin RS, Sie KC (1997) Pseudoaneursym of the external carotid artery after tonsillectomy. A rare complication. Arch Otolaryngol Head Neck Surg 123:345–347
Minion DJ, Lynch TG, Baxter BT, Lieberman R (1994) Pseudoaneurysm of the external carotid artery following radical neck dissection and irradiation: a case report and review of the literature. Cardiovasc Surg 2:607–611
Nadig S, Barnwell S, Wax MK (2009) Pseudoaneurysm of the external carotid artery—review of literature. Head Neck 31:136–139
El AS, Guo W, Loveless T, Dhaliwal SS, Quereshy FA, Baur DA, Kaka NS (2011) Pseudoaneurysm of the external carotid artery secondary to subcondylar fracture. Int J Oral Maxillofac Surg 40:644–646
Zachariades N, Skoura C, Mezitis M et al (2000) Pseudoaneurysm after a routine transbuccal approach for bone screw placement. J Oral Maxillofac Surg 58:671–673
Lanigan DT, Hey JH, West RA (1990) Major vascular complications of orthognathic surgery: hemorrhage associated with Le Fort I osteotomies. J Oral Maxillofac Surg 48:561–573
Lanigan DT, Hey JV, West RA (1991) Major vascular complications of orthognathic surgery: false aneurysms and arteriovenous fistulas following orthognathic surgery. J Oral Maxillofac Surg 49:571–577
Kornbrot A, Shaw AS, Toohey MR (1991) Pseudoaneurysm as a complication of arthroscopy. A case report. J Oral Maxillofacial Surg 49:1226–1228
Rich NM, Hobson RW, Collins GJ (1975) Traumatic arteriovenous fistulas and false aneurysms: a review of 558 lesions. Surgery 78:817–828
Clark R, Lew D, Giyanani VL et al (1987) False aneurysm complicating orthognathic surgery. J Oral Maxillofac Surg 45:57–59
Golden GT, Fox JW, Williams GS et al (1975) Traumatic aneurysm of the superficial temporal artery. Squash-ball disease. JAMA 234:517–518
Krishnan DG, Marashi A, Malik A (2004) Pseudoaneurysm of internal maxillary artery secondary to gunshot wound managed by endovascular technique. J Oral Maxillofac Surg 62:500–502
Amirjamshidi A, Abbassioun K, Rahmat HR (2000) Traumatic aneurysms and arteriovenous fistulas of the extracranial vessels in war injuries. Surg Neurol 53:136–145
Ramsay DW, McAuliffe W (2003) Traumatic pseudoaneurysm and high flow arteriovenous fistula involving internal jugular vein and common carotid artery. Treatment with covered stent and embolization. Australas Radiol 47:177–180
Martinod E, Warnier G, Aupecle B et al (1999) False aneurysm of the left common carotid artery 52 years after penetrating injury of the chest. J Trauma 47:400–402
Silva AC, O’Ryan F, Beckley ML, Young HY, Poor D (2007) Poor pseudoaneurysm of a branch of the maxillary artery following mandibular sagittal split ramus osteotomy: case report and review of the literature. J Oral Maxillofac Surg 65:1807–1816
Quereshy FA, Choi S, Buma B (2008) Traumatic pseudoaneurysm of the superficial temporal artery in a pediatric patient: a case report. J Oral Maxillofac Surg 66:133–135
Lonn L, Olmarker A, Geterud K et al (2004) Prospective randomized study comparing ultrasound-guided thrombin injection to compression in the treatment of femoral pseudoaneurysms. J Endovasc Ther 11:570–576
Feld R, Patton GM, Carabasi RA et al (1992) Treatment of iatrogenic femoral artery injuries with ultrasound guided compression. J Vasc Surg 16:832–840
Kazmers A, Meeker C, Nofz K et al (1997) Nonoperative therapy for post catheterization femoral artery pseudoaneurysms. Am Surg 63:199–204
Davis KA, Mansour MA (2000) Pseudoaneurysms of the extremity without fracture: treatment with percutaneous ultrasoundguided thrombin injection. J Trauma 29:818–821
Bogale S, Alemayehu W, Abate N (2002) Management of traumatic arterio-venous fistulas, experience in Armed Forces General Hospital, Addis Ababa. Ethiop Med J 40:129–139
Benndorf G, Campi A, Hell B et al (2001) Endovascular management of a bleeding mandibular arteriovenous malformation by transfemoral venous embolization with NBCA. Am J Neuroradiol 22:359–362
Cockroft KM, Carew JF, Trost D et al (2000) Delayed epistaxis resulting from external carotid artery injury requiring embolization: a rare complication of transsphenoidal surgery: case report. Neurosurgery 47:236–239
Bynoe RP, Kerwin AJ, Parker HH et al (2003) Maxillofacial injuries and life-threatening hemorrhage: treatment with transcatheter arterial embolization. J Trauma 55:74–79
Huang F, Kuo YL, Ko SF et al (2003) Percutaneous puncture and pre-operative cyanoacrylate obliteration of a traumatic false aneurysm of an angular artery branch. Br J Radiol 76:746–749
Sanchez F, Delgado F, Ramos M (2000) Pseudoaneurysm of the superficial temporal artery treated by embolization: report of a case. J Oral Maxillofac Surg 58:819–821
Ghersin E, Karram T, Gaitini D (2003) Percutaneous ultrasonographically guided thrombin injection of the iatrogenic pseudoaneurysms in unusual sites. J Ultrasound Med 22:809–816
Zachariades N, Rallis G, Papademetrious P et al (2001) Embolization for the treatment of pseudoaneurysm and transaction of facial vessels. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 92:491–494
Peoples JR, Herbosa EG, Dion J (1988) Management of internal maxillary artery hemorrhage from temporomandibular joint surgery via selective embolization. J Oral Maxillofac Surg 46:1005–1007
Vogelaere KD (2004) Traumatic aneurysm of the superficial temporal artery: case report. J Trauma 57:399–401
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shetty, N.K., Shandilya, R., Pawar, S. et al. Management of Late Post-traumatic Facial Artery Pseudoaneurysmal Cyst: Review of Literature. J. Maxillofac. Oral Surg. 14, 201–205 (2015). https://doi.org/10.1007/s12663-014-0678-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-014-0678-9