Department of Oral and Maxillofacial Surgery, Vila Penteado General Hospital, São Paulo, Brazil.
Int J Oral Maxillofac Surg. 2011 Apr;40(4):440-2. doi: 10.1016/j.ijom.2010.10.014. Epub 2010 Nov 20.
Vascular complications after head and neck surgical procedures are rare but can life-threatening. A pseudoaneurysm may appear weeks or months after the initial injury and may be difficult to diagnose. The authors report the case of a 43-year-old man involved in a motor vehicle accident presenting with multiple facial fractures, which after surgical treatment presented episodes of bleeding. After an angiography was performed, a pseudoaneurysm of the facial artery was detected. The patient later underwent endovascular embolization and had a satisfactory resolution.
头颈部外科手术后的血管并发症很少见，但可能危及生命。假性动脉瘤可能在初始损伤后数周或数月出现，并且可能难以诊断。作者报告了一例 43 岁男性因机动车事故导致多处面部骨折的病例，在接受手术治疗后出现了出血症状。进行血管造影后，发现面动脉假性动脉瘤。患者随后接受了血管内栓塞治疗，结果令人满意。
