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穿透性创伤后颞浅动脉假性动脉瘤

Pseudoaneurysm of the superficial temporal artery following penetrating trauma.

作者信息

Pourdanesh Fereydoun, Salehian Mohammadtaghi, Dehghan Pooneh, Dehghani Nima, Dehghani Siavash

机构信息

Department of Oral and Maxillofacial Surgery, Dental Research Center, Dental School, Shahid Beheshti University of Medical Science, Tehran, Iran.

出版信息

J Craniofac Surg. 2013 Jul;24(4):e334-7. doi: 10.1097/SCS.0b013e31828a7ab0.

Abstract

Pseudoaneurysm of superficial temporal artery (STA) is an uncommon complication of blunt and penetrating trauma. It accounts for only 1% of all traumatic aneurysms. Most pseudoaneurysms of STA present as a painless pulsating mass, and its diagnosis can be made with physical examination and ultrasound or computed tomography angiogram. The treatment of choice is ligation and resection. This report includes a review of the anatomy, histopathology, etiology, diagnosis, and treatment options for STA pseudoaneurysm and presents a very rare documented case of STA pseudoaneurysm following penetrating trauma that was presented to the hospital with severe hemorrhage, and surgical resection of the lesion mandated the external carotid artery to be exposed for proximal control.

摘要

颞浅动脉假性动脉瘤是钝性和穿透性创伤的一种罕见并发症。它仅占所有创伤性动脉瘤的1%。大多数颞浅动脉假性动脉瘤表现为无痛性搏动性肿块,通过体格检查以及超声或计算机断层血管造影即可做出诊断。治疗的首选方法是结扎和切除。本报告包括对颞浅动脉假性动脉瘤的解剖、组织病理学、病因、诊断和治疗选择的综述,并呈现了一例非常罕见的经记录的穿透性创伤后颞浅动脉假性动脉瘤病例,该病例因严重出血入院,手术切除病变时需要暴露颈外动脉以进行近端控制。

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