Li Wei, Long Xing, Deng Mohong
Department of Oral and Maxillofacial Surgery of School & Hospital of Stomatology, Wuhan University, People's Republic of China.
J Craniofac Surg. 2013 Jul;24(4):e360-1. doi: 10.1097/SCS.0b013e3182902f15.
A rare case of superficial temporal artery pseudoaneurysm secondary to mandibular condylar fracture is presented. A 21-year-old man referred to the Department of Oral and Maxillofacial Surgery with limited mouth opening and left preauricular swelling for more than 40 days after a traffic accident injury. He had received mandibulomaxillary fixation in the emergency department. Computed tomography showed left mandibular condylar fracture, and digital subtraction angiography confirmed left superficial temporal artery pseudoaneurysm. Endovascular embolization of the left external carotid artery was performed, followed by excision of the traumatic pseudoaneurysm and open reduction internal fixation of the left condylar fracture. Six months after treatment, the patient can open his mouth to approximately 35 mm and showed no swelling in the left preauricular region.
本文报告1例罕见的继发于下颌髁突骨折的颞浅动脉假性动脉瘤。一名21岁男性在交通事故受伤后40多天，因张口受限和左耳前肿胀转诊至口腔颌面外科。他在急诊科接受了颌间固定。计算机断层扫描显示左侧下颌髁突骨折，数字减影血管造影证实左侧颞浅动脉假性动脉瘤。对左侧颈外动脉进行了血管内栓塞，随后切除创伤性假性动脉瘤并对左侧髁突骨折进行切开复位内固定。治疗6个月后，患者张口可达约35mm，左耳前区域无肿胀。
