Takenoshita Y, Hasuo K, Matsushima T, Oka M
Second Department of Oral Surgery, Faculty of Dentistry, Kyushu University, Fukuoka, Japan.
J Craniomaxillofac Surg. 1990 Jan;18(1):41-5. doi: 10.1016/s1010-5182(05)80602-x.
A case of traumatic carotid-cavernous sinus fistula, an abnormal communication at the base of the skull between the internal carotid artery and the cavernous sinus, complicating fractures of the zygoma and mandible is described. Typical signs and symptoms appeared immediately after the injury resulting from a traffic accident. Angiography revealed a definite CCSF and a balloon embolization was performed with a good result. The importance of a multidisciplinary examination of the ophthalmic function and periorbital condition following trauma is emphasized, and interdepartmental cooperation helped to establish a rational diagnosis and obtain a good result.
本文描述了一例创伤性颈动脉海绵窦瘘，即颈内动脉与海绵窦在颅底的异常交通，并发颧骨和下颌骨骨折。典型的体征和症状在交通事故受伤后立即出现。血管造影显示明确的颈动脉海绵窦瘘，并进行了球囊栓塞，效果良好。强调了创伤后对眼功能和眶周情况进行多学科检查的重要性，部门间的合作有助于建立合理的诊断并取得良好效果。
