Cariati Paolo, Marin-Fernandez Ana-Belen, Monsalve-Iglesias Fernando, Roman-Ramos Maria, Garcia-Medina Blas
Oral and Maxillofacial surgery resident. Hospital Universitario Virgen de las nieves, Granada, Spain.
Maxillofacial Surgeon. Hospital Universitario Virgen de las nieves, Granada, Spain.
J Clin Exp Dent. 2016 Jul 1;8(3):e352-4. doi: 10.4317/jced.52954. eCollection 2016 Jul.
The ocurrence of a traumatic arteriovenous fistula after arthroscopic surgery of TMJ represents an extremely rare event. Specifically, this uncommon complication has been described only in a few case reports. In this light, the most frequent symptoms showed by this disease are thrills, bruits, pulsatile tinnitus, and an expansible vascular mass. Importantly, the severity of these symptoms is also dependent on the vessels involved. With regard to the management, is important to note that the vessel ligation with surgery as well as vessel emolization with endovascular procedures have been shown to be effective in the treatment of these cases. In view of that, the present study describes a case of superficial temporal arteriovenous fistula that arose as a postoperative complication of a bilateral arthroscopic eminoplasty of TMJ. The aim of the present report is to characterize this rare syndrome with the goal of proposing suitable treatments.
Arteriovenous fistula, arthroscopic surgery, eminoplasty of TMJ, temporal vessels.
颞下颌关节镜手术后发生创伤性动静脉瘘是极为罕见的事件。具体而言,这种不常见的并发症仅在少数病例报告中有描述。鉴于此,该疾病最常见的症状为震颤、杂音、搏动性耳鸣和可扩张的血管团。重要的是,这些症状的严重程度还取决于受累血管。关于治疗,需要注意的是,手术结扎血管以及血管内栓塞术已被证明对治疗这些病例有效。有鉴于此,本研究描述了一例颞浅动静脉瘘病例,该病例是双侧颞下颌关节镜下髁突成形术后的并发症。本报告的目的是对这种罕见综合征进行特征描述,以提出合适的治疗方法。
动静脉瘘;关节镜手术;颞下颌关节髁突成形术;颞部血管