勒福Ⅰ型截骨术后颈内动脉-颈静脉瘘

Carotid jugular fistula after Le Fort I osteotomy.

作者信息

Osborne P R, Sverzut T F V, Trivellato A E, Matias C M, Sverzut C E, Sverzut A T

机构信息

Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Int J Oral Maxillofac Surg. 2017 Jul;46(7):845-850. doi: 10.1016/j.ijom.2017.03.005. Epub 2017 Apr 3.

DOI:10.1016/j.ijom.2017.03.005

PMID:28385384

Abstract

Le Fort I osteotomy is the technique most applied worldwide in the treatment of dentoskeletal deformity involving the maxilla. Even though it is considered a very safe technique with good intra- and postoperative results, many complications have been described. This paper presents a case of carotid jugular fistula developed in a 22-year-old white male submitted to Le Fort I osteotomy for the treatment of anteroposterior maxillary deficiency, and discusses the possible aetiology and management of this serious complication.

摘要

勒福Ⅰ型截骨术是全球范围内治疗涉及上颌骨牙颌面畸形应用最为广泛的技术。尽管它被认为是一种非常安全的技术，术中及术后效果良好，但仍有许多并发症被报道。本文介绍了一例22岁白人男性在接受勒福Ⅰ型截骨术治疗上颌前后向发育不足后发生颈内静脉瘘的病例，并探讨了这一严重并发症可能的病因及处理方法。