Maleux O, da Costa Senior O, Politis C, Maleux G
Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Department of Radiology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Br J Oral Maxillofac Surg. 2019 Jul;57(6):597-599. doi: 10.1016/j.bjoms.2019.02.013. Epub 2019 May 31.
Vascular injuries after orthognathic surgery are rare, and mainly occur in young adults after Le Fort I osteotomies. We report the case of a 14-year-old girl who presented with life-threatening epistaxis one week after a surgically-assisted rapid palatal expansion (SARPE) followed by activation of a transpalatal distractor. Definitive treatment was superselective, catheter-directed, glue-embolisation of a bleeding bilobar pseudoaneurysm, which was located at an end branch of the left sphenopalatine artery.
正颌手术后的血管损伤很少见，主要发生在接受Le Fort I截骨术的年轻成年人中。我们报告了一例14岁女孩的病例，她在接受手术辅助快速腭扩展术（SARPE）并激活经腭牵张器一周后出现危及生命的鼻出血。最终治疗方法是超选择性导管引导下用胶水栓塞位于左蝶腭动脉终末分支处的出血性双叶假性动脉瘤。
