Neto Tiburtino José de Lima, Maranhão Carlos Alexandre de Albuquerque, Neto Patrício José de Oliveira
Oral and Maxillofacial Surgery, Department of Surgery and Integrated Clinic, Araçatuba Dental School, University Estadual Paulista (UNESP), Araçatuba.
Department of Vascular and Endovascular Surgery.
J Craniofac Surg. 2019 Oct;30(7):e607-e609. doi: 10.1097/SCS.0000000000005696.
Sagittal osteotomy of the mandibular branch is to be included common approach for alteration of facial tooth shapes and it is treated technically safe. This conduct can breed various complications, among other things vascular complications. A clinical case has described the development of pseudoaneurysm in the facial artery in a 33-year patient undergoing bilateral osteotomy Le Fort I sagittal osteotomy of the mandibular branch. Subsequently, there was a vascular complication treated by the vascular surgeon that generated a rejection process to the material used for treatment, generating aesthetic damage to the patient and the need for plastic surgery intervention. The leading mode of conduct of vascular injuries are analyzed, and embolization is established to be technically secure conduct.
下颌支矢状骨切开术是改变面部牙齿形状的常用方法，且技术上安全。这种操作可能引发各种并发症，尤其是血管并发症。有一个临床病例描述了一名33岁患者在接受双侧下颌支矢状骨切开术及Le Fort I型截骨术时，面动脉出现假性动脉瘤。随后，血管外科医生对出现的血管并发症进行了治疗，但引发了对所用治疗材料的排斥反应，给患者造成了美学损害，需要进行整形手术干预。分析了血管损伤的主要处理方式，并确定栓塞在技术上是安全的操作。
