Al-Saadi Noor J, Bakathir Abdulaziz, Al-Mashaikhi Ali, Al-Hashmi Ahmed, Al-Habsi Ahmed, Al-Azri Faisal
Department of General Surgery, Al Rustaq Hospital, Al Rustaq, Oman.
Department of Dental & Maxillofacial Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2019 Nov;19(4):e364-e368. doi: 10.18295/squmj.2019.19.04.013. Epub 2019 Dec 22.
Traumatic maxillary artery pseudoaneurysm is an uncommonly reported complication in the field of oral and maxillofacial surgery. It is usually discovered incidentally, either early after trauma or weeks-to-months later. Quick recognition and prompt management are essential to avoid devastating consequences. In this paper, we report three uncommon cases of maxillary artery pseudoaneurysm recognised during the surgical management of maxillofacial injuries in Muscat, Oman. All cases presented as sudden brisk bleeding during the intraoperative surgical repair and were subsequently diagnosed and successfully managed by endovascular embolisation with platinum coils. This case report highlights the clinical presentation, diagnosis and management of maxillary artery pseudoaneurysm, in addition to a brief review of the literature.
创伤性上颌动脉假性动脉瘤是口腔颌面外科领域报道较少的一种并发症。它通常是偶然发现的,要么在创伤后早期,要么在数周或数月后。快速识别和及时处理对于避免严重后果至关重要。在本文中,我们报告了在阿曼马斯喀特进行颌面损伤手术治疗期间发现的3例罕见的上颌动脉假性动脉瘤病例。所有病例均在术中手术修复时出现突然大量出血,随后通过铂线圈血管内栓塞术进行诊断并成功治疗。本病例报告除了对文献进行简要回顾外,还重点介绍了上颌动脉假性动脉瘤的临床表现、诊断和治疗。