Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital.
Department of Plastic and Reconstructive Surgery, The Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
J Craniofac Surg. 2021;32(8):e742-e744. doi: 10.1097/SCS.0000000000007765.
Epistaxis after Le Fort I osteotomy is one of the relatively common postoperative complications. It can be controlled with conservative treatment, such as nasal packing, and will usually improve in a few days. However, if the epistaxis is repeated, the outcome can be life-threatening. A 22-year-old woman underwent Le Fort I osteotomy in order to correct her malocclusion. Postoperatively, pseudoaneurysm was formed in the descending palate artery, causing repeated epistaxis. Then, angiography and embolization were performed. Before the onset of epistaxis, there was discomfort around the nasal area. The patient remained asymptomatic during the 6-month follow-up. Some epistaxis after Le Fort I osteotomy is due to pseudoaneurysm formation in the maxillary artery. It is very rare. The epistaxis is delayed and recurrent. It can cause massive bleeding, and so, requires proper diagnosis and treatment. There may be signs of bleeding as in this case.
Le Fort I 骨折术后鼻出血是一种较为常见的术后并发症。它可以通过保守治疗（如鼻腔填塞）来控制，通常几天后会自行改善。然而，如果鼻出血反复发作，可能会危及生命。一名 22 岁女性因矫正错牙合畸形而行 Le Fort I 骨折切开复位内固定术。术后，降腭动脉假性动脉瘤形成，导致反复鼻出血。随后进行了血管造影和栓塞术。鼻出血前，患者鼻部周围有不适感。在 6 个月的随访期间，患者无症状。Le Fort I 骨折术后的一些鼻出血是由于上颌动脉假性动脉瘤形成所致。这种情况非常罕见。鼻出血延迟且反复发作，可导致大出血，因此需要进行适当的诊断和治疗。本例中可能存在出血迹象。
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