Gallardo-Caudillo Josue, Vivero-Alcivar Freddy Andrés, Quisiguiña-Salem Cinthya María, Esquivel-Martin Sergio
Department of Oral and Maxillofacial Surgery, Centro Medico Naval, Mexico City, Mexico.
Department of Oral and Maxillofacial Surgery, Postgraduate and Research Division, Dental School, National Autonomous University of Mexico, Mexico City, Mexico.
Case Rep Dent. 2025 May 2;2025:7742546. doi: 10.1155/crid/7742546. eCollection 2025.
Arteriovenous fistulas rarely occur in the head and neck region. They typically arise from blunt or penetrating trauma but can develop as an uncommon complication following bimaxillary orthognathic surgery, a procedure to correct jaw deformities. This report describes a male patient who experienced an arteriovenous fistula after orthognathic surgery. We detail the diagnosis through patient symptoms and imaging, along with successful treatment via endovascular embolization. We also follow the patient for 1 year. This case highlights the importance of recognizing this rare complication to ensure prompt diagnosis and intervention. We discuss key points for preventing, diagnosing, and effectively treating arteriovenous fistulas after orthognathic surgery.
动静脉瘘很少发生在头颈部区域。它们通常由钝性或穿透性创伤引起，但也可能作为双颌正颌手术（一种矫正颌骨畸形的手术）后罕见的并发症出现。本报告描述了一名男性患者，他在正颌手术后发生了动静脉瘘。我们通过患者症状和影像学详细阐述了诊断过程，以及通过血管内栓塞进行的成功治疗。我们还对该患者进行了1年的随访。该病例强调了认识这种罕见并发症以确保及时诊断和干预的重要性。我们讨论了正颌手术后预防、诊断和有效治疗动静脉瘘的关键点。
