Objective
Pseudoaneurysms are vascular injuries resulting from a rupture of the vessel walls
with blood extravasation into perivascular tissues. Proper treatment is required to
prevent rupture and intense bleeding. This article reports a case of pseudoaneurysm
of the facial artery that evolved to a late complication, presenting dehiscence of
suture and exposure of the wound and bleeding after the initial injury and also discusses
the effects of vascular response from the involved vessels by comparing them against
the contralateral side.
Case report
A healthy 17-year-old male was admitted with an injury of approximately 35 mm in length
in the right cheek with an exposed clot inside the injury and local bleeding after
a stabbing 11 days before. CT angiography showed rupture of the facial artery and
formation of a pseudoaneurysm with an organized clot. The patient was treated by means
of surgery under local anesthesia and intravenous sedation. The facial artery was
located and attached by suture. The wound was explored and clots were removed. The
patient was discharged on the first postoperative day and he had an excellent scarring
standard with no unfavorable event.
Conclusions
The authors conclude that this surgical technique is an effective method for treating
such injuries, as it is easily performed and can be conducted by the oral and maxillofacial
surgeon assistant.
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Article info
Publication history
Accepted:
March 8,
2011
Received in revised form:
March 8,
2011
Received:
January 10,
2011
Identification
Copyright
© 2011 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- True or false facial artery aneurysmOral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyVol. 113Issue 2
- PreviewI read with great interest an article by Ribeiro-Ribeiro et al1 about facial artery pseudoanuerysm after a stabbing incident. It is a classic example of facial artery aneurysm regarding etiology, presentation, and management, although from the presented article one cannot be sure whether it is a true or false aneurysm. Namely, the diagnosis of an aneurysm is clinical (history, bruit, pulsations), radiological (Doppler ultrasound and computed tomography [CT] angiography), and pathohistological. Doppler ultrasound and CT angiography usually show a dilated cavity with turbulent blood flow and trombothic masses inside.
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