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Massive epistaxis due to pseudoaneurysm of the sphenopalatine artery: a rare post-operative complication of orthognathic surgery

Published online by Cambridge University Press:  22 April 2013

Y-W Kim ,
M-J Baek ,
H-D Kim  and
K-S Cho
Y-W Kim
Affiliation:
Department of Otorhinolaryngology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea
M-J Baek
Affiliation:
Department of Otorhinolaryngology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea
H-D Kim
Affiliation:
Department of Radiology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea
K-S Cho*
Affiliation:
Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Busan, South Korea
*
Address for correspondence: Dr K-S Cho, Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, 1-10 Ami-dong, Seo-gu, Busan 602-739, South Korea Fax: 82-51-246-8668 E-mail: choks@pusan.ac.kr
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Abstract

Objective:

To introduce pseudoaneurysm of the sphenopalatine artery as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.

Methods:

Case report and literature review.

Results:

This paper reports a case of acute life-threatening epistaxis following Le Fort I osteotomy. Computed tomography and angiography showed a pseudoaneurysm of the sphenopalatine artery, which was successfully treated by endovascular embolisation.

Conclusion:

Although a pseudoaneurysm of the sphenopalatine artery following Le Fort I osteotomy is extremely rare, it should be considered as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.

Keywords

EpistaxisAneurysmFalsePostoperative ComplicationsOrthognathic SurgeryOsteotomyLe Fort
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 6 , June 2013 , pp. 610 - 613
Copyright
Copyright © JLO (1984) Limited 2013 

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References

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