Traumatic aneurysm of the maxillary artery: the role of interventional radiology. A report of two cases.
Two cases of post-traumatic aneurysm of the maxillary artery are described. The first patient was a 20-year-old man who sustained a Le Fort III type fracture in a road traffic accident. He experienced two episodes of significant maxillofacial haemorrhage, the first following admission and the second 5 days after initial reduction and fixation of his midfacial fractures. The second patient was a 23-year-old man with a bilateral cleft palate and extreme midfacial hypoplasia who underwent Le Fort I osteotomy. Significant bleeding commenced 3 h postoperatively and was not completely controlled by anterior and posterior nasal packing. Both the aneurysms were diagnosed on selective carotid angiography and successfully treated by embolization.
Rogers
S N
SN
Regional Maxillofacial Unit, Walton Hospital, Liverpool, UK.
Patel
M
M
Beirne
J C
JC
Nixon
T E
TE
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D000792:Angiography; D002972:Cleft Palate / Q000601:surgery; D004621:Embolization, Therapeutic; D004844:Epistaxis / Q000209:etiology; D005592:Fracture Fixation; D006801:Humans; D008297:Male; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery; D008438:Maxillary Artery / Q000293:injuries*; D008440:Maxillary Fractures / Q000150:complications / Q000601:surgery; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods; D019106:Postoperative Hemorrhage / Q000209:etiology; D015641:Radiography, Interventional