title: Blunt internal carotid artery trauma: report of two cases and review of the literature.
abstract: Blunt injury of the internal carotid artery (ICA) is a rare entity that should be considered by Maxillofacial surgeons in patients with facial fractures. Its recognition is often delayed because of the common association with other severe multi-system injuries. Early diagnosis is the key to successful management; the arteriography plays a confirmatory role on the diagnosis and determines whether surgical management of the injury is feasible. Therapeutic alternatives vary from one center to another; they include observation, conservative treatment, anticoagulation, ligation of the carotid artery with or without extracranial-intracranial bypass, and arterial reconstruction.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hospital Son Dureta, Palma de Mallorca-Spain.
authors.forename: J
authors.initials: J
authors.lastname: Caubet-Biayna
authors.forename: J
authors.initials: J
authors.lastname: Olabe-Jauregui
authors.forename: A
authors.initials: A
authors.lastname: Lopez-Anguera
authors.forename: M
authors.initials: M
authors.lastname: Morey-Mas
authors.forename: V
authors.initials: V
authors.lastname: Badía-Joval
authors.forename: V
authors.initials: V
authors.lastname: Lasa-Menéndez
authors.forename: J I
authors.initials: JI
authors.lastname: Iriarte-Ortabe
mesh_terms: D000328:Adult; D000792:Angiography; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology; D020212:Carotid Artery Injuries; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy