Blunt internal carotid artery trauma: report of two cases and review of the literature.
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.
Caubet-Biayna
J
J
Department of Oral and Maxillofacial Surgery, Hospital Son Dureta, Palma de Mallorca-Spain.
Olabe-Jauregui
J
J
Lopez-Anguera
A
A
Morey-Mas
M
M
Badía-Joval
V
V
Lasa-Menéndez
V
V
Iriarte-Ortabe
J I
JI
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