[Arteriovenous fistula of the maxillary artery, eustachian tube dysfunction and tinnitus after Le Fort I osteotomy].
A 36-year-old woman with a maxillary retrognathia underwent a Le Fort I osteotomy. Postoperatively, she complained of pulsatile noise and hearing loss in the left ear. Carotid arteriography revealed an arteriovenous fistula of the left maxillary artery; in addition, a persistent eustachian tube dysfunction with left middle ear effusion was noticed. After embolization of the fistula and ventilation tube treatment, improved hearing and a significant reduction of tinnitus were achieved. Arteriovenous fistulas after orthognathic surgery are very rare. Postoperative eustachian tube dysfunction has not yet been reported in the literature.
Klemm
E
E
Hals-Nasen-Ohren-Klinik, Städtisches Klinikum Dresden-Friedrichstadt, Friedrichstrasse 41, 01067 Dresden. dreissig-he@khdf.de
Stösslein
F
F
Mürbe
B
B
D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000209:etiology*; D005064:Eustachian Tube; D005260:Female; D006801:Humans; D008438:Maxillary Artery; D019340:Osteotomy, Le Fort; D011183:Postoperative Complications / Q000209:etiology*; D063173:Retrognathia / Q000601:surgery*; D012307:Risk Factors; D014012:Tinnitus / Q000209:etiology*