title: Superficial temporal arteriovenous fistula as a complication of rhytidectomy.
abstract: A 67-year-old woman who had undergone rhytidectomy 5 years before her presentation experienced increasing pulsatile tinnitus on the left side that had begun 2 years earlier. Angiography revealed a direct arteriovenous fistula between the superficial temporal artery and superficial temporal vein in front of her left ear. There was a scar from the earlier cosmetic surgery at the site. The fistula was embolized with N-butyl cyanoacrylate, and her tinnitus disappeared. We posit that the fistula was a complication of rhytidectomy and that a small arteriovenous fistula formed at the time of surgery and enlarged over time. This case indicates that arteriovenous fistulae can occur as a delayed complication of cosmetic surgery.
authors.affiliation: Department of Neurosurgery, Chiba-Hokuso Hospital, Nippon Medical School, Inzai, Chiba, Japan. shushi@nms.ac.jp
authors.forename: Shushi
authors.initials: S
authors.lastname: Kominami
authors.forename: Akira
authors.initials: A
authors.lastname: Watanabe
authors.forename: Masahiro
authors.initials: M
authors.lastname: Akimoto
authors.forename: Shiro
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Akira
authors.initials: A
authors.lastname: Teramoto
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000209:etiology* / Q000628:therapy*; D003487:Cyanoacrylates / Q000008:administration & dosage; D004621:Embolization, Therapeutic / Q000379:methods*; D004998:Ethiodized Oil / Q000008:administration & dosage; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D015361:Rhytidoplasty; D013699:Temporal Arteries; D014012:Tinnitus / Q000209:etiology
chemical_list: D003487:Cyanoacrylates; D004998:Ethiodized Oil