title: Intracranial pseudoaneurysm associated with orbitozygomatic complex fracture.
abstract: Fractures of the orbitozygomatic complex are one of the most common facial fractures encountered by plastic surgeons. Many would consider this to be primarily a cosmetic deformity; however, these injuries can be associated with acute life-threatening complications. Intracranial pseudoaneurysm, although rare, is a well-documented complication of blunt facial trauma, which most plastic surgeons are unaware of. We present the case of a 20-year-old woman who developed an intracranial pseudoaneurysm after blunt facial trauma to illustrate the importance of (1) understanding this rare but highly morbid complication, (2) assessing high-risk patients for pseudoaneurysm, and (3) delaying reconstruction in high-risk patients.
authors.affiliation: From the *Division of Plastic & Reconstructive Surgery, Department of Surgery, and †Division of Plastic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Ryan E
authors.initials: RE
authors.lastname: Austin
authors.forename: Tara Lynn
authors.initials: TL
authors.lastname: Stewart
authors.forename: Oleh M
authors.initials: OM
authors.lastname: Antonyshyn
mesh_terms: D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D003399:Craniotomy; D005151:Facial Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D018460:Fractures, Comminuted / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005624:Frontal Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D021621:Imaging, Three-Dimensional; D009104:Multiple Trauma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D012307:Risk Factors; D020204:Skull Fracture, Depressed / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult; D015051:Zygomatic Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*