title: Traumatic carotid-cavernous fistula in a multiple facial fractures patient: case report and literature review.
abstract: Carotid-cavernous fistula (CCF) is a pathologic communication between internal carotid artery (ICA) and cavernous sinus (CS). CCF occurs most commonly in association with craniofacial trauma. Traumatic CCFs are very rare, occurring in 0.17-0.27% of craniomaxillofacial trauma cases. We present a case of the patient treated for multiple facial fractures, who developed symptoms of CCF with several days latency and was successfully treated by endovascular occlusion of ICA. Anatomy of CS, pathophysiology of CCFs and treatment options are concisely reviewed.
authors.affiliation: Oral & Maxillofacial Surgery Unit, Al-Farwaniya Dental Center, Al-Farwaniya Hospital, Ministry of Health, Salmiya, State of Kuwait.
authors.forename: Petr
authors.initials: P
authors.lastname: Schütz
authors.forename: Petar
authors.initials: P
authors.lastname: Bosnjakovic
authors.forename: Yasser B
authors.initials: YB
authors.lastname: Abulhasan
authors.forename: Tarik
authors.initials: T
authors.lastname: Al-Sheikh
mesh_terms: D000293:Adolescent; D002343:Carotid Artery, Internal / Q000473:pathology; D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology* / Q000628:therapy; D004172:Diplopia / Q000209:etiology; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005147:Facial Bones / Q000293:injuries*; D005500:Follow-Up Studies; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000150:complications; D008440:Maxillary Fractures / Q000150:complications; D015835:Ocular Motility Disorders / Q000209:etiology; D009917:Orbital Fractures / Q000150:complications; D012887:Skull Fractures / Q000150:complications*
keywords: interventional radiology; maxillofacial injury; traumatic carotid-cavernous sinus fistula