Hostname: page-component-6766d58669-fx4k7 Total loading time: 0 Render date: 2026-05-21T21:59:52.544Z Has data issue: false hasContentIssue false
  • English
  • Français

Massive epistaxis due to pseudoaneurysm of the sphenopalatine artery: a rare post-operative complication of orthognathic surgery

Published online by Cambridge University Press:  22 April 2013

Y-W Kim ,
M-J Baek ,
H-D Kim  and
K-S Cho
Y-W Kim
Affiliation:
Department of Otorhinolaryngology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea
M-J Baek
Affiliation:
Department of Otorhinolaryngology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea
H-D Kim
Affiliation:
Department of Radiology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea
K-S Cho*
Affiliation:
Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Busan, South Korea
*
Address for correspondence: Dr K-S Cho, Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, 1-10 Ami-dong, Seo-gu, Busan 602-739, South Korea Fax: 82-51-246-8668 E-mail: choks@pusan.ac.kr
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To introduce pseudoaneurysm of the sphenopalatine artery as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.

Methods:

Case report and literature review.

Results:

This paper reports a case of acute life-threatening epistaxis following Le Fort I osteotomy. Computed tomography and angiography showed a pseudoaneurysm of the sphenopalatine artery, which was successfully treated by endovascular embolisation.

Conclusion:

Although a pseudoaneurysm of the sphenopalatine artery following Le Fort I osteotomy is extremely rare, it should be considered as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.

Keywords

EpistaxisAneurysmFalsePostoperative ComplicationsOrthognathic SurgeryOsteotomyLe Fort

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 6 , June 2013 , pp. 610 - 613
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Chepla, KJ, Totonchi, A, Hsu, DP, Gosain, AK. Maxillary artery pseudoaneurysm after Le Fort I osteotomy: treatment using transcatheter arterial embolization. J Craniofac Surg 2010;21:1079–81CrossRefGoogle Scholar
2Panula, K, Finne, K, Oikarinen, K. Incidence of complications and problems related to orthognathic surgery: a review of 655 patients. J Oral Maxillofac Surg 2001;59:1128–36CrossRefGoogle ScholarPubMed
3Zachariades, N, Rallis, G, Papademetriou, G, Papakosta, V, Spanomichos, G, Souelem, M. Embolization for the treatment of pseudoaneurysm and transection of facial vessels. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:491–4CrossRefGoogle ScholarPubMed
4Bradley, JP, Elahi, M, Kawamoto, HK. Delayed presentation of pseudoaneurysm after Le Fort I osteotomy. J Craniofac Surg 2002;13:746–50CrossRefGoogle ScholarPubMed
5Silva, AC, O'Ryan, F, Beckley, ML, Young, HY, Poor, D. Pseudoaneurysm of a branch of the maxillary artery following mandibular sagittal split ramus osteotomy: case report and review of the literature. J Oral Maxillofac Surg 2007;65:1807–16CrossRefGoogle ScholarPubMed
6Manafi, A, Ghenaati, H, Dezham, F, Arshad, M. Massive repeated nose bleeding after bimaxillary osteotomy. J Craniofac Surg 2007;18:1491–3CrossRefGoogle ScholarPubMed
7Pappa, H, Richardson, D, Niven, S. False aneurysm of the facial artery as complication of sagittal split osteotomy. J Craniomaxillofac Surg 2008;36:180–2CrossRefGoogle ScholarPubMed
8Bynoe, RP, Kerwin, AJ, Parker, HH 3rd, Nottingham, JM, Bell, RM, Yost, MJ et al. Maxillofacial injuries and life-threatening hemorrhage: treatment with transcatheter arterial embolization. J Trauma 2003;55:74–9CrossRefGoogle ScholarPubMed
9Zhang, C, Xie, X, You, C, Mao, B, Wang, C, He, M et al. Endovascular treatment of traumatic pseudoaneurysm presenting as intractable epistaxis. Korean J Radiol 2010;11:603–11CrossRefGoogle ScholarPubMed