1/16. Pseudoaneurysm of the proximal facial artery presenting as oropharyngeal hemorrhage.BACKGROUND: Penetrating trauma to the neck traversing zones II and III may cause considerable damage to soft tissues and neurovascular structures. Delayed sequelae of vascular injuries, such as pseudoaneurysm (PA), may present weeks to months after the initial injury. methods: We report an unusual case of a traumatic PA of the proximal facial artery that ruptured into the oropharynx. RESULTS: A 30-year-old man presented with oropharyngeal hemorrhage one month after a gunshot wound to the neck. angiography revealed a PA of the proximal facial artery, which was treated with embolization. The arterial injury leading to the pseudoaneurysm had not been detected by arteriography at the time. CONCLUSIONS: PAs are rare complications of penetrating neck trauma. To our knowledge, this is only the second report of PA involving the proximal facial artery, and the first of a facial PA rupture into the pharynx.- - - - - - - - - - ranking = 1keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
2/16. Internal carotid artery pseudoaneurysm masquerading as a peritonsillar abscess.Blunt carotid arterial injuries are uncommon. Motor vehicle crashes are the most frequent cause, but this type of vascular injury can be secondary to any direct blow to the neck, intraoral trauma, or strangulation. Types of vascular injuries include dissection, pseudoaneurysm, thrombosis, rupture, and arteriovenous fistula formation. patients with pseudoaneurysm of the internal carotid artery will usually present with neurologic complaints, ranging from the minor to complete stroke. On physical examination, neck hematoma, bruits, pulsatile neck mass, or a palpable thrill may be found. However, in 50% of cases, no external signs of neck trauma are observed. Onset of symptoms may occur within a few hours to several months after the initial injury. angiography is considered the gold standard for diagnosis, but carotid Doppler ultrasound recently has been shown to be very sensitive in detecting these types of injuries. Treatment of pseudoaneurysm is often surgical, with endovascular stenting.- - - - - - - - - - ranking = 3.2662030414662keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
3/16. Fatal dissecting aneurysm of the internal carotid artery with delayed symptoms following facial impact.A fatal dissecting aneurysm of the internal carotid artery occurred in a 16-year-old male following facial impact in an automobile accident. The patient showed no neurologic deficit until two days after the automobile accident, when he suddenly started having seizures and developed right-sided hemiparesis. There was no evidence of direct trauma to the neck externally or internally. The only injuries observed in the head and face were two skin lacerations in the chin area. His condition rapidly deteriorated, and he expired on the fourth hospital day. The gross and microscopic findings for the internal carotid artery are presented. The possible mechanisms for the vascular lesion and a review of the literature are discussed.- - - - - - - - - - ranking = 0.083498913762063keywords = aneurysm (Clic here for more details about this article) |
4/16. Post-traumatic facial artery aneurysm in a child.Significant facial soft tissue injury can result from trauma to the head and neck. The long-term sequelae of such injuries include vascular anomalies, which may present weeks or months following the initial injury. We report here a case of a post-traumatic facial artery aneurysm which developed in a pediatric patient three weeks following a penetrating facial injury during motor vehicle accident (MVA). Although post-traumatic aneurysm of the facial artery is rare, follow-up on head and neck trauma patients with respect to this type of complication is warranted.- - - - - - - - - - ranking = 0.10019869651448keywords = aneurysm (Clic here for more details about this article) |
5/16. Traumatic aneurysms of the internal carotid artery at the base of the skull. Two cases treated surgically.Internal carotid aneurysms at the base of the skull after blunt trauma are infrequent but their management is difficult, leading many surgeons to only attempt ligation. We report 2 cases presenting with high traumatic aneurysms, following motorcycle accidents. The 2 aneurysms underwent repair by a venous graft. The petrous portion of the carotid artery was approached and controlled by an ENT surgeon. This "infratemporal" approach was used exposing the facial nerve, combined with temporary anterior sub-luxation of the temporomaxillary joint to expose the lower part of the carotid canal which was opened up with a drill in order to control the carotid artery in the petrous canal. Both patients developed facial nerve palsies which improved within 3 months. Postoperative angiography showed patent vein grafts and the patients were doing well, without any symptoms 18 and 24 months later.- - - - - - - - - - ranking = 0.11689847926689keywords = aneurysm (Clic here for more details about this article) |
6/16. Traumatic external carotid artery aneurysm causing facial nerve paralysis. A case report.A case is reported of traumatic external carotid artery aneurysm causing facial paralysis. The aneurysm was successfully treated surgically.- - - - - - - - - - ranking = 0.10019869651448keywords = aneurysm (Clic here for more details about this article) |
7/16. Vascular complications of shotgun injury to the face.This is a case report of a 23-year-old female who received a gunshot wound to the face while working at a convenience store. Her injuries were: a large left facial entrance wound with a single sinus cavity that was converted from destruction of the paranasal sinuses, a right Collet-Sicard syndrome, and a right vertebral artery pseudoaneurysm at the C1 level. The successful treatment of her injuries is described, with an extensive discussion of the pseudoaneurysm, which was treated endovascularly, with permanent occlusion of the vertebral artery by use of a balloon catheter.- - - - - - - - - - ranking = 0.93320086899035keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/16. False aneurysm of the lingual artery.A case of false aneurysm of the lingual artery is presented. Although the clinical findings and history suggested an abscess, either preoperative aspiration or arteriographic studies might have permitted more definitive care during the patient's third hospitalization.- - - - - - - - - - ranking = 0.083498913762063keywords = aneurysm (Clic here for more details about this article) |
9/16. Traumatic aneurysms of the superficial temporal artery.Three cases of false aneurysms of the superficial temporal artery are reported. Most of these injuries are caused by trauma, frequently sports injuries, more rarely congenital or arteriosclerotic. diagnosis is made by observation of a mass, usually pulsatile, in the distribution of this artery. patients who present with a history of injury and a mass over the course of the superficial temporal artery should be suspected of having false aneurysm of the superficial temporal artery. Surgery is indicated to reduce the risk of hemorrhage from subsequent head trauma, to relieve headaches, and for any cosmetic defects.- - - - - - - - - - ranking = 0.10019869651448keywords = aneurysm (Clic here for more details about this article) |
10/16. Facial artery pseudoaneurysm: diagnosis by colour Doppler ultrasonography.Pseudoaneurysms of the facial region are rare and usually result from direct penetrating or blunt trauma. The authors report a pseudoaneurysm of the facial artery in a 22-year-old man injured in a motor vehicle accident. Colour Doppler ultrasonography was used to locate the aneurysm sac and establish its relation to the adjacent facial artery. Successful operative repair of the aneurysm was performed on the basis of the sonographic findings alone, without selective angiography.- - - - - - - - - - ranking = 2.3831015207331keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
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