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양악 수술 후 발생한 가성동맥류로 인한 대량 비출혈 치험 1예

정다운1, 강지헌1, 이근익1, 강정훈1,*
Da Woon Jung1, Ji Hun Kang1, Keun-Ik Yi1, Jung-Hoon Lee1,*
Author Information & Copyright
1부산대학교병원 이비인후과
1Deparment of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Korea
*교신저자: 이정훈, 602-739 부산광역시 서구 아미동1가 부산대학교병 원 이 비 인후과 전화: (051) 240-7335·전송: (051) 246-8668 E-mail: jhlee16@hanmail.net

© Copyright 2013 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 23, 2013; Revised: Oct 23, 2013; Accepted: Nov 18, 2013

Published Online: May 31, 2020

ABSTRACT

Orthognathic surgery is widely used to correct congenital and acquired dentofacial deformities. In a variety of orthognathic procedure, Le Fort I osteotomy is procedure performed between posterior wall of maxilla and pterygoid process of sphenoid bone. Although rare, iatrogenic pseudoaneurysm can be occurred in this procedure. As a result, life-threatening hemorrhage can be happened as a rare complication. The following case report describes an episode of delayed massive epistaxis, after a Le Fort I osteotomy for the treatment of cosmetic problem. Emergent angiographic evaluation demonstrated an internal maxillary artery pseudoaneurysm into maxillary sinus and embolization was successfully perfomed. This report reconfirms the importance of maintaining a high clinical suspicion for pseudoaneurysm as a possible etiology of delayed postoperative bleeding in patients after Le Fort I osteotomy. (J Clinical Otolaryngol 2013;24:238–241)

Keywords: 비출혈; 가성동맥류; 악안면 수술
Keywords: Epistaxis; False aneurysm; Maxillofacial surgery


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