Glue embolisation of a bleeding pseudoaneurysm related to surgically-assisted rapid palatal expansion. Issue 6 (July 2019)

• Record Type: Journal Article
• Authors: Maleux, O.; da Costa Senior, O.; Politis, C.; Maleux, G.
• Is Part Of: British journal of oral and maxillofacial surgery. Volume 57:Issue 6(2019)
• Page Start: 597
• Page End: 599
• Publication Date: 2019-07
• Subjects: surgically assisted rapid palatal expansion -- hemorrhage -- postoperative -- embolotherapy -- glue; Mouth -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Dentistry, Operative -- Periodicals; Face -- surgery -- Periodicals; Mouth -- surgery -- Periodicals; Maxilla -- surgery -- Periodicals; Surgery, Oral -- Periodicals; Oral Surgical Procedures -- Periodicals; Dentistry, Operative -- Periodicals; Bouche -- Chirurgie -- Périodiques; Maxillaire supérieur -- Chirurgie -- Périodiques; Face -- Chirurgie -- Périodiques; Chirurgie dentaire -- Périodiques; Dentistry, Operative; Face -- Surgery; Maxilla -- Surgery; Mouth -- Surgery; Surgery, Plastic; Electronic journals; Periodicals; 617.52059
• DOI: 10.1016/j.bjoms.2019.02.013
• Languages: English
• ISSNs: 0266-4356

Abstract

Abstract: Vascular injuries after orthognathic surgery are rare, and mainly occur in young adults after Le Fort I osteotomies. We report the case of a 14-year-old girl who presented with life-threatening epistaxis one week after a surgically-assisted rapid palatal expansion (SARPE) followed by activation of a transpalatal distractor. Definitive treatment was superselective, catheter-directed, glue-embolisation of a bleeding bilobar pseudoaneurysm, which was located at an end branch of the left sphenopalatine artery.