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Review
. 2021 Dec;14(4):330-336.
doi: 10.1177/1943387520980946. Epub 2020 Dec 14.

Pseudoaneurysm of the Internal Carotid Artery After Craniofacial Traumatism: Series of Cases and Integrative Literature Review

Priscilla Sarmento Pinto  1 , Ruan de Sousa Viana  1 , Rosa Rayanne Lins de Souza  1 , João Luiz Gomes Carneiro Monteiro  2 , Suzana Célia de Aguiar Soares Carneiro  3
Affiliations
Review

Pseudoaneurysm of the Internal Carotid Artery After Craniofacial Traumatism: Series of Cases and Integrative Literature Review

Priscilla Sarmento Pinto et al. Craniomaxillofac Trauma Reconstr. 2021 Dec.

Abstract

The present study aims to develop an integrative review about pseudoaneurysms after traumatic facial trauma, through the analysis of its etiology, type of fracture, signs and symptoms, time elapsed between the trauma and the exposure of signs and symptoms, and treatment performed in these cases. Furthermore into the report, there are 3 clinical cases that occurred in the Buccomaxillofacial Surgery and Traumatology service of Hospital da Restauração Recife/PE. The study was carried out in 2 phases, first, a digital research about post-traumatic craniofacial pseudoaneurysm was performed in the following databases "MEDLINE/PubMed," "Scielo" and "Scopus," in September 2019, with 5 articles being included. In the second, 3 cases of patients with high-impact facial trauma who developed pseudoaneurysm of the internal carotid artery were reported. The average age of the patients was 35.6 years, all patients were male (100%), the majority (60%) being victims of an automobile accident, 3 patients (60%) suffered craniofacial trauma and 2 (40%) had trauma only to the face, most of them had symptoms later on due to the trauma, in 80% of cases the therapy instituted was embolization. Cases of high-impact craniofacial traumas, which present epistaxis and/or ophthalmological alterations correlated to fractures, should be carefully evaluated, determining a better prognosis for the patient.

Keywords: carotid artery injuries; endovascular procedures; facial injuries.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Selection of articles after application of the inclusion criteria.
Figure 2.
Figure 2.
Computed tomography scans showing fracture in the right zygomatic-orbital complex. Axial view.
Figure 3.
Figure 3.
Angiography showing pseudoaneurysm in the cavernous segment of the internal carotid artery.
Figure 4.
Figure 4.
Computed tomography scans showing fracture in the right zygomatic-orbital complex. Axial view.
Figure 5.
Figure 5.
Angiography showing pseudoaneurysm of the internal carotid artery.
Figure 6.
Figure 6.
Computed tomography scans showing fracture in the right zygomatic-orbital complex. Axial view.
Figure 7.
Figure 7.
Angiography showing pseudoaneurysm of the internal carotid artery.
See this image and copyright information in PMC

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