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Pseudoaneurysm of the proximal facial artery presenting as oropharyngeal hemorrhage
Authors
Applegate
Arpin
+30 more
Bartoli
Batten
Bresner
Calem
Cogbill
Conner
D'Orta
DiStefano
Ditmars
du Trevou
Feliciano
Ferris
Lane
Matsumura
Mauldin
McCollum
Morrison
Partridge
Peick
Perry
Richardson
Rittenhouse
Rivers
Sampsel
Schwartz
Sharma
Stasik
van den Akker
Wineland
Yilmaz
Publication date
1 January 2001
Publisher
'Wiley'
Doi
Abstract
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. © 2001 John Wiley & Sons, Inc. Head Neck 23: 259–263, 2001.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/35118/1/1027_ftp.pd
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