Abstract

PURPOSE
A novel endovascular therapy to treat a pseudoaneurysm as a complication of molar tooth extraction is described.
PATIENTS AND METHODS
A 20-year-old man presented 2 weeks after third molar tooth extraction with an enlarging pulsatile jaw mass, identified as a facial artery pseudoaneurysm. Endovascular embolization with microcoils and a liquid embolic agent, Onyx, was performed. The use of Onyx in this manner is an off-label use.
RESULTS
Immediately after treatment, the pulsatile mass resolved and remained obliterated at 2 months of follow-up.
CONCLUSIONS
Onyx embolization of facial artery vascular lesions can be safely accomplished while avoiding microvascular complications and provides a satisfactory and durable result.

Links

Publisher Full Text

Authors

Pukenas BA, Albuquerque FC, Pukenas MJ, Hurst R, Stiefel MF

Institution

Division of Interventional Neuroradiology, Department of Radiology, University of Pennsylvania Health System, Philadelphia, PA 19104, USA. bryan.pukenas@uphs.upenn.edu

Source

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 70:3 2012 Mar pg e185-9

MeSH

Aneurysm, False
Angiography, Digital Subtraction
Carotid Artery Diseases
Dimethyl Sulfoxide
Embolization, Therapeutic
Face
Humans
Male
Mandible
Molar, Third
Polyvinyls
Postoperative Complications
Tooth Extraction
Treatment Outcome
Young Adult

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22374060