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Novel endovascular treatment of enlarging facial artery pseudoaneurysm resulting from molar extraction: a case report.

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.

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  • Publisher Full Text
  • Authors

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

    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