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Rev. Asoc. Odontol. Argent ; 105(1): 19-22, mar. 2017. ilus
Article in Spanish | LILACS | ID: biblio-869389

ABSTRACT

Objetivo: presentar un caso de pseudoaneurisma de la arteria maxilar interna, complicación hemorrágica infrecuente mediata al procedimiento de osteotomía sagital mandibular. Caso clínico: El tratamiento consistió en la embolización selectiva del vaso afectado, un procedimiento menos cruento que las maniobras hemostáticas tradicionales, como la ligadura arterial a través de un abordaje cervical. Conclusión: Es posible resolver la hemorragia con un método alternativo pero seguro, que conlleva menos morbilidades asociadas a las maniobras hemostáticas clásicas.


Aim: to report a mediate rare bleeding complication tothe procedure of mandibular sagittal split osteotomy as is thepseudoaneurysm of the internal maxillary artery is.Case report: The treatment consisted of selective embolizationof the affected vessel, which turns out to be a lessinvasive procedure than traditional hemostatic maneuverssuch as arterial ligation through a cervical approach.Conclusion: It is possible to resolve the bleeding withan alternative safe method with lower morbidity than the oneassociated with classical hemostatic maneuvers.


Subject(s)
Humans , Female , Young Adult , Orthognathic Surgery/methods , Osteotomy, Sagittal Split Ramus/adverse effects , Postoperative Complications , Embolization, Therapeutic/methods , Aneurysm, False/etiology , Hemorrhage/prevention & control , Jaw Fixation Techniques/methods , Hemostatic Techniques/methods
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