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Shim HS, Kang KJ, Choi HJ, Jeong YJ, Byeon JH. Delayed contralateral traumatic carotid cavernous fistula after craniomaxillofacial fractures. Arch Craniofac Surg 2019; 20:44-47. [PMID: 30840818 PMCID: PMC6411523 DOI: 10.7181/acfs.2018.02215] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Accepted: 01/28/2019] [Indexed: 11/11/2022] Open
Abstract
A carotid-cavernous sinus fistula is a rare condition in which an abnormal communication exists between the internal or external carotid artery and the cavernous sinus. It typically occurs within a few weeks after craniomaxillofacial trauma. In most cases, the carotid-cavernous sinus fistula occurs on the same side as the craniomaxillofacial fracture. We report a case of delayed carotidcavernous sinus fistula that developed symptoms 7 months after the craniomaxillofacial fracture. The fistula developed on the side opposite to that of the craniomaxillofacial fracture. Based on our experience with this case, we recommend a long follow-up period of 7–8 months after the occurrence of a craniomaxillofacial fracture. We also recommend that the follow-up should include consideration of the side contralateral to the injury.
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Affiliation(s)
- Hyung-Sup Shim
- Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
| | - Kyo Joon Kang
- Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea
| | - Hyuk Joon Choi
- Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea
| | - Yeon Jin Jeong
- Department of Plastic and Reconstructive Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jun Hee Byeon
- Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea
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Leandro L, Dolci G, Prabhu S, Corkill R. Bilateral Traumatic Caroticocavernous Fistulas: A Case Report and Review of the Literature. J Oral Maxillofac Surg 2017; 76:826-830. [PMID: 29227793 DOI: 10.1016/j.joms.2017.11.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Accepted: 11/07/2017] [Indexed: 11/17/2022]
Abstract
A traumatic caroticocavernous fistula (CCF) is an acquired, abnormal communication between the internal carotid artery and the cavernous sinus, secondary to trauma. This rare condition can initially be misdiagnosed, because its presentation shares features common to those of facial trauma, which can result in serious complications. We describe a case of bilateral CCF in an adult patient after a road traffic accident.
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Affiliation(s)
- Lorna Leandro
- Medical Student, Department of Oral and Maxillofacial Surgery, Oxford University Medical School, Oxford, Oxfordshire, UK.
| | - Giovanni Dolci
- Senior House Officer, Department of Oral and MaxilloFacial Surgery, Oxford University Hospitals National Health Service Foundation Trust, Oxford, Oxfordshire, UK
| | - Satheesh Prabhu
- Consultant, Department of Radiology, Oxford University Hospitals National Health Service Foundation Trust, Oxford, Oxfordshire, UK
| | - Rufus Corkill
- Consultant, Department of Oral and Maxillo-Facial Surgery, Oxford University Hospitals National Health Service Foundation Trust, Oxford, Oxfordshire, UK
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Gupta D, Beigi B. Orbital Compartment Syndrome despite Significant Traumatic Expansion of the Orbital Cavity. Craniomaxillofac Trauma Reconstr 2017; 10:239-243. [PMID: 28751950 DOI: 10.1055/s-0036-1592084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 04/10/2016] [Indexed: 10/21/2022] Open
Abstract
Periorbital injury can present with various permutations of bone trauma, soft-tissue edema, and hematomas that might involve proptosis and restricted motility. We report a case of a 32-year-old patient who sustained a traumatic orbital compartment syndrome simultaneously with a large, significantly displaced, orbital-floor blow-out fracture. Clinical signs consistent with both conditions were elicited. The initial management was as for orbital compartment syndrome. The clinical diagnosis was confirmed with computed tomographic imaging. This is an unusual and unexpected presentation. It would be expected that a hemorrhage would self-decompress in the presence of a large fracture. Physicians should be aware that such a combination of pathology might arise. Physicians likely to encounter periocular trauma should be prepared for its management: urgent lateral canthotomy and cantholysis. Differential diagnoses of periocular trauma are compared and contrasted.
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Affiliation(s)
- Deepak Gupta
- Department of Ophthalmology, Norfolk and Norwich University Hospital, Norwich, United Kingdom
| | - Bijan Beigi
- Department of Ophthalmology, Norfolk and Norwich University Hospital, Norwich, United Kingdom
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Ha TS, Park CM, Lee DS, Ryu JA, Chung CR, Yang JH, Jeon K, Suh GY. Delayed Traumatic Carotid-Cavernous Sinus Fistula Accompanying Intracranial Hemorrhage. JOURNAL OF ACUTE CARE SURGERY 2016. [DOI: 10.17479/jacs.2016.6.1.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Tae Sun Ha
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Chi-Min Park
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
- Department of Surgery, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Dae-Sang Lee
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Jeong-Am Ryu
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
- Department of Neurology, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Chi Ryang Chung
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Jeong Hoon Yang
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
- Division of Cardiology, Department of Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Kyeongman Jeon
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
- Division of Pulmonary, Department of Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
| | - Gee Young Suh
- Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
- Division of Pulmonary, Department of Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea
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