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Evaluation the effectiveness of arterial embolization in the treatment of maxillofacial trauma
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Abstract
SUMMARY
Purpose: This study was designed to characterize image of vascular lesions on DSA and evaluate the effectiveness of arterial
embolization in the treatment of maxillofacial trauma.
Materials and Methods: 44 patients with bleeding after jaw injury, did not meet with the local hemostatic measures who were taken to the angiography for embolization from April 2011 to September 2015.
Results: 13.6% of the internal carotid artery injury with 4.5% of dissection and 9.1% of carotid-cavernous sinus fistula. 90,1%
of the external carotid artery injury, the (internal) maxillary artery is the most vulnerable (in 88.6%) that the maxillary artery injury merely in 56.8% or combination in 31.8%. The external carotid artery injury of a side in 59.1%, 40.9% of two side. Active bleeding is the most common of injury morphology (88,6,6%), with 63.6%
merely, and associated with other forms 25%, (pseudoaneurysms, arteriovenous malformation, the internal carotid artery injury), pseudoaneurysm merely is a rare lesions in 2.3%. Hystoacryl is the most common embolization material (86.3%), 59.1% of
Hystoacryl merely and coordinate 13.6%. PVA embolization merely in 13.6%; Spongel in 13.6%; no circumstances used to
try Coil. Technical success was 95.4%, 4.6% failed. Successful hemostasis was achieved in 95.4% after the first intervention and 100% after 2nd intervention. Clinical success was achieved in 79.6%. Clinical non-success included 7 patients died of severe traumatic brain injury (15.9%) and 2 patients (4.5%) had
complications, including 1 patient with face necrosis and 1 patient with tongue necrosis.
Conclusion: Arterial Embolization in the Treatment of Maxillofacial Trauma was effective and quick to control bleeding.
Article Details
Keywords
bleeding, maxillofacial trauma, Embolization
References
1. Raymond P. Bynoe, M., Andrew J. Kerwin, MD, Harris H. Parker III, MD, James M. Nottingham, MD,, Maxillofacial Injuries and Life-Threatening Hemorrhage: Treatment with Transcatheter Arterial Embolization. J Trauma., 2003. 55: p. 74-79.
2. Yung-Fang Chen, M., Iuan-Hong Tzeng, Ying-Hsuan Li, Yu-Chien Lo, Wei-Ching Lin, Hsein- Jar Chiang, Ruey-Fen Chen, and Wu-Chung Shen, Transcatheter Arterial Embolization in the Treatment of Maxillofacial Trauma Induced Life-Threatening Hemorrhages. J Trauma., 2009. 66: p. 1425-1430.
3. Hatt, D.B.P.M.J.W.S.L.B.H.D., Maxillofacial Trauma Treatment Protocol. Oral Maxillofacial Surg Clin N Am, 2005. 17 (2005): p. 341 – 355.
4. Robert Gassner, T.T., Oliver Hachl , Ansgar Rudisch, Hanno Ulmer, Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21 067 injuries. Journal of Cranio-Maxillofacial Surgery 2003. 31: p. 51-61.
5. Tomoaki Imai, M.M., Naofumi Yamamoto, Dand Hirotaka Sawano., Life-threatening oronasal hemorrhage managed by transcatheter embolization of bilateral maxillary arteries in an elderly patient with comminuted LeFort I fracture. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2014: p. e1-e6.
6. Lâm Hoài Phương, Chấn thương hàm mặt và cấp cứu trong chấn thương hàm mặt. Bài giảng Đại học Y Khoa Phạm Ngọc Thạch, 2009.
7. L.-B. Zhao, H.B.S., S. Park, D.g. Lee, J.H. Shim, D.H. Lee, and D.C. Suh, Acute Bleeding in the Head and Neck: Angiographic Findings and Endovascular Management. Am J Neuroradiol, 2014. 10(3174).
8. Gailloud., M.G.R.a.P., Endovascular Management of Neurovascular Arterial Injuries in the Face and Neck. Trauma in Interventional Radiology, 2010. 27: p. 44-54.
9. P.W.A. Willems, R.I.F., R. Agid, Endovascular Treatment of Epistaxis. Am J Neuroradiol 2009. 30: p. 1637-1645.
10. Chao-Bao Luo, M.M.-H.T., Feng-Chi Chang, Cheng-Yen Chang, Role of CT and Endovascular Embolization in Managing Pseudoaneurysms of the Internal Maxillary Artery. J Chin Med Assoc, 2006. 69(7): p. 310-316.
11. Komiyama M, N.M., Kan M, Shigemoto T, Kaji A, Endovascular treatment of intractable oronasal bleeding associated with severe craniofacial injury. J Trauma., 1998. 44: p. 330.