Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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CAROTID-CAVERNOUS SINUS FISTULA ACCOMPANYING FACIAL BONE FRACTURE : Report of a Case

안면골 골절과 동반된 경동맥해면동루의 증례보고

  • Park, No-Bu (Dept. of dentistry, College of Medicine, Keimyung University) ;
  • Seo, Yeon-Ho (Dept. of dentistry, College of Medicine, Keimyung University) ;
  • Moon, Seon-Hye (Dept. of dentistry, College of Medicine, Keimyung University) ;
  • Lee, Yong-Oh (Dept. of dentistry, College of Medicine, Keimyung University)
  • 박노부 (계명대학교 의과대학 치과학교실) ;
  • 서연호 (계명대학교 의과대학 치과학교실) ;
  • 문선혜 (계명대학교 의과대학 치과학교실) ;
  • 이용오 (계명대학교 의과대학 치과학교실)
  • Published : 1993.06.30
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Abstract

Carotid-cavernous sinus fistula(CCSF) is an abnormal arterio-venous communication between the cavernous sinus and the internal carotid artery. It is usually caused by craniofacial trauma and a very rarely encountered complication, but it may also occur spontaneously. The most common cause of traumatic CCSF is blunt trauma, which usually associated with a skull base, frontal or midfacial fracture. The common clinical feature of CCSF are orbital bruit, headache, exophthalmos, chemosis, diplopia, visual disturbance and others. This dramatic ocular-orbital symptoms are principally due to orbital venous hypertension. The symptoms occured within a few hours to a maximum of a year after injury, usually within several weeks. The patient, 33-year-old female, developed a carotid-cavernous sinus fistula after only minimal closed trauma We present a rare case of CCSF associated facial bone fracture that was successfully treated by detachable balloon embolization with a review of the literature.

저자들은 두개저 골절을 동반하지 않은 단순 안면골 골절환자에서 본과에서 안면골 정복 수술후 발현한 외상성 경동맥해변동루 환자를 신경외과에 의뢰하여 분리풍선술식으로 처치한 후 현저한 임상적 증상의 개선을 가져왔고 12개월간 관찰시 다른 합병증도 유발되지 않았다. 외상성 경동맥해면동루는 두경부 손상시 매우 드물게 발생되는 심각한 합병증으로 임상증상의 복잡성 때문에 혼동하기 쉬으므로 Neurosurgeon과 협조하여 조기에 정확한 진단과 적절한 치료가 이루어지는 것이 바람직하다.

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