A Case Report of Posttraumatic Pseudoaneurysm of the Superficial Temporal Artery

외상 후 발생한 얕은관자동맥 가성동맥류의 치험례

  • Kim, Nam Hun (Chosun University College of Medicine, Department of Plastic and Reconstructive Surgery) ;
  • Yang, Jeong Yeol (Chosun University College of Medicine, Department of Plastic and Reconstructive Surgery) ;
  • Cheon, Ji Seon (Chosun University College of Medicine, Department of Plastic and Reconstructive Surgery) ;
  • Kim, Gyu Bo (Chosun University College of Medicine, Department of Plastic and Reconstructive Surgery)
  • 김남훈 (조선대학교 의과대학 성형외과학교실) ;
  • 양정열 (조선대학교 의과대학 성형외과학교실) ;
  • 천지선 (조선대학교 의과대학 성형외과학교실) ;
  • 김규보 (조선대학교 의과대학 성형외과학교실)
  • Received : 2010.03.08
  • Accepted : 2010.04.06
  • Published : 2010.04.10

Abstract

Posttraumatic pseudoaneurysm of the superficial temporal artery is very rare and occurs secondary to trauma. Clinical diagnosis is based on past history of trauma and physical examination and can be confirmed by duplex ultrasonogram, digital subtraction angiography, CT and MRI. Ligation of proximal and distal ends of the superficial temporal artery and excision of the pseudoaneurysm has been the standard treatment. Compressive therapy, endovascular coil embolization, percutaneous thrombin injection under ultrasound guidance have been reported as alternative treatment methods. When surgical excision of the superficial temporal artery pseudoaneurysm is performed, surgeon must be concerned about the anatomical relation between superficial temporal artery and temporal branches of the facial nerve. In this article, we report a rare case of superficial temporal artery pseudoaneurysm with some review of the literatures about anatomical relation between superficial temporal artery and temporal branches of facial nerve.

Keywords

References

  1. Lei T, Xu DC, Gao JH, Zhong SZ, Chen B, Yang DY, Cui L, Li ZH, Wang XH, Yang SM: Using the frontal branch of the superficial temporal artery as a landmark for locating the course of the temporal branch of the facial nerve during rhytidectomy: An anatomical study. Plast Reconstr Surg 116: 623, 2005. https://doi.org/10.1097/01.prs.0000174001.95115.9e
  2. Nam SB, Choi CW, Hwang SM, Kim SH, Bae YC: A clinical analysis of the anatomy of the superficial temporal vessels. J Korean Soc Plast Reconstr Surg 32: 214, 2005
  3. Choo MJ, Yoo IS, Song HK: A traumatic pseudoaneurysm of the superficial temporal artery. Yonsei Med J 39: 180, 1998
  4. Leal FS, Miranda CC, Guimaraes AC: Traumatic pseudoaneurysm of the superficial temporal artery: Case report. Arq Neuropsiquiatr 63: 859, 2005 https://doi.org/10.1590/S0004-282X2005000500027
  5. Glenn Isaacson, Polly S. Kochan, Jeffrey P. Kochan: Pseudoaneurysm of the superficial temporal artery: Treatment options. Laryngoscope 114: 1000, 2004 https://doi.org/10.1097/00005537-200406000-00008
  6. Weller CB, Reeder C: Traumatic pseudoaneurysm of the superficial temporal artery: Two cases. J Am Osteopath Assoc 101: 284, 2001
  7. Teh LG, Sieunarine K: Thrombin injection for repair of pseudoaneurysms: A case for caution. Australas Radiol 47: 64, 2003 https://doi.org/10.1046/j.1440-1673.2003.01106.x
  8. Evans CC, Larson MJ, Eichhorn PJ, Taylor RS: Traumatic pseudoaneurysm of the superficial temporal artery: Two cases and review of the literature. J Am Acad Dermatol 49: S286, 2003 https://doi.org/10.1016/S0190-9622(03)01487-7
  9. Murphy M, Hughes D, Liaquat I, Edmondson R, Bullock P: Giant traumatic pseudoaneurysm of the superficial temporal artery: Treatment challenges and case review. Br J Neurosurg 20: 159, 2006 https://doi.org/10.1080/02688690600777034
  10. Pitanguy I, Ramos AS: The frontal branch of the facial nerve: The importance of its variations in face lifting. Plast Reconstr Surg 38: 352, 1966 https://doi.org/10.1097/00006534-196610000-00010
  11. Bernstein L, Nelson RH: Surgical anatomy of the extraparotid distribution of the facial nerve. Arch Otolaryngol 110: 177, 1984 https://doi.org/10.1001/archotol.1984.00800290041009
  12. Correia PDC, Zani R: Surgical anatomy of the facial nerve as related to ancillary operation in rhytidoplasty. Plast Reconstr Surg 52: 549, 1973 https://doi.org/10.1097/00006534-197311000-00013