Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Applications of digital subtraction angiography in the management of penetrating injuries of the maxillofacial region: A case report

  • Fonseca, Vitor Jose (Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais) ;
  • Chaves, Roberta Rayra Martins (Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais) ;
  • Campos, Felipe Eduardo Baires (Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais) ;
  • Lehman, Luiz Felipe (Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais) ;
  • Moraes, Gustavo Meyer (Department of Head and Neck Surgery, School of Medicine, Federal University of Minas Gerais) ;
  • Castro, Wagner Henriques (Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais)
  • Received : 2018.06.29
  • Accepted : 2018.08.24
  • Published : 2018.12.31
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Abstract

This report presents a clinical case of trauma due to assault with a knife, and describes the importance of using the correct imaging modality in cases of facial penetrating trauma involving the superficial and deep anatomical planes. Penetrating wounds in the maxillofacial region are rare and poorly reported, but can result in serious complications that are difficult to resolve and may compromise the patient's quality of life, especially when large blood vessels or other vital structures are involved. Thus, it is essential to determine the extent of the affected blood vessels and the proximity of the retained object to the anatomical structures. In this case, digital subtraction angiography was the imaging modality chosen. The use of appropriate imaging examinations allows a proper map of the surgical field, reducing the chances of vascular damage during the surgical procedure.

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References

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