대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제23권3호
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  • Pages.130-133
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  • 2022
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Pseudoaneurysm of the superficial temporal artery after blunt trauma: case report and literature review

  • Kang, Inho (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Mo, Young Woong (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) ;
  • Jung, Gyu Yong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Shin, Hea Kyeong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine)
  • 투고 : 2022.04.07
  • 심사 : 2022.06.16
  • 발행 : 2022.06.20
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초록

An 88-year-old man presented with a left temporal pulsatile mass that developed after blunt trauma. Based on suspicion of hematoma, needle aspiration was performed with the removal of approximately 15 mL of blood. No evident improvement was noted, and active arterial bleeding was observed at the needle puncture site. Doppler ultrasonography revealed a "yin-yang" sign, and the mass was diagnosed as a pseudoaneurysm of the left superficial temporal artery. Under general anesthesia, the superficial temporal artery was ligated and the pseudoaneurysm was removed. Superficial temporal artery pseudoaneurysm is a rare facial tumor that generally occurs after blunt trauma. Due to its rarity, pseudoaneurysms are often misdiagnosed as hematoma. The treatment of choice is excision, although endovascular intervention is a potential treatment option. However, when a pseudoaneurysm is small, conservative treatment can be used.

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참고문헌

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