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The dangers of kite flying: pseudoaneurysm of the facial artery following blunt trauma

Published online by Cambridge University Press:  18 September 2009

R Hettige*
Affiliation:
Department of Otolaryngology, Wexham Park Hospital, Slough, UK
J Snelling
Affiliation:
Department of Otolaryngology, Wexham Park Hospital, Slough, UK
N Bleach
Affiliation:
Department of Otolaryngology, Wexham Park Hospital, Slough, UK
*
Address for correspondence: Mr Roland Hettige, 18 Chancellors Wharf, Crisp Road, London W6 9RT, UK. E-mail: roland.hettige@googlemail.com

Abstract

Objective: Pseudoaneurysms of the facial artery are an extremely rare development after blunt trauma. This paper aims to demonstrate the challenges faced during the diagnosis and subsequent management of this unusual cause of neck swelling.

Method: We report the presentation, examination, investigation, management and potential complications of a case of facial artery pseudoaneurysm secondary to blunt arterial trauma, sustained from the string of a flying kite. We also review some of the relevant literature on this subject.

Conclusions: Although a traumatic pseudoaneurysm is a rare occurrence in the facial region, the inclusion of this lesion in the differential diagnosis of soft tissue lesions caused by blunt trauma is important if the serious consequences of haemorrhage or thromboembolic disease are to be avoided. Prompt access to radiological imaging, and multi-disciplinary team input, are essential for effective diagnosis and management.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Campbell, AS, Butler, AP, Grandas, OH. A case of external carotid artery pseudoaneurysm from hyoid bone fracture. Am Surg 2003;69:534–5Google ScholarPubMed
2Li, MS, Smith, BM, Espinosa, J, Brown, RA, Richardson, P, Ford, R. Nonpenetrating trauma to the carotid artery: seven cases and a literature review. J Trauma 1994;36:265–72CrossRefGoogle Scholar
3Laitt, RD, Lewis, TT, Bradshaw, JR. Blunt carotid arterial trauma. Clin Radiol 1996;51:117–22CrossRefGoogle ScholarPubMed
4Conner, WC 3rd, Rohrich, RJ, Pollock, RA. Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998. Ann Plast Surg 1998;41:321–6CrossRefGoogle Scholar
5Cox, MW, Whittaker, DR, Martinez, C, Fox, CJ, Feuerstein, IM, Gillespie, DL. Traumatic pseudoaneurysms of the head and neck: early endovascular intervention. J Vasc Surg 2007;46:1227–33CrossRefGoogle ScholarPubMed
6Nadig, S, Barnwell, S, Wax, MK. Pseudoaneurysm of the external carotid artery – review of literature. Head Neck 2009;31:136–9CrossRefGoogle ScholarPubMed
7Partridge, E, Zwirewich, CV, Salvian, AJ. Facial artery pseudoaneurysm: diagnosis by colour Doppler ultrasonography. Can Assoc Radiol J 1995;46:458–60Google ScholarPubMed
8Cooperband, BR, Friedel, W, Bhatt, GM, Eisig, S. False aneurysm of the facial artery. J Oral Maxillofac Surg 1989;47:1327–9CrossRefGoogle ScholarPubMed