Glue embolisation of a bleeding pseudoaneurysm related to surgically-assisted rapid palatal expansion.

Affiliation

Department of Radiology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. Electronic address: [Email]

Abstract

Vascular injuries after orthognathic surgery are rare, and mainly occur in young adults after Le Fort I osteotomies. We report the case of a 14-year-old girl who presented with life-threatening epistaxis one week after a surgically-assisted rapid palatal expansion (SARPE) followed by activation of a transpalatal distractor. Definitive treatment was superselective, catheter-directed, glue-embolisation of a bleeding bilobar pseudoaneurysm, which was located at an end branch of the left sphenopalatine artery.

Keywords

embolotherapy,glue,hemorrhage,postoperative,surgically assisted rapid palatal expansion,

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