Carotid jugular fistula after Le Fort I osteotomy

P R Osborne; T F V Sverzut; A E Trivellato; C M Matias; C E Sverzut; A T Sverzut

doi:10.1016/j.ijom.2017.03.005

Carotid jugular fistula after Le Fort I osteotomy

Int J Oral Maxillofac Surg. 2017 Jul;46(7):845-850. doi: 10.1016/j.ijom.2017.03.005. Epub 2017 Apr 3.

Authors

P R Osborne¹, T F V Sverzut¹, A E Trivellato¹, C M Matias², C E Sverzut¹, A T Sverzut³

Affiliations

¹ Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
² Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
³ Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, SP, Brazil. Electronic address: sverzut@fop.unicamp.br.

PMID: 28385384
DOI: 10.1016/j.ijom.2017.03.005

Abstract

Le Fort I osteotomy is the technique most applied worldwide in the treatment of dentoskeletal deformity involving the maxilla. Even though it is considered a very safe technique with good intra- and postoperative results, many complications have been described. This paper presents a case of carotid jugular fistula developed in a 22-year-old white male submitted to Le Fort I osteotomy for the treatment of anteroposterior maxillary deficiency, and discusses the possible aetiology and management of this serious complication.

Keywords: Le Fort osteotomy; arteriovenous fistula; maxilla; orthognathic surgery.

Publication types

Case Reports

MeSH terms

Arteriovenous Fistula / diagnostic imaging
Arteriovenous Fistula / etiology*
Arteriovenous Fistula / surgery
Carotid Artery Injuries / etiology*
Cerebral Angiography
Diagnosis, Differential
Humans
Jugular Veins / injuries*
Male
Osteotomy, Le Fort / adverse effects*
Tomography, X-Ray Computed
Young Adult