Postoperative hemorrhage after Le Fort I osteotomy hemostasis with angiographic embolization: report of two cases

Yasutaka Yun; Shiro Kurasawa; Mizuki Morita; Risaki Kawachi; Hideyuki Murata; Shunsuke Sawada; Yuka Kojima; Masao Yagi; Mikiya Asako; Hiroshi Iwai

doi:10.1093/jscr/rjad663

Postoperative hemorrhage after Le Fort I osteotomy hemostasis with angiographic embolization: report of two cases

J Surg Case Rep. 2023 Dec 14;2023(12):rjad663. doi: 10.1093/jscr/rjad663. eCollection 2023 Dec.

Authors

Affiliations

¹ Department of Otorhinolaryngology, Head & Neck Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
² Department of Oral and Maxillofacial Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Abstract

This study reported two cases of acute life-threatening hemorrhage after Le Fort I osteotomy. In both cases, computed tomography and angiography revealed damage to the descending palatine artery, which was successfully treated by angiographic embolization. Although massive hemorrhage after Le Fort I osteotomy is rare, acute hemorrhage from the postoperative area may occur. Angiographic embolization is useful in cases of such hemorrhage from the posterior nasal cavity where endoscopic hemostasis is not possible.

Keywords: Le Fort I osteotomy; angiographic embolization; descending palatine artery; epistaxis; postoperative complication.

Publication types

Case Reports