TY - JOUR
T1 - Delayed Bleeding of Sphenopalatine Artery as a Complication in Le Fort I Osteotomy
AU - Alister, Juan Pablo
AU - Uribe, Francisca
AU - Barreda Hale, Mauricio
AU - Olate, Sergio
AU - Fariña, Rodrigo
N1 - © 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - Rates of severe complications in orthognathic surgery are low, but when they occur they can be fatal. This article reports a case of laceration of the junction of the posterior lateral nasal artery and the sphenopalatine artery, resulting in severe delayed bleeding. Patient undergoes a multiple segment Le Fort I osteotomy with no intraoperative or immediate postoperative complications. On the fourth postoperative day, he presents with epistaxis and intractable postnasal discharge, is admitted to emergency with signs of shock, and bleeding is detected endoscopically originating from the right sphenopalatine artery, which is treated with diathermocoagulation. The advantage of endoscopy in difficult areas is that bleeding complications can be solved with low morbidity.
AB - Rates of severe complications in orthognathic surgery are low, but when they occur they can be fatal. This article reports a case of laceration of the junction of the posterior lateral nasal artery and the sphenopalatine artery, resulting in severe delayed bleeding. Patient undergoes a multiple segment Le Fort I osteotomy with no intraoperative or immediate postoperative complications. On the fourth postoperative day, he presents with epistaxis and intractable postnasal discharge, is admitted to emergency with signs of shock, and bleeding is detected endoscopically originating from the right sphenopalatine artery, which is treated with diathermocoagulation. The advantage of endoscopy in difficult areas is that bleeding complications can be solved with low morbidity.
KW - Epistaxis
KW - Le Fort I osteotomy
KW - nasal bleeding
KW - orthognathic surgery
UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85112862985&origin=resultslist&sort=plf-f&src=s&sid=b63493be9c0331c6fb55c00629a1bbac&sot=b&sdt=b&s=TITLE-ABS-KEY%28Delayed+Bleeding+of+Sphenopalatine+Artery+as+a+Complication+in+Le+Fort+I+Osteotomy%29&sl=97&sessionSearchId=b63493be9c0331c6fb55c00629a1bbac&relpos=0
U2 - 10.1097/SCS.0000000000007455
DO - 10.1097/SCS.0000000000007455
M3 - Article
SN - 1049-2275
VL - 32
SP - E493-E495
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 5
ER -