J Korean Assoc Oral Maxillofac Surg.  2003 Feb;29(1):56-59.

False aneurysm in internal maxillary artery

• Lee JH
• Hong SM
• Lee EJ
• Ahn KM
• Kim SM
• Myoung H
• Hwang SJ
• Seo BM
• Choi JY
• Choung PH
• Kim MJ

Abstract

The incident of false aneurysm of internal maxillary artery in the oral and maxillofacial region is known to be very rare. One case of false aneurysm in the internal maxillary artery is presented, which was experienced in our department. The etiology of this case is regarded as the mandibular condyle fracture, and/or iatrogenic trauma during open reduction. Clinically, there were systolic bruit on auscultation, pulsation and massive bleeding during operation. The lesion was finally diagnosed with angiography and treated by embolization procedure. False aneurysm can cause so massive bleeding as to threat the life of the patients. Therefore accurate diagnosis and treatment is very important. Angiography enables the solid diagnosis for the clinical one. And as the embolization has many advantages over the ligation, it can be a good treatment method.

Keyword

False aneurysm; Internal maxillary artery; Angiography

MeSH Terms

Aneurysm, False*
Angiography
Auscultation
Diagnosis
Hemorrhage
Humans
Ligation
Mandibular Condyle
Maxillary Artery*