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Applications of digital subtraction angiography in the management of penetrating injuries of the maxillofacial region: A case report

Imaging Science in Dentistry 2018³â 48±Ç 4È£ p.295 ~ 300
Fonseca Vitor Jose, Chaves Roberta Rayra Martins, Campos Felipe Eduardo Baires, Lehman Luiz Felipe, Moraes Gustavo Meyer, Castro Wagner Henriques,
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 ( Fonseca Vitor Jose ) - Federal University of Minas Gerais School of Dentistry Department of Oral and Maxillofacial Surgery
 ( Chaves Roberta Rayra Martins ) - Federal University of Minas Gerais School of Dentistry Department of Oral and Maxillofacial Surgery
 ( Campos Felipe Eduardo Baires ) - Federal University of Minas Gerais School of Dentistry Department of Oral and Maxillofacial Surgery
 ( Lehman Luiz Felipe ) - Federal University of Minas Gerais School of Dentistry Department of Oral and Maxillofacial Surgery
 ( Moraes Gustavo Meyer ) - Federal University of Minas Gerais School of Medicine Department of Head and Neck Surgery
 ( Castro Wagner Henriques ) - Federal University of Minas Gerais School of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


This report presents a clinical case of trauma due to assault with a knife, and describes the importance of using the correct imaging modality in cases of facial penetrating trauma involving the superficial and deep anatomical planes. Penetrating wounds in the maxillofacial region are rare and poorly reported, but can result in serious complications that are difficult to resolve and may compromise the patient¡¯s quality of life, especially when large blood vessels or other vital structures are involved. Thus, it is essential to determine the extent of the affected blood vessels and the proximity of the retained object to the anatomical structures. In this case, digital subtraction angiography was the imaging modality chosen. The use of appropriate imaging examinations allows a proper map of the surgical field, reducing the chances of vascular damage during the surgical procedure.

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Wounds, Penetrating; Angiography, Digital Subtraction; Maxillofacial Injuries

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