치성각화낭의 외과적 소파술 후 하치조 동맥에 발생한 가성 동맥류: 증례보고
Pseudoaneurysm of the Inferior Alveolar Artery after Surgical Curettage for Keratocystic Odontogenic Tumor: A Case Report
이상창, 김진욱, 김진수, 권태건, 김종배, 진병로,
소속 상세정보
이상창 ( Lee Sang-Chang ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
김진욱 ( Kim Jin-Wook ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
김진수 ( Kim Chin-Soo ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
권태건 ( Kwon Tae-Geon ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 치과학교실
진병로 ( Chin Byung-Rho ) - 영남대학교 의과대학 치과학교실
KMID : 1036320130350030195
Abstract
Pseudoaneurysms are rare complications of orgthognathic surgery, trauma or other surgical procedures in the head and neck regions. Surgical approach is a routine procedure of bleeding control. However, bleeding control using angiography and embolization can also be an excellent method. We experienced pseudoaneurysm of the inferior alveolar artery occurring after surgical curettage of cystic lesion. The 33-year-old man who underwent surgical curettage of keratocystic odontogenic tumor was presented with severe bleeding in the right mandible ramal inner surface 14 days after the surgical curettage. After hemostasis with vaseline gauze packing and pressure, bleeding temporarily stopped. However, bleeding started after 14 days and soon it has been continued. Finally, the patient was diagnosed as pseudoaneurysm of the inferior alveolar artery from the enhanced-computed tomography images, and angiographic embolization was performed successfully. We report a rare case of pseudoaneurysm of the inferior alveolar artery after benign tumor curettage and review of the previewer’s literature.
키워드
False aneurysm;Inferior alveolar artery;Angiography;Therapeutic embolization;Keratocystic odontogenic tumor
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