Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Pseudo-Aneurysm in Internal Maxillary Artery Caused by Radiofrequency Ablation: Literature Review with a Case Report

  • Yang, Hyun-Woo (Department of Oral and Maxillofacial Surgery, Wonju College of Medicine, Yonsei University) ;
  • Oh, Ji-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Gangneung-Wonju National University) ;
  • Nam, Ok-Hyung (Department of Pediatric Dentistry, School of Dentistry, Kyunghee University) ;
  • Lee, Chunui (Department of Oral and Maxillofacial Surgery, Wonju College of Medicine, Yonsei University)
  • Received : 2020.05.13
  • Accepted : 2020.05.27
  • Published : 2020.06.30
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Abstract

The case of pseudo-aneurysm of internal maxillary artery (IMA) in oral and maxillofacial region is known to be very rare. The etiology of this case was regarded as IMA injury by radiofrequency ablation (RFA) and such incidence was not reported previously. One case of false aneurysm in the IMA was referred from local dental clinic to our department. Left facial swelling was observed with severe trismus immediately after radiofrequency procedure for masseteric nerve block in local dental clinic. Despite of medication and surgical intervention, the swelling did not subside and there was massive bleeding and pulsation on one of the follow ups. The traumatic vascular disorder was suspected and finally diagnosed with angiography and treated by embolization procedure. RFA targeting masseteric nerve or trigeminal ganglion may cause traumatic injury to adjacent anatomic structures such as IMA, resulting in pseudo-aneurysm. Clinicians must be aware of potential damages of RFA. Angiography enables the solid diagnosis for pseudo-aneurysm, and selective embolization can be optimum treatment method.

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References

  1. Aggarwal S, Qamar A, Sharma V, Sharma A. Abdominal aortic aneurysm: a comprehensive review. Exp Clin Cardiol 2011;16:11-15.
  2. Clark S, Wood N. Traumatic aneurysms of the internal maxillary artery and their treatment by embolisation: a report of two cases. Br J Oral Maxillofac Surg 1990;28:302-305. https://doi.org/10.1016/0266-4356(90)90102-Q
  3. Banks P, Redpath TH. Closed carotid artery hemorrhage as a complication of minor gunshot wounds of the face and jaws. J Oral Surg 1972;30:176-183.
  4. Lee JH, Hong SM, Lee EJ, et al. False aneurysm in internal maxillary artery. J Kor Oral Maxillofac Surg 2003;29:56-59.
  5. Herzog M, Schmidt A, Metz T, et al. Pseudoaneurysm of the lingual artery after temperature-controlled radiofrequency tongue base reduction: a severe complication. Laryngoscope 2006;116:665-667. https://doi.org/10.1097/01.mlg.0000200795.12919.6a
  6. Merchant RF, Pichot O. Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency. J Vasc Surg 2005;42:502-509. https://doi.org/10.1016/j.jvs.2005.05.007
  7. Sweet WH, Wepsic JG. Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. 1. Trigeminal neuralgia. J Neurosurg 1974;40:143-156. https://doi.org/10.3171/jns.1974.40.2.0143
  8. Dupuy DE, Hong R, Oliver B, Goldberg SN. Radiofrequency ablation of spinal tumors: temperature distribution in the spinal canal. AJR Am J Roentgenol 2000;175:1263-1266. https://doi.org/10.2214/ajr.175.5.1751263
  9. Blumen MB, Dahan S, Fleury B, Hausser-Hauw C, Chabolle F. Radiofrequency ablation for the treatment of mild to moderate obstructive sleep apnea. Laryngoscope 2002;112:2086-2092. https://doi.org/10.1097/00005537-200211000-00033
  10. Hong K, Georgiades C. Radiofrequency ablation: mechanism of action and devices. J Vasc Interv Radiol 2010;21(8 Suppl):S179-S186. https://doi.org/10.1016/j.jvir.2010.04.008
  11. Raj PP, Lou L, Erdine S, Staats PS, Waldman SD. Radiographic imaging for regional anesthesia and pain management. New York: Churchill Livingstone; 2003.
  12. Tamai F, Furuse J, Maru Y, Yoshino M. Intrahepatic pseudoaneurysm: a complication following radio-frequency ablation therapy for hepatocellular carcinoma. Eur J Radiol 2002;44:40-43. https://doi.org/10.1016/S0720-048X(01)00436-3
  13. Schmerber S, Vasdev A, Chahine K, Tournaire R, Bing F. Internal carotid false aneurysm after thermocoagulation of the gasserian ganglion. Otol Neurotol 2008;29:673-675. https://doi.org/10.1097/MAO.0b013e31817ef4cc
  14. Sakurai J, Mimura H, Gobara H, Hiraki T, Kanazawa S. Pulmonary artery pseudoaneurysm related to radiofrequency ablation of lung tumor. Cardiovasc Intervent Radiol 2010;33:413-416. https://doi.org/10.1007/s00270-009-9565-z
  15. Allen GW. Ligation of the internal maxillary artery for epistaxis. Laryngoscope 1970;80:915-923. https://doi.org/10.1288/00005537-197006000-00005
  16. Gerbino G, Roccia F, Grosso M, Regge D. Pseudoaneurysm of the internal maxillary artery and Frey's syndrome after blunt facial trauma. J Oral Maxillofac Surg 1997;55:1485-1490. https://doi.org/10.1016/S0278-2391(97)90657-1