Successful Onyx embolization of life threatening traumatic posterior jugal artery fistula following mandibular fracture

J Neurointerv Surg. 2012 Jul;4(4):e15. doi: 10.1136/neurintsurg-2011-010071. Epub 2011 Aug 11.

Abstract

The mandible is one of the most frequently fractured bones of the face. However, vascular injuries associated with mandibular fractures are exceedingly rare. If they do occur, they usually involve branches of the internal maxillary artery. In this article, a unique case of delayed, life threatening oropharyngeal hemorrhage, secondary to traumatic fistula of the posterior jugal artery, is reported, that was successfully treated using a neuroendovascular Onyx embolization technique.

Publication types

  • Case Reports

MeSH terms

  • Drug Combinations
  • Embolization, Therapeutic / methods*
  • Hemorrhage / diagnosis*
  • Hemorrhage / etiology
  • Hemorrhage / therapy
  • Humans
  • Male
  • Mandibular Fractures / complications
  • Mandibular Fractures / diagnosis*
  • Mandibular Fractures / therapy
  • Polyvinyls / administration & dosage*
  • Tantalum / administration & dosage*
  • Vascular Fistula / diagnosis*
  • Vascular Fistula / etiology
  • Vascular Fistula / therapy
  • Young Adult
  • Zygoma / blood supply

Substances

  • Drug Combinations
  • Onyx 18
  • Polyvinyls
  • Tantalum