This study reported two cases of acute life-threatening hemorrhage after Le Fort I osteotomy. In both cases, computed tomography and angiography revealed damage to the descending palatine artery, which was successfully treated by angiographic embolization. Although massive hemorrhage after Le Fort I osteotomy is rare, acute hemorrhage from the postoperative area may occur. Angiographic embolization is useful in cases of such hemorrhage from the posterior nasal cavity where endoscopic hemostasis is not possible.
Keywords: Le Fort I osteotomy; angiographic embolization; descending palatine artery; epistaxis; postoperative complication.
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.