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KMID : 1033720190200010044
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Archives of Craniofacial Surgery
2019 Volume.20 No. 1 p.44 ~ p.47
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Delayed contralateral traumatic carotid cavernous fistula after craniomaxillofacial fractures
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Shim Hyung-Sup
Kang Kyo-Joon
Choi Hyuk-Joon
Jeong Yeon-Jin
Byeon Jun-Hee
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Abstract
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A carotid-cavernous sinus fistula is a rare condition in which an abnormal communication exists between the internal or external carotid artery and the cavernous sinus. It typically occurs within a few weeks after craniomaxillofacial trauma. In most cases, the carotid-cavernous sinus fistula occurs on the same side as the craniomaxillofacial fracture. We report a case of delayed carotidcavernous sinus fistula that developed symptoms 7 months after the craniomaxillofacial fracture. The fistula developed on the side opposite to that of the craniomaxillofacial fracture. Based on our experience with this case, we recommend a long follow-up period of 7?8 months after the occurrence of a craniomaxillofacial fracture. We also recommend that the follow-up should include consideration of the side contralateral to the injury.
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KEYWORD
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Carotid-cavernous sinus fistula, Facial bone fracture, Trauma
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