Original Article
Persistent facial swelling and tinnitus complicating septo rhinoplastY
Authors:
T Van der Zijden ,
Dept of Medical Imaging, University Hospital Antwerp, Antwerp
J Claes,
ENT Dept University Hospital Antwerp, ENT Dept AZ St Maarten Duffel
FM Vanhoenacker,
Dept of Medical Imaging University Hospitals Antwerp and Ghent, Dept of Medical Imaging AZ St
Maarten Duffel
G Claes
ENT Dept University Hospital Antwerp, Belgium, BE
Abstract
Septorhinoplasty (SRP) is commonly performed for correcting nasal bony and cartilaginous deformities. Traumatic arteriovenous fistula (AVF) is often seen at specific anatomic locations and has rarely been associated to SRP. We report such an unusual case where an AVF developed from a terminal branch of the facial artery. After septorhinoplasty a patient reported pulsatile tinnitus, starting one day after surgery. Swelling on the left side of the nasal pyramid was still present two weeks after the procedure. Clinically, a traumatic AVF was suspected which was confirmed by subsequent Doppler ultrasound examination and angiography. The lesion had developed an important venous pouch and arterial contribution was from the internal carotid as well as external carotid system bilaterally. Complete resection was done by external approach.
How to Cite:
Zijden TV der, Claes J, Vanhoenacker F, Claes G. Persistent facial swelling and tinnitus complicating septo rhinoplastY. Journal of the Belgian Society of Radiology. 2013;96(2):65–8. DOI: http://doi.org/10.5334/jbr-btr.210
Published on
01 Mar 2013.
Peer Reviewed
Downloads
