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Updated: Apr 28, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Intracranial pseudoaneurysm associated with orbitozygomatic complex fracture.
Ryan E Austin1, Tara Lynn Stewart, Oleh M Antonyshyn
1From the *Division of Plastic & Reconstructive Surgery, Department of Surgery, and †Division of Plastic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
The Journal of Craniofacial Surgery
|June 20, 2014
Summary
Orbitozygomatic complex fractures can cause life-threatening intracranial pseudoaneurysms after blunt facial trauma. Early assessment and delayed reconstruction are crucial for high-risk patients to prevent severe complications.
Area of Science:
- Plastic Surgery
- Trauma Surgery
- Neurosurgery
Background:
- Orbitozygomatic complex fractures are common facial injuries.
- These fractures are often perceived as cosmetic issues.
- However, they can lead to severe, life-threatening complications.
Observation:
- Intracranial pseudoaneurysm is a rare but documented complication of blunt facial trauma.
- Plastic surgeons may be unaware of this potential complication.
- A case of a 20-year-old woman with an intracranial pseudoaneurysm after blunt facial trauma is presented.
Findings:
- Blunt facial trauma can result in intracranial pseudoaneurysms.
- This complication is rare but carries significant morbidity.
- Awareness and timely assessment are critical.
Implications:
- Understanding intracranial pseudoaneurysms is vital for managing facial trauma.
- High-risk patients require specific assessment for this complication.
- Delaying reconstructive surgery in high-risk cases may be necessary to prevent adverse outcomes.
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