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A carotid cavernous sinus fistula after maxillary osteotomy
Plastic and Reconstructive Surgery
|June 1, 1986
Summary
A rare complication, carotid cavernous sinus fistula, can occur after midface advancement surgery. Early recognition of symptoms like ear buzzing and proptosis is crucial for successful treatment.
Area of Science:
- Neurosurgery
- Ophthalmology
- Plastic Surgery
Background:
- Midface advancement surgery is a complex craniofacial procedure.
- Potential complications, though rare, require careful consideration.
Observation:
- A patient developed a carotid cavernous sinus fistula (CCSF) one year post-midface advancement.
- Symptoms included pulsatile tinnitus (buzzing in the ear), proptosis (bulging eye), and chemosis (swelling of the conjunctiva).
Findings:
- The diagnosis of CCSF was confirmed via arteriography.
- The patient underwent successful treatment for the fistula.
Implications:
- This case highlights a rare but significant adverse outcome following major craniofacial surgery.
- Awareness among surgeons is vital for prompt diagnosis and management of post-operative CCSF.