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Facial Artery Pseudoaneurysms: A Systematic Review
Alynah J Adams1,2, Brandon Bedell2, Kaavian Shariati3
1Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
The Journal of Craniofacial Surgery
|May 28, 2026
Summary
Facial artery pseudoaneurysms, often caused by injury, require prompt diagnosis and treatment. Surgical repair or endovascular embolization are effective management options with low recurrence rates.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Case Reports
Background:
- Facial artery pseudoaneurysms are rare but serious vascular lesions.
- They can result from traumatic or iatrogenic injuries, posing risks of rupture and bleeding.
- Early detection and intervention are critical to prevent severe complications.
Purpose of the Study:
- To systematically review the literature on facial artery pseudoaneurysms.
- To analyze patient demographics, etiologies, diagnostic methods, and treatment outcomes.
- To evaluate the efficacy and recurrence rates of different management strategies.
Main Methods:
- A systematic review adhering to PRISMA guidelines was conducted.
- Searches included major biomedical databases (MEDLINE, Embase, Web of Science, Cochrane Central, ClinicalTrials.gov) through 2025.
- Data from 36 case reports were extracted and descriptively analyzed.
Main Results:
- 36 case reports of facial artery pseudoaneurysms were identified.
- The average patient age was 31, with 78% males; common causes were iatrogenic (49%) and traumatic (46%) injuries.
- Endovascular embolization (57%) and open surgical repair (35%) were primary treatments, with an 8% recurrence rate.
Conclusions:
- Facial artery pseudoaneurysms are uncommon, typically presenting within 21 days post-injury.
- Both open surgical repair and endovascular embolization offer effective treatment with low complication and recurrence rates.
- Timely diagnosis and management are essential for favorable patient outcomes.
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