J Korean Soc Plast Reconstr Surg.  2003 Sep;30(5):655-658.

Clinical Experience of External Carotid A-V Fistula after Reduction Mandibuloplasty

• Kim HD
• Kim JS
• Kim NG

Abstract

Reduction mandibuloplasty was first operated as an intraoral approach by Converse in 1951. Since then, it bacame the most widely-operated facial contouring surgeries on the patients who has squared appearance with prominent mandibular angle. Lateral cortical ostectomy, two step angle ostectomy and sagittal angle osteotomy are the popular methods of reduction mandibuloplasty. In addition, resection of masseter muscle during surgery and botox injection before or after surgery have been used widely. Recent advancement of the medical appliances and the surgical procedures have slashed the rate of complication such as facial asymmetry, undercorrection, secondary angle formation, surgical hematoma, inferior alveolar nerve injury, subcondylar fracture, transient facial nerve palsy and infection, etc. Acquired facial arteriovenous fistulas except congenital cases rarely develop after stab injuries or panfacial bone fracture or basal skull fracture. Especially, external carotid arteriovenous fistulas have been seldom reported. We experienced a case of external carotid arteriovenous fistula after reduction mandibuloplasty.

Keyword

Reduction mandibuloplasty; Carotid arteriovenous fistula

MeSH Terms

Arteriovenous Fistula
Facial Asymmetry
Facial Nerve
Fistula*
Fractures, Bone
Hematoma
Humans
Mandibular Nerve
Masseter Muscle
Osteotomy
Paralysis
Skull Fractures