Arch Craniofac Surg.  2019 Mar;20(1):44-47. 10.7181/acfs.2018.02215.

Delayed contralateral traumatic carotid cavernous fistula after craniomaxillofacial fractures

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
  • 2Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. byeon@catholic.ac.kr
  • 3Department of Plastic and Reconstructive Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

A carotid-cavernous sinus fistula is a rare condition in which an abnormal communication exists between the internal or external carotid artery and the cavernous sinus. It typically occurs within a few weeks after craniomaxillofacial trauma. In most cases, the carotid-cavernous sinus fistula occurs on the same side as the craniomaxillofacial fracture. We report a case of delayed carotidcavernous sinus fistula that developed symptoms 7 months after the craniomaxillofacial fracture. The fistula developed on the side opposite to that of the craniomaxillofacial fracture. Based on our experience with this case, we recommend a long follow-up period of 7-8 months after the occurrence of a craniomaxillofacial fracture. We also recommend that the follow-up should include consideration of the side contralateral to the injury.

Keyword

Carotid-cavernous sinus fistula; Facial bone fracture; Trauma

MeSH Terms

Carotid Artery, External
Carotid-Cavernous Sinus Fistula
Cavernous Sinus
Fistula*
Follow-Up Studies
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