In-hospital surgical treatment for haemorrhage after aesthetic mandibular osteotomy performed as an office-based day surgery: A case report.
In-hospital surgical treatment for haemorrhage after aesthetic mandibular osteotomy performed as an office-based day surgery: A case report.
复制标题
DOI：
10.1016/j.amsu.2017.10.001
复制
发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Takato T
中科院分区：
文献类型：
--
作者：
Kanke K;Abe T;Abe M;Mori Y;Hoshi K;Takato T
在东亚，方脸被认为是没有吸引力的，下颌轮廓手术通常用于使下颌轮廓平滑。下颌骨整形手术有时不仅包括下颌角截骨术，还包括通过口内途径切除咬肌。这种类型的下颌骨塑形手术存在损伤面动脉咬肌前分支和大出血的风险。在这里，我们报告了一个病人谁提出了严重的出血，肿胀和气道狭窄后，双侧下颌角和平面截骨咬肌切除其他地方作为办公室为基础的日间手术。在全身麻醉下，紧急结扎双侧面动脉和静脉，成功地治疗了肿胀和出血。我们的结论是，出血是由于面动脉咬肌前分支断裂咬肌切除术中的一天手术。我们的病人在下颌角和平面截骨术后出现了严重的并发症。严重肿胀和出血引起的面动脉破裂。治疗包括双侧面动脉和静脉结扎。下颌骨整形手术后可能发生面动脉出血。
In East Asia, a square face is considered unattractive, and mandibular contouring surgery is commonly used to give a smooth contour to the lower jaw. Mandibular contouring surgery occasionally involves not only osteotomy of the mandibular angle but also resection of the masseter muscle via an intraoral approach. This type of mandibular contouring surgery poses a risk of injury to the premasseteric branch of the facial artery and massive haemorrhage. Here we report a patient who presented to our hospital with severe haemorrhage, swelling and airway constriction after bilateral mandibular angle and plane osteotomy with resection of the masseter muscle performed elsewhere as an office-based day surgery. The swelling and haemorrhage were treated successfully with emergency bilateral ligation of the facial artery and vein under general anaesthesia. We concluded that the haemorrhage was caused by rupture of the premasseteric branch of the facial artery during the resection of the masseter muscle in a day surgery. Our patient had severe complications after mandibular angle and plane osteotomy. Severe swelling and haemorrhage were caused by facial artery rupture. Treatment included bilateral ligation of the facial artery and vein. Haemorrhage of the facial artery can occur after mandibular contouring surgery.