A case of intraoperative observation of maxillary artery aneurysm

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Abstract

The maxillary artery aneurysm occurs rarely, only a few cases were described in the foreign literature where the aneurysm were associated mainly with the past head injury. The behavior of the aneurysm is largely unknown: both spontaneous resolution and growth of the aneurysm, resulting in rupture, have been reported.

We observed an aneurysm of the maxillary artery in the maxillary sinus as an intraoperative finding, with the following bleeding and embolization of the bleeding vessel.

Due to the growing number of endovideoscopic operations on the axillary system, it was proposed to increase the volume of preoperative examination to prevent the intraoperative bleeding.

About the authors

Margarita V. Krasnykh

Clinical Hospital of St. Luke

Author for correspondence.
Email: MargoKiri94@gmail.com
ORCID iD: 0000-0002-1017-9986

otorhinolaryngologist

Russian Federation, Saint-Petersburg

Aleksandr E. Kasatkin

Clinical Hospital of St. Luke

Email: kaslor@yandex.ru

otorhinolaryngologist

Russian Federation, Saint-Petersburg

Andrei V. Makarov

Clinical Hospital of St. Luke

Email: Makmak81@mail.ru

otorhinolaryngologist

Russian Federation, Saint-Petersburg

References

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  2. Saha M, Maji S. A rare case of maxillary artery aneurysm. Indian J Med Res. 2017;145(3):405. doi: 10.4103/ijmr.IJMR_94_16
  3. Al-Saadi NJ, Bakathir A, Al-Mashaikhi A, et al. Maxillary artery pseudoaneurysm as a complication of maxillofacial injuries: report of three cases and literature review. Sultan Qaboos Univ Med J. 2019;19(4):e364-e368. doi: 10.18295/squmj.2019.19.04.013
  4. Rogers SN, Patel M, Beirne JC, et al. Traumatic aneurysm of the maxillary artery: the role of interventional radiology. A report of two cases. Int J Oral Maxillofac Surg. 1995;24(5):336-9. doi: 10.1016/s0901-5027(05)80485-0
  5. Gerosa A, Fanti A, Del Sette B, et al. Posttraumatic middle meningeal artery pseudoaneurysm: case report and review of the literature. World Neurosurg. 2019;128:225-229. doi: 10.1016/j.wneu.2019.05.030
  6. Stephenson JA, Panteleimonitis S, Choke E, et al. Endovascular treatment of a giant aneurysm of the maxillary artery. Case Rep Vasc Med. 2011;2011:818241. doi: 10.1155/2011/818241

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2. Figure 1. CT imaging of the paranasal sinuses 2 days after tamponade removal and embolization of the maxillary artery. A defect in the posterior wall of the maxillary sinus is visualized.

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3. Figure 2. CT imaging of the paranasal sinuses dated 30.03.2016. The parietal edema of the maxillary sinus persists, as well as a bone defect in the posterior wall of the right maxillary sinus.

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4. Figure 3. CT imaging of the paranasal sinuses dated 30.03.2016. Pronounced bone defect in the posterior wall of the maxillary artery. Sagittal section. Pronounced bone defect in the posterior wall of the maxillary artery.

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5. Figure 4. CT imaging of the paranasal sinuses with contrast dated 07.05.2021. The white circle indicates the former location of the defect in the posterior wall of the maxillary sinus, through which the aneurysm of the maxillary artery entered the cavity of the maxillary sinus. The black circle indicates the course of the maxillary artery. The pictures were taken using the contrast at 23 seconds.

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Copyright (c) 2022 Krasnykh M.V., Kasatkin A.E., Makarov A.V.

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