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

Kim, Hyeong Duk; Kim, Jun Sik; Kim, Nam Gyun

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2003;30(5):655-658.
Published online September 1, 2003.

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

Hyeong Duk Kim, Jun Sik Kim, Nam Gyun Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Gyeongsang National University, Jinju, Korea. junskim@gshp.gsnu.ac.kr

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.

Keywords: Reduction mandibuloplasty; Carotid arteriovenous fistula