Publicar

116 - LESÕES VASCULARES TRAUMÁTICAS DA FACE: DIAGNÓSTICO DIFERENCIAL E MANEJO NA CIRURGIA BUCOMAXILOFACIAL

Doi: 10.47094/978-65-284-0654-8/1148-1158

PALAVRAS CHAVE: Traumatismos Faciais. Aneurisma Falso. Embolização Terapêutica.

KEYWORDS: Facial Injuries. Aneurysm. False. Embolization. Therapeutic.

ABSTRACT:
Traumatic vascular injuries of the face are uncommon but potentially severe and may present either immediately or after a latent period, posing a diagnostic challenge for oral and maxillofacial surgeons. This chapter aims to analyze the main vascular injuries associated with facial trauma, emphasizing their differentiation from vascular tumors and malformations, diagnostic methods, and therapeutic strategies. A structured narrative review of the literature was conducted, prioritizing studies on pseudoaneurysms, arteriovenous fistulas, arterial hemorrhage, and endovascular treatment, as well as the contemporary ISSVA classification. Pseudoaneurysms are the most frequently reported delayed vascular manifestation, although the available literature predominantly consists of case reports and retrospective series. Doppler ultrasonography, computed tomography angiography, and digital subtraction angiography have complementary roles. Transarterial embolization is highly effective for hemorrhage control in selected cases, although universal superiority over surgery and consistent mortality reduction have not been demonstrated. A temporal association between trauma and a vascular lesion does not establish causality, and “traumatic hemangioma” is not a recognized diagnostic category in contemporary vascular anomaly classification.

Autores

  • Ana Julia Monteiro de Lima

  • Anna Luíza Konig Hunka

  • Marcela Côrte Real Fernandes

  • Maria Eduarda Souza de Jesus e Silva

  • Maria Luísa Alves Lins Varela Ayres de Melo

  • Milena Mello Varela Ayres de Melo

  • Ricardo Eugenio Varela Ayres de Melo

  • Rodrigo Henrique Mello Varela Ayres de Melo

  • Thiago Cavalcante Valença

  • Victor Leonardo Mello Varela Ayres de Melo

  • Victor Neves Spinelli

Download