Delayed contralateral traumatic carotid cavernous fistula after craniomaxillofacial fractures

Author: Hyung Sup SHIM ¹ ; Kyo Joon KANG ; Hyuk Joon CHOI ; Yeon Jin JEONG ; Jun Hee BYEON
Author Information

1. Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
Publication Type:Case Report
Keywords: Carotid-cavernous sinus fistula; Facial bone fracture; Trauma
MeSH: Carotid Artery, External; Carotid-Cavernous Sinus Fistula; Cavernous Sinus; Fistula; Follow-Up Studies
From:Archives of Craniofacial Surgery 2019;20(1):44-47
CountryRepublic of Korea
Language:English
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.