Biomaterial Database

[A rare complication of septum surgery: internal carotid artery-cavernous sinus fistula]. 1987

A Riederer, and E Wilmes

Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Ludwig-Maximilian-Universität München.

Perforation, haematoma, a saddle nose, dysaesthesia, liquorrhoea and hyposmia are among the most common complications in septum plasties. A case history points out the danger of a fistula between the sinus cavernosus and the arteria carotis interna during this operation. A patient developed heavy nose bleeding during a septum plasty. A protrusio bulbi, a binocular deterioration in visual acuity, a pulsating tinnitus and a hyperaemic nose appeared postoperatively. By means of angiography of the arteria carotis interna the suspected diagnosis of an AV fistula was confirmed. The fistula was occuled in local anaesthesia by a radiopaque-filled micro-balloon. The possible direct approach using an instrument via the transseptal-transsphenoidal access and the indirect method of injury by breaking out one of the insufficiently mobilised spurs of the lamina perpendicularis and its extension, the dislocated septum interspenoidalis, are described and demonstrated by graphic representations.

UI	MeSH Term	Description	Entries
D007431	Intraoperative Complications	Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.	Peroperative Complications,Surgical Injuries,Complication, Intraoperative,Complication, Peroperative,Injuries, Surgical,Complications, Intraoperative,Complications, Peroperative,Injury, Surgical,Intraoperative Complication,Peroperative Complication,Surgical Injury
D008297	Male		Males
D009300	Nasal Septum	The partition separating the two NASAL CAVITIES in the midplane. It is formed by the SEPTAL NASAL CARTILAGE, parts of skull bones (ETHMOID BONE; VOMER), and membranous parts.	Nasal Septums,Septum, Nasal,Septums, Nasal
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002426	Cavernous Sinus	An irregularly shaped venous space in the dura mater at either side of the sphenoid bone.	Sinus, Cavernous
D004621	Embolization, Therapeutic	A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.	Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D001164	Arteriovenous Fistula	An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.	Aneurysm, Arteriovenous,Arteriovenous Aneurysm,Arteriovenous Fistulas,Fistula, Arteriovenous,Fistulas, Arteriovenous
D012225	Rhinoplasty	A plastic surgical operation on the nose, either reconstructive, restorative, or cosmetic. (Dorland, 28th ed)	Rhinoplasties