Traumatic carotid-cavernous sinus fistula

Carotid-cavernous sinus fistula accompanying facial trauma. Report of a case with a review of the literature

A case of traumatic carotid-cavernous sinus fistula, an abnormal communication at the base of the skull between the internal carotid artery and the cavernous sinus, complicating fractures of the zygoma and mandible is described. Typical signs and symptoms appeared immediately after the injury resulting from a traffic accident. Angiography revealed a definite CCSF and a balloon embolization was performed with a good result. The importance of a multidisciplinary examination of the ophthalmic function and periorbital condition following trauma is emphasized, and interdepartmental cooperation helped to establish a rational diagnosis and obtain a good result.

Carotid-cavernous sinus fistula following Le Fort I osteotomy

A case report of a carotid-cavernous sinus fistula, a rare complication following orthognathic surgery, is presented. The anatomy and pathophysiology of the condition is discussed as they relate to the development of clinical signs and symptoms, and an attempt is made to explain this complication on the basis of a spectrum of possible internal carotid injuries following orthognathic surgery.