Delayed Presentation of a Middle Meningeal Arteriovenous Fistula after Le Fort I Osteotomy

Abstract

While rare, complications following Le Fort I maxillary osteotomy includes hemorrhage, ischemia, infection, and vascular abnormalities. This study aimed to present an uncommon case of delayed presentation of a middle meningeal pseudoaneurysm formation after Le Fort I osteotomy. The patient initially presented with pulsatile tinnitus, and the pseudoaneurysm was subsequently treated successfully with image-guided embolization.

Keywords

• le fort i osteotomy
• middle meningeal pseudoaneurysm
• arteriovenous fistula
• pulsatile tinnitus
• radiologically guided embolization