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Traumatic Carotid-Cavernous Fistula: Pathophysiology and Treatment

Fattahi, Tirbod T. DDS, MD*; Brandt, M. Todd DDS†; Jenkins, W. Scott DMD†; Steinberg, Barry DDS, MD, PhD, FACS*

Journal of Craniofacial Surgery: March 2003 - Volume 14 - Issue 2 - pp 240-246
Anatomical Studies

Traumatic carotid-cavernous fistulae are rare yet potentially lethal vascular anomalies in the skull base seen after craniomaxillofacial trauma. This aberrant vascular communication has been extensively evaluated and classified, with a number of treatment modalities available to clinicians. The ultimate and definitive treatment of carotid-cavernous fistulae falls beyond the scope of craniomaxillofacial surgery. Nevertheless, clinicians treating patients with craniofacial injuries should have a complete understanding of this pathological entity, because urgent intervention may improve patient outcome.

Jacksonville, Florida

Lexington, Kentucky

From the *Division of Maxillofacial Surgery, Department of Surgery, University of Florida–Jacksonville, Jacksonville, Florida; and Department of Oral and Maxillofacial Surgery, University of Kentucky, Lexington, Kentucky.

Address correspondence to Dr Fattahi, Division of Maxillofacial Surgery, Department of Surgery, University of Florida–Jacksonville, 653-1 West Eighth Street, Jacksonville, FL 32209; e-mail: Tirbod.Fattahi@Jax.Ufl.Edu.

© 2003 Mutaz B. Habal, MD