Carotid-cavernous fistula after functional endoscopic sinus surgery

Emin Karaman, Huseyin Isildak, Yusuf Haciyev, Asim Kaytaz, Ozgun Enver

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Carotid-cavernous fistulas (CCFs) are anomalous communications between the carotid arterial system and the venous cavernous sinus. They can arise because of spontaneous or trauma causes. Most caroticocavernous fistulas are of spontaneous origin and unknown etiology. Spontaneous CCF may also be associated with cavernous sinus pathology such as arteriosclerotic changes of the arterial wall, fibromuscular dysplasia, or Ehler-Danlos syndrome. Traumatic CCFs may occur after either blunt or penetrating head trauma. Their clinical presentation is related to their size and to the type of venous drainage, which can lead to a variety of symptoms, such as visual loss, proptosis, bruit, chemosis, cranial nerve impairment, intracranial hemorrhage (rare), and so on. Treatment by endovascular transarterial embolization with electrolytically detachable coils is a very effective method for CCF with good outcomes. Carotid-cavernous fistulas have been rarely reported after craniofacial surgery and are uncommon pathologies in otolaryngology practice. In this study, we report a 40-year-old woman with CCF secondary to blunt trauma of functional endoscopic sinus surgery.

Original languageEnglish (US)
Pages (from-to)556-558
Number of pages3
JournalJournal of Craniofacial Surgery
Issue number2
StatePublished - Mar 2009
Externally publishedYes


  • Blunt head trauma
  • Carotid-cavernous fistula
  • Chemosis
  • Endovascular transarterial embolization

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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