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Successful Onyx embolization of life threatening traumatic posterior jugal artery fistula following mandibular fracture
  1. Anthony V Maioriello1,
  2. Douglas J Stanley2,
  3. Tang Ho2,
  4. William W Ashley1
  1. 1Department of Neurosurgery, University of Texas Houston, Houston, Texas, USA
  2. 2Department of Otorhinolaryngology, University of Texas Houston, Houston, Texas, USA
  1. Correspondence to Dr WW Ashley, Department of Neurosurgery, University of Texas Houston, 6400 Fannin, Suite 2800, Houston, Texas 77030, USA; william.w.ashley{at}


The mandible is one of the most frequently fractured bones of the face. However, vascular injuries associated with mandibular fractures are exceedingly rare. If they do occur, they usually involve branches of the internal maxillary artery. In this article, a unique case of delayed, life threatening oropharyngeal hemorrhage, secondary to traumatic fistula of the posterior jugal artery, is reported, that was successfully treated using a neuroendovascular Onyx embolization technique.

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.