{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T16:17:00Z","timestamp":1786637820190,"version":"build-2736575974"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Penetrating facial trauma can result in vascular abnormalities that are difficult to identify on initial imaging due to artifact from retained fragments. External carotid artery pseudoaneurysms are uncommon but may carry significant morbidity if not promptly recognized. A 34-year-old female presented after a gunshot wound to the left face. Initial computed tomography angiography (CTA) demonstrated left vertebral artery V3 dissection, severe left internal carotid artery stenosis, and a comminuted mandibular fracture with retained ballistic fragments causing substantial streak artifact. Due to persistent concern for vascular injury, craniocervical angiography was performed and revealed distal left vertebral artery occlusion, left internal carotid artery dissection, and a pseudoaneurysm arising from the ascending pharyngeal branch of the external carotid artery. Coil embolization was successfully performed. Occult vascular injury should remain a concern following penetrating facial trauma despite nondiagnostic CTA findings. Early angiographic evaluation may influence management and operative planning.<\/jats:p>","DOI":"10.1093\/jscr\/rjag692","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:46:11Z","timestamp":1786535171000},"source":"Crossref","is-referenced-by-count":0,"title":["Occult ascending pharyngeal artery pseudoaneurysm masked by CTA artifact after penetrating facial trauma: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0656-800X","authenticated-orcid":false,"given":"Salam","family":"Hadji","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Missouri - Kansas City School of Medicine , 2411 Holmes Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Dylan","family":"Pate","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Missouri - Kansas City School of Medicine , 2411 Holmes Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]},{"name":"Department of Surgery, University Health - Truman Medical Center , 2101 Charlotte Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameran","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Missouri - Kansas City School of Medicine , 2411 Holmes Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeshna","family":"Kaparthi","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Missouri - Kansas City School of Medicine , 2411 Holmes Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal","family":"Talukdar","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Missouri - Kansas City School of Medicine , 2411 Holmes Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]},{"name":"Department of Surgery, University Health - Truman Medical Center , 2101 Charlotte Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Do","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Missouri - Kansas City School of Medicine , 2411 Holmes Street, Health Sciences District, Kansas City, MO 64108 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"2026081311173858500_ref1","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1007\/s10140-004-0352-5","article-title":"Penetrating injuries of the neck and the increasing role of CTA","volume":"10","author":"M\u00fanera","year":"2004","journal-title":"Emerg Radiol"},{"key":"2026081311173858500_ref2","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1007\/s10143-025-04106-8","article-title":"Penetrating injury to the head and neck: influence of cerebrovascular injury on outcomes and agreement between vascular imaging modalities","volume":"49","author":"Hoffman","year":"2026","journal-title":"Neurosurg Rev"},{"key":"2026081311173858500_ref3","doi-asserted-by":"publisher","first-page":"S133","DOI":"10.1148\/rg.25si055511","article-title":"Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls","volume":"25","author":"Miller-Thomas","year":"2005","journal-title":"Radiographics"},{"key":"2026081311173858500_ref4","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1016\/j.jvs.2007.08.021","article-title":"Traumatic pseudoaneurysms of the head and neck: early endovascular intervention","volume":"46","author":"Cox","year":"2007","journal-title":"J Vasc Surg"},{"key":"2026081311173858500_ref5","doi-asserted-by":"publisher","first-page":"rjaa500","DOI":"10.1093\/jscr\/rjaa500","article-title":"Traumatic pseudoaneurysm of the cavernous carotid: a lethal complication of craniofacial trauma","volume":"2020","author":"Ahmed","year":"2020","journal-title":"J Surg Case Rep"},{"key":"2026081311173858500_ref6","doi-asserted-by":"publisher","first-page":"295","DOI":"10.5624\/isd.2018.48.4.295","article-title":"Applications of digital subtraction angiography in the management of penetrating injuries of the maxillofacial region: a case report","volume":"48","author":"Fonseca","year":"2018","journal-title":"Imaging Sci Dent"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag692\/70634329\/rjag692.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag692\/70634329\/rjag692.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T15:17:41Z","timestamp":1786634261000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag692\/8761086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":6,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag692","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"rjag692"}}