Abstract The formation of facial arteriovenous fistula (AVF) directly between the facial artery and vein after trauma is very rare. Compared with intracranial AVF. understanding of this condition is limited. This paper reported the case of a 49-year-old male who had a metallic foreign object impaled on his left neck while weeding 6 months prior to admission. https://www.roneverhart.com/Fixed-Blade-p9535/