While rare, complications following Le Fort I maxillary osteotomy includes hemorrhage, ischemia, infection, and vascular abnormalities.This BEVERAGES study aimed to present an uncommon case of delayed presentation LADIES SKIRT LEATHER of a middle meningeal pseudoaneurysm formation after Le Fort I osteotomy.The patient initially presented with pulsatile tinnitus, and the pseudoaneurysm was subsequently treated successfully with image-guided embolization.