Title: The Study of Higher Origin of Facial Artery and Its Surgical Significance

Authors: Dr Chandan Kumar, Dr Chandra Shekhar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i2.167

Abstract

Facial artery is usually the main artery supplying the face. It gives three named branches on the face, the inferior labial, the superior labial and the lateral nasal and continues as the angular artery. Face is also supplied by the transverse facial artery and the arteries accompanying the cutaneous nerves. In our present case report, we observed that the lingual and facial arteries were originating from the front of External Carotid artery (ECA) as a common linguofacial trunk on the left side and coursed upwards towards the mandible for about 1.2 cm and then divided into facial and lingual arteries.

We observed that the facial artery terminated as Inferior labial artery as end artery (without anastomoses). The other branches for the face namely Superior labial, lateral nasal and angular arteries arises from the Transverse facial artery.

Conclusion: In this study, we noticed that a variation in the morphological aspect of arterial pattern of face, until then not documented. In this sense, the objective of this study was to report a variation of the facial artery and to analyze it relative to the literature state of the art. The present case may provide useful information in different fields of Head and Neck surgery.

Keywords: Facial Artery, Transverse Facial Artery, Flap Procedure, Head and Neck Surgery.

References

1.      Didio, LJ. The importance of anatomy. Annals of Anatomy, 1999,181(5): 455-465.

2.      Hollinshead, WH. Anatomy for Surgeons: Head and Neck. JB Lippincott, 1982

3.      Kruger, GO. Cirurgia Bucal e Maxilo-Facial. 5th ed. Rio de Janeiro: Guanabara Koogan, 1984.

4.      Standring, Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 40th ed. Philadelphia: Churchill Livingstone, 2008.

5.      Nayak, S. Abnormal intra-parotid origin of the facial artery. Saudi Medical Journal, 2006, 27(10):1602.

6.      Midy, D., Mauruc, B., Vergnes, P. and Caliot, P. A contribution to the study of the facial artery, its branches and anastomoses; application to the anatomic vascular bases of facial flaps. Surgical and Radiologic Anatomy, 1986, 8(2): 99-107.

7.      Bergman, RA., Thompson, S., Afifi, A. and Saadeh, F. Compendium of human anatomic variation. Munich: Urban & Schwarzenberg Baltimore, 1988.

8.      Koh, KS., Kim, HJ., Oh, CS. and Chung, IH. Branching patterns and symmetry of the course of the facial artery in Koreans. International Journal of Oral & Maxillofacial Surgery, 2003, 32(4): 414-418.

9.      Williams PL, Bannister LH, Berry MM (1995). Gray’s Anatomy. In: Arteries of limbs and cardiovascular system. 38th ed. London: Churchill Livingston:1516-17.

10.  Skandalakis JE, Colborn GL, Weidman TA, Foster RS, Kingsnorth AN, Lee S S (2004) Surgical Anatomy; The Embryologic and Anatomic Basis Of Modern Surgery. Athens: PM Publications: 31-36.

11.  Zumre O, Salbacak A, Cicekcibasi AE, Tuncer I, Seker M. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann. Anat. 2005,187: 361-69.

12.  Kishve PS, Kishve SP, Joshi M, Aarif SM, Kalakoti P. An unusual branching pattern of common and external carotid artery in a human cadaver. Australian Medical Journal.2011, 4(4): 180-182.

13.  Thomson A (1885) Notes on some unusual variations in human anatomy. Anat. Physiol. 19: 328-32.

14.  Gluncic V, Petanjek Z, Marusic A, Gluncic I. High bifurcation of common carotid artery, anomalous origin of ascending pharyngeal artery and anomalous branching pattern of external carotid artery, Surg. Radiol. Anat. 2011, 23(2):123- 125.

15.  Mahendrakar MA. Variations in the branching pattern of external carotid artery - a case report. J. Anat. Soc. India. 2007, 56: 47-51.

16.  Kaneko K, Akita M, Murata E, Imani M, Sowa K. Unilateral anomalous left common carotid artery - a case report. Ann. Anat. 1996, 178: 477-480.

17.  Lemaire V, Jacquemin G, Medot M, Fissette J. Thyrolingual trunk arising from common carotid artery: a case report. Surg Radiol Anat. 2001, 23: 135-137.

18.  Kishve PS, Kishve SP, Joshi M, Aarif SM, Kalakoti P. An unusual branching pattern of common and external carotid artery in a human cadaver. Australian Medical Journal. 2011, 4(4): 180-182.

19.  Fred MB. Post-tonsillectomy lingual artery pseudoaneurysm. www.triomeetingposters.org/wpcontent/uploads/2012/ 12/001.pdf (accessed on 21th july 2013)

20.  Toshinori I. et al. Thyrolinguofacial trunk arising from the carotid bifurcation determined by three dimensional computed tomography angiography. Surgical and radiologic anatomy. 2013, 35(1): 75-78.

Corresponding Author

Dr Chandan Kumar

Senior Resident, Department of ENT

Nalanda Medical College& Hospital, Patna, Bihar