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A Rare Variation in Facial Artery and Its Implications in Facial Surgery: Case Report

Received: 28 September 2014     Accepted: 8 October 2014     Published: 20 October 2014
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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 are 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 oral and maxillofacial surgery.

Published in Journal of Surgery (Volume 2, Issue 5)
DOI 10.11648/j.js.20140205.13
Page(s) 68-71
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Facial Artery, Transverse Facial Artery, Flap Procedure, Maxillofacial Surgery

References
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[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)
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Cite This Article
  • APA Style

    Ajit Kumar, Ganesh Elumalai, Malarvani Thangamani, Nirmala Palayathan, Manish Kr Singh. (2014). A Rare Variation in Facial Artery and Its Implications in Facial Surgery: Case Report. Journal of Surgery, 2(5), 68-71. https://doi.org/10.11648/j.js.20140205.13

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    ACS Style

    Ajit Kumar; Ganesh Elumalai; Malarvani Thangamani; Nirmala Palayathan; Manish Kr Singh. A Rare Variation in Facial Artery and Its Implications in Facial Surgery: Case Report. J. Surg. 2014, 2(5), 68-71. doi: 10.11648/j.js.20140205.13

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    AMA Style

    Ajit Kumar, Ganesh Elumalai, Malarvani Thangamani, Nirmala Palayathan, Manish Kr Singh. A Rare Variation in Facial Artery and Its Implications in Facial Surgery: Case Report. J Surg. 2014;2(5):68-71. doi: 10.11648/j.js.20140205.13

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  • @article{10.11648/j.js.20140205.13,
      author = {Ajit Kumar and Ganesh Elumalai and Malarvani Thangamani and Nirmala Palayathan and Manish Kr Singh},
      title = {A Rare Variation in Facial Artery and Its Implications in Facial Surgery: Case Report},
      journal = {Journal of Surgery},
      volume = {2},
      number = {5},
      pages = {68-71},
      doi = {10.11648/j.js.20140205.13},
      url = {https://doi.org/10.11648/j.js.20140205.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140205.13},
      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 are 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 oral and maxillofacial surgery.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - A Rare Variation in Facial Artery and Its Implications in Facial Surgery: Case Report
    AU  - Ajit Kumar
    AU  - Ganesh Elumalai
    AU  - Malarvani Thangamani
    AU  - Nirmala Palayathan
    AU  - Manish Kr Singh
    Y1  - 2014/10/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.js.20140205.13
    DO  - 10.11648/j.js.20140205.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 68
    EP  - 71
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20140205.13
    AB  - 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 are 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 oral and maxillofacial surgery.
    VL  - 2
    IS  - 5
    ER  - 

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Author Information
  • Department of Anatomy, Tribhuvan University, National Medical College, Birgunj, Nepal

  • Department of Anatomy, Tribhuvan University, National Medical College, Birgunj, Nepal

  • Department of Anatomy, Tribhuvan University, National Medical College, Birgunj, Nepal

  • Department of Anatomy, Kathmandu University, Nobel Medical College & Teaching Hospital, Biratnagar, Nepal

  • Department of Anatomy, Tribhuvan University, National Medical College, Birgunj, Nepal

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