Variant facial artery anatomy revisited: Conventional angiography performed in 284 cases

A number of studies have evaluated the variable courses of facial artery. However, the results of these differed substantially from each other so not consistent relationships have yet been established. There has also yet to be a relevant study using conventional angiography.We assessed the variant b...

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Veröffentlicht in:Medicine (Baltimore) 2020-07, Vol.99 (28), p.e21048-e21048
Hauptverfasser: Hong, Seok Jin, Park, Sung Eun, Jo, Jeong Won, Jeong, Do Seon, Choi, Dae Seob, Won, Jung Ho, Hwang, Minhee, Kim, Chi Yeon
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container_end_page e21048
container_issue 28
container_start_page e21048
container_title Medicine (Baltimore)
container_volume 99
creator Hong, Seok Jin
Park, Sung Eun
Jo, Jeong Won
Jeong, Do Seon
Choi, Dae Seob
Won, Jung Ho
Hwang, Minhee
Kim, Chi Yeon
description A number of studies have evaluated the variable courses of facial artery. However, the results of these differed substantially from each other so not consistent relationships have yet been established. There has also yet to be a relevant study using conventional angiography.We assessed the variant branching pattern of the facial artery and its branches using conventional angiography.Two radiologists retrospectively reviewed 284 cases of angiographies of the external carotid artery in 198 patients. The courses of the facial artery and infraorbital branch of the maxillary artery were classified into 4 types and 2 types, according to the end branch.Among 284 cases of facial artery, type 1 (angular branch) made up 104 cases (36.6%), type 2 (lateral nasal branch) made up 138 cases (48.6%), type 3 (superior labial branch) made up 24 cases (8.5%), and type 4 (inferior labial branch) made up 18 cases (6.3%).Regarding the 284 total cases of maxillary artery, 163 cases (57.4%) had anastomosis with the angular artery or extended to the territory of the angular artery. In addition, 121 cases (42.6%) had nothing done in regard to the angular artery.The results may be helpful for avoiding complications related to facial and maxillary arteries during facial surgeries and cosmetic procedures.
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subjects Angiography
Arteries - anatomy & histology
Arteries - diagnostic imaging
Carotid Arteries - anatomy & histology
Carotid Arteries - diagnostic imaging
Face - blood supply
Face - diagnostic imaging
Humans
Maxillary Artery - anatomy & histology
Maxillary Artery - diagnostic imaging
Nose - blood supply
Nose - diagnostic imaging
Observational Study
Retrospective Studies
title Variant facial artery anatomy revisited: Conventional angiography performed in 284 cases
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