Study of Anatomical Divergences in Facial Artery Endings

Divergence in Facial Artery Endings

Authors

  • Atif Hussain Department of Anatomy, Women Medical College, Abbottabad, Pakistan
  • Humaira Imtiaz Department of Anatomy, Ayub Medical College, Abbottabad, Pakistan
  • Sara Jadoon Department of Anatomy, Ayub Medical College, Abbottabad, Pakistan
  • Sumaira Javed Department of Anatomy, Ayub Medical College, Abbottabad, Pakistan
  • Munila Shabnum Khattak Department of Anatomy, Khyber Medical College, Peshawar, Pakistan
  • Robina Shaheen Department of Anatomy, Ayub Medical College, Abbottabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i04.1380

Keywords:

Facial Artery, Anatomical Variations, Angiographic Images, Local Population

Abstract

Facial artery supplies musculocutaneous tissue, visceral organs, and salivary glands at the upper cervical and facial level. This artery has wide range of anatomical variations in its course. Objective: To find the anatomical divergences in facial artery endings. Methods: It is a cross sectional study conducted at Jinnah international hospital, Abbottabad from January 2023 to July 2023 for duration of 6 months after taking approval from the ethical review committee. A group of 86 people were selected and anatomical course of facial artery was categorized in to four types. Angiographic images of each participant were evaluated by radiologist to categorize the course of facial artery. Results: The average Body Mass Index (BMI) of the participants was 28.3 ± 5.6. The study of angiographic images has concluded that 38.37% (n=33) has Type I course of facial artery, 47.67% (n=41) participants has Type II, 9.3% (n=8) participants has Type III and 4.65% (n=4) has Type IV category (p=0.01. Of the type I category of facial artery, 5 (15.2%) participants met the criteria of type IA, 7(21.2%) has Type IB and 21(63.6%) participants Type IC course of facial artery (p=0.01). Conclusions: This study has concluded that there exists vast variation in the anatomical course of facial artery in local population that streamlines with other studies conducted internationally. Facial artery with a nasal branch with or without alar endings is the most common anatomical variation.

References

Kiyosue H. Anterior (Visceral) Branches from the Proximal ECA (Superior Thyroidal, Lingual, and Facial Arterial System). External Carotid Artery: Imaging Anatomy Atlas for Endovascular Treatment. 2020 Jun: 7-36. doi: 10.1007/978-981-15-4786-7_2. DOI: https://doi.org/10.1007/978-981-15-4786-7_2

Shihada A, Sioula M, Georgakopoulos P, Mavrommatis E. The Facial Artery as a Branch of the External Carotid Artery in Thomas Turner's (1793-1873) Treatise on the Arterial System (1825) and a Comparison with Modern Anatomy. Acta Medica Academica. 2023 Mar; 52(1): 67. doi: 10.5644/ama2006-124.405. DOI: https://doi.org/10.5644/ama2006-124.405

Nayak SB, Vasudeva SK, Pamidi N, Sirasanagandla SR. Anomalous course of facial artery through the submandibular gland and its redundant loop at the base of mandible. Journal of Craniofacial Surgery. 2020 Oct; 31(7): 2015-6. doi: 10.1097/SCS.0000000000006539. DOI: https://doi.org/10.1097/SCS.0000000000006539

Cotofana S and Lachman N. Arteries of the face and their relevance for minimally invasive facial procedures: an anatomical review. Plastic and Reconstructive Surgery. 2019 Feb; 143(2): 416-26. doi: 10.1097/PRS.0000000000005201. DOI: https://doi.org/10.1097/PRS.0000000000005201

Barut C, Ogut E, Askin Z, Alicikus H. Branching Patterns and Variations of Facial Artery and Clinical Importance: A Cadaveric Study. Dubai Medical Journal. 2023 Mar; 6(2): 81-96. doi: 10.1159/000529300. DOI: https://doi.org/10.1159/000529300

Alharbi YA. Anatomical study of divergences in facial artery endings. Anatomy and Cell Biology. 2023 Jun; 56(2): 211. doi: 10.5115/acb.22.262. DOI: https://doi.org/10.5115/acb.22.262

Rodrigues IQ, Cunico C, da Silva AB, Brum JS, Robes RR, da Silva Freitas R et al. Analysis In Vivo of the Hemifacial Transplantation Surgical Technique. Journal of Craniofacial Surgery. 2019 May; 30(3): 944-6. doi: 10.1097/SCS.0000000000005377. DOI: https://doi.org/10.1097/SCS.0000000000005377

Bhattacharya A, Sharma R, Armstrong C, Solis L. Case report of unique anastomosis between facial and inferior alveolar arteries. Surgical and Radiologic Anatomy. 2020 May; 42: 603-6. doi: 10.1007/s00276-019-02375-9. DOI: https://doi.org/10.1007/s00276-019-02375-9

Pavithran R. Cadaveric Study of Branches of Facial Artery in the Face. International Journal of Current Research and Review. 2022 Jan; 14 (01): 1-4. doi: 10.31782/ijcrr.2021.14107. DOI: https://doi.org/10.31782/IJCRR.2021.14107

Wang D, Xiong S, Zeng N, Wu Y. Facial arterial variations in Asians: a study on computed tomographic angiography. Aesthetic Surgery Journal. 2022 May; 42(5): 527-34. doi: 10.1093/asj/sjab380. DOI: https://doi.org/10.1093/asj/sjab380

Prabhu A, Samuel DV, Balakrishnan V, Daniel P. An unusual variation in the termination of facial artery in south Indian population: A human cadaveric case report. Indian Journal of Clinical Anatomy and Physiology. 2021 May; 8(2): 156-8. doi: 10.18231/j.ijcap.2021.036. DOI: https://doi.org/10.18231/j.ijcap.2021.036

Lee SH, Ha TJ, Koh KS, Song WC. External and internal diameters of the facial artery relevant to intravascular filler injection. Plastic and Reconstructive Surgery. 2019 Apr; 143(4): 1031-7. doi: 10.1097/PRS.0000000000005428. DOI: https://doi.org/10.1097/PRS.0000000000005428

Hresko A, Chernogorskyi D, Vereshchagin S, Kopchak A. Endovascular embolization of facial artery pseudoaneurysm following lancing of a subperiosteal abscess: case report. 2019 Jan; 3(1); 18-26. doi: 10.23999/j.dtomp.2019.1.6. DOI: https://doi.org/10.23999/j.dtomp.2019.1.6

Trzeciak M, del Carmen Yika A, Glądys K, Ostrowski P, Bonczar M, Goncerz M et al. The complete anatomy of the transverse facial artery: a computed tomography angiography analysis. Folia Morphologica. 2023 Oct. doi: 10.5603/fm.97002. DOI: https://doi.org/10.5603/fm.97002

Kowalczyk K, Frąckowiak H. The patterns of facial arteries in the suiformes. Nauka Przyroda Technologie. 2019 Dec; 13(1): 33-42.

Iwanaga J, Kim HJ, Wysiadecki G, Obata K, Harazono Y, Ibaragi S et al. Localizing the nerve to the mylohyoid using the mylohyoid triangle. Anatomy & Cell Biology. 2021 Oct; 54(3): 304. doi: 10.5115/acb.21.019. DOI: https://doi.org/10.5115/acb.21.019

Abas R, Woon CK, Alias A, Kamaruzzaman MA, Noor NF, Harun AM et al. Facial Muscles and Its Modiolus: A Review of Embryology, Comparative Anatomy, Morphology and Applied Anatomy. Malaysian Journal of Medicine & Health Sciences. 2021 Oct; 17(4): 313-319.

Niemann K, Lazarus L, Rennie C. An Anatomical Study of the Facial Artery. International Journal of Morphology. 2019 Dec; 37(4): 1310-1315. doi: 10.4067/S0717-95022019000401310. DOI: https://doi.org/10.4067/S0717-95022019000401310

Cardinot TM, Vasconcellos HA, Vasconcellos PH, Oliveira JR, Siqueira PB, Aragão AH. Anatomic variation of the facial artery and its implications for facial surgery: a case report. Journal of Morphological Sciences. 2014 Jan; 31(01): 062-6. doi: 10.4322/jms.rc054813. DOI: https://doi.org/10.4322/jms.rc054813

Gelezhe P, Gombolevskiy V, Morozov S, Melnikov DV, Korb TA, Aleshina OO et al. Three-dimensional description of the angular artery in the nasolabial fold. Aesthetic Surgery Journal. 2021 Jun; 41(6): 697-704. doi: 10.1093/asj/sjaa152. DOI: https://doi.org/10.1093/asj/sjaa152

Downloads

Published

2024-04-30
CITATION
DOI: 10.54393/pjhs.v5i04.1380
Published: 2024-04-30

How to Cite

Hussain, A., Imtiaz, H., Jadoon, S., Javed, S., Khattak, M. S., & Shaheen, R. (2024). Study of Anatomical Divergences in Facial Artery Endings: Divergence in Facial Artery Endings. Pakistan Journal of Health Sciences, 5(04), 105–108. https://doi.org/10.54393/pjhs.v5i04.1380

Issue

Section

Original Article

Plaudit