A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications

<i>Background and Objectives:</i> Vascular variations appear as morphologically distinct patterns of blood diverging from the most commonly observed vessel patterns. The facial artery is considered to be the main vessel for supplying blood to the anterior part of the face. An anatomical...

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Autores principales: Martin Siwetz, Nicol Turnowsky, Niels Hammer, Michael Pretterklieber, Andreas Wree, Veronica Antipova
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a39cbf96121c4408a7ba37b666574a062021-11-25T18:18:19ZA Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications10.3390/medicina571111721648-91441010-660Xhttps://doaj.org/article/a39cbf96121c4408a7ba37b666574a062021-10-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1172https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144<i>Background and Objectives:</i> Vascular variations appear as morphologically distinct patterns of blood diverging from the most commonly observed vessel patterns. The facial artery is considered to be the main vessel for supplying blood to the anterior part of the face. An anatomical understanding of the facial artery, its course, its topography, and its branches is important in medical and dental practice (especially in neck and face surgery), and is also essential for radiologists to be able to interpret vascular imaging in the face following angiography of the region. A profound knowledge of the arteries in the region will aid in minimizing the risks to the patient. <i>Materials and Methods:</i> In our publication a narrative literature review and a case report are presented. <i>Results:</i> A rare case of a facial artery pattern has been described anatomically for the first time with respect to its course and branching. This variation was found on the left side of a 60-year-old male corpse during anatomical dissection. The anterior branch of the facial artery arched in the direction of the labial angle, and there divided into the inferior and superior labial arteries. At the same time, the posterior branch coursed vertically and superficially to the masseter muscle. It here gave off the premasseteric branch, and continued towards the nose, where it ran below the levator labii superioris and the levator labii superioris alaeque nasi muscles and terminated at the dorsum nasi. <i>Conclusions</i>: Our review of the literature and the case report add to knowledge on the facial artery with respect to its topographical anatomy and its branching and termination patterns, as well as the areas of supply. An exact knowledge of individual facial artery anatomy may play an important role in the planning of flaps or tumor excisions due to the differing vascularization and can also help to prevent artery injuries during aesthetic procedures such as filler and botulinum toxin injections.Martin SiwetzNicol TurnowskyNiels HammerMichael PretterklieberAndreas WreeVeronica AntipovaMDPI AGarticleaesthetic medicineanatomical variationbranchingfacefacial arteryface surgeryMedicine (General)R5-920ENMedicina, Vol 57, Iss 1172, p 1172 (2021)
institution DOAJ
collection DOAJ
language EN
topic aesthetic medicine
anatomical variation
branching
face
facial artery
face surgery
Medicine (General)
R5-920
spellingShingle aesthetic medicine
anatomical variation
branching
face
facial artery
face surgery
Medicine (General)
R5-920
Martin Siwetz
Nicol Turnowsky
Niels Hammer
Michael Pretterklieber
Andreas Wree
Veronica Antipova
A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications
description <i>Background and Objectives:</i> Vascular variations appear as morphologically distinct patterns of blood diverging from the most commonly observed vessel patterns. The facial artery is considered to be the main vessel for supplying blood to the anterior part of the face. An anatomical understanding of the facial artery, its course, its topography, and its branches is important in medical and dental practice (especially in neck and face surgery), and is also essential for radiologists to be able to interpret vascular imaging in the face following angiography of the region. A profound knowledge of the arteries in the region will aid in minimizing the risks to the patient. <i>Materials and Methods:</i> In our publication a narrative literature review and a case report are presented. <i>Results:</i> A rare case of a facial artery pattern has been described anatomically for the first time with respect to its course and branching. This variation was found on the left side of a 60-year-old male corpse during anatomical dissection. The anterior branch of the facial artery arched in the direction of the labial angle, and there divided into the inferior and superior labial arteries. At the same time, the posterior branch coursed vertically and superficially to the masseter muscle. It here gave off the premasseteric branch, and continued towards the nose, where it ran below the levator labii superioris and the levator labii superioris alaeque nasi muscles and terminated at the dorsum nasi. <i>Conclusions</i>: Our review of the literature and the case report add to knowledge on the facial artery with respect to its topographical anatomy and its branching and termination patterns, as well as the areas of supply. An exact knowledge of individual facial artery anatomy may play an important role in the planning of flaps or tumor excisions due to the differing vascularization and can also help to prevent artery injuries during aesthetic procedures such as filler and botulinum toxin injections.
format article
author Martin Siwetz
Nicol Turnowsky
Niels Hammer
Michael Pretterklieber
Andreas Wree
Veronica Antipova
author_facet Martin Siwetz
Nicol Turnowsky
Niels Hammer
Michael Pretterklieber
Andreas Wree
Veronica Antipova
author_sort Martin Siwetz
title A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications
title_short A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications
title_full A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications
title_fullStr A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications
title_full_unstemmed A Rare Case of Facial Artery Branching—A Review of the Literature and a Case Report with Clinical Implications
title_sort rare case of facial artery branching—a review of the literature and a case report with clinical implications
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a39cbf96121c4408a7ba37b666574a06
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