101. Variant facial artery anatomy revisited
- Author
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Minhee Hwang, Chi Yeon Kim, Jung Ho Won, Seok Jin Hong, Sung Eun Park, Jeong Won Jo, Do Seon Jeong, and Dae Seob Choi
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,External carotid artery ,Conventional angiography ,Facial artery ,Maxillary artery ,General Medicine ,Angular artery ,Anastomosis ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,medicine.artery ,Angiography ,medicine ,030212 general & internal medicine ,Radiology ,business ,Cosmetic procedures - Abstract
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.
- Published
- 2020
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