Facial artery and lingual artery originating from a common trunk (Faciolingual Trunk)

Amac,: Bu $alismanin amaci disseksiyonlar sirasinda gozlenen truncus faciolingu- alis'in farkli tiplerinin ve onemli anatomik yapilara gore yerlesimlerinin tammlan- masidir. Gete§ ve yontem: Dokuz Eylul Universitesi Tip Fakultesi Anatomi Anabilim Dali'nda yapilan disseksiyonlar sirasinda formalin ile fikse edilmis 14 yetiskin insan kadavrasinda arteria carotis externa'dan ortak orjin alan 4 adet olgu gozlendi. Bu olgularda truncus faciolingualis tiplendirildi ve lineer olcumlerle komsu yapilarla olan iliskileri tammlandi. Bulgulai: Turn olgularin %85,7'sinde tip I olarak adlandirilan ortak bir trunkus olmadigi, %3,6'sinda tip II olarak adlandirilan kisa, %10,7'sinde ise tip III olarak adlandirilan uzun ortak bir kok bulundugu gozlendi. Qaksmamizda tip III olgularin truncus faciolingualis'in uzunlugu min: 6,2 mm ve max: 9,6 mm olarak olciildii. Sonu§: Arteria carotis externa'nin dallanma varyasyonlanni degerlendiren c.alis- mamiz, boyun bolgesine cerrahi yaklasimlarda, kemoterapatik ajan uygulamalarind; ve radyolojik tanilamada klinisyenlere yardimci olabilir.

Anahtar Kelimeler:

Karotis arter, eksternal, Arterler, Kadavra

Ortak kökten orjin alan arteria facialis ve arteria lingualis (Truncus Faciolinguinalis)

Objective: The objective of this study is to describe the different types of facio lingual trunks observed during our dissections, and define their localizations accoi ding to anatomic landmarks. Material and method: In Anatomy Department of Dokuz Eylul Universit Medical Faculty, it was observed that the facial and lingual arteries originated fror the external carotid artery with a common origin (faciolingual trunk) in 4 case during the dissection course of 28 formalin fixed adult human cadavers. In the case with faciolingual trunk, the common trunk was typed and its relations with adjacei structures were determined with lineer measurements. Results: In 85.7 % of all cases type I was observed which has no common trunk, i 3.6 % type II with short common trunk and in 10.7 % type III with long commc trunk. In our cases of type III, the common trunk length was measured as minimur 6.2 mm and maximum: 9.6 mm. Conclusion: In our study, evaluating the branching variations of the external carot artery may be helpful to clinicians during the surgical approaches of the neck regio chemotherapeutic agent applications and radiologic diagnosis.

Keywords:

Carotid Artery, External, Arteries, Cadaver,

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1. Last RJ. Anatomy regional and applied. Seventh Edition. London: Churchill Livingstone, 1984; 374-377.
2. Lockhart RD, Hamilton GF, Fyfe FW. Anatomy of the human body. Fifth Edition. London: Faber and Faber limited, 1988; 599-605.
3. Cumminqs CW, Fredrickson JM, Harker LA et al. Surgical anatomy. Jn Otolaryngology Head and Neck Surgery. Third Edition. Baltimore: Mosby,1998;1677- 1685.
4. Snell RS. Clinical anatomy for medical students. Fourth Edition. Boston: Little- Brown,1992; 930.
5. Testut L, Latarjet A. Traite d’anatomie humaine. Tome II: Angeiologie – systeme nerveux central. Nineth Edition. Paris: G Doin & Cie,1948; 213-262.
6. Williams PL, Bannister LH, Berry MM et al Cardiovascular system. In Gray’s Anatomy.38th Edition. Newyork: Churcill Livingstone, 1995;1515-1520.
7. Bergman RA, Thompson SA, Afifi AK et al. Compendium of man Anatomic Variation: Catalog, Atlas and World literature. Baltimore and Munich: Urban & Schwarzenberg 1998; 64.
8. Lucev N, Bobinac D, Maric J et al. Variations of the great arteries in the carotid triangle. Otolaryngol Head and Neck Surg 2000; 122: 590-591.
9. Osborn GA, Jacobe JM, Maock J et al. Diagnostic Cerebral Angiography. Second Edition. Philadelphia: Lippincott Williams & Wilkins,1999; 31-55.
10. Shima H, Luedinghausen M, Ohno K, et al. Anatomy of Microvascular anastomosis in the neck. Plast Reconstr Surg 1998;101: 33-41.
11. Kozielec T, Joswa H. Variation of the course of the facial artery the prenatal period in man. Folia Morphol 1977;36: 55-61.
12. Poisel S, Golth D. Zur Variabilitad der groben Arterien im Trigonum caroticum. Wien Med Wochenschr 1974; 124:229-232.
13. Lappas DA, Kamberos IG, Gisakis et al. Anatomic study of the variations in the origin of the branches of the external carotid artery. Iatriki 2002; 81;28- 31.
14. Shintani S,Terakado N, Alcalde RE et al. An anatomical study of the arteries for intraarterial chemotherapy of head and neck cancer. Int J Clin Oncol 1999;4:327-330.
15. Hayashi N, Ohtani Y, Ohtani O et al. 1st. Joint meeting of EACA& AACA abstract book. Graz 2003;78-79.
16. Adachi B Das Arterien system der Japaner. Vol 9. Ed Kyoto: Kenkyusha,1928;58-96.
17. Brue E, Bey E, Cariou JL. Lartere faciae. Rappel embryologique, anatomie deseriptive et fonctionnelle d’apre’s unerevue de la litterature. Ann Chir Plast Esthet 2000;45: 461-484.
18. Doyon D, Vignaud J, Lasjaunias P et al. Arteriographie et phlebographie en ORL Encycl Med Chir. Paris: Elsevier, 1976;450-455.
19. Midy D, Mauruc B, Vergnes P et al. A contribution to the study of the facial artery, its branches and anastomoses; application to the anatomic vascular bases of facial flaps. Surg Radiol Anat 1986;8: 99-107.
20. Soikkonen K, Worlf J, Hietanen J et al. Three main arteries of the place and their tortuosity. Br J Oral and Maxillofac Surg 1991;29: 395-398.
21. Wolf J, Mattila K, Hietanen J et al. Astereo – angiografic study of the arterial variations in the external carotid system. Dentomaxillofac Radial 1985;14:45-52.
22. Damascelli B, Patelli GL, Lanocita R et al. A novel intraarterial chemotherapy using paclitaxel in albumin nanoparticles to treat advanced squamous cell carcinoma of the tongue: preliminary findings. Am J Roentgenol 2003;81:253-260.
23. Fuwa N, Ito Y, Matsumoto A et al. A combination therapy of continuous superselective intraarterial carboplatin infusion and radiation therapy for locally advanced head and neck carcinoma. Phase I study. Cancer 2000;89:2099-2105.
24. Shangkuan H, Xinghai W, Zengxing W et al. Anatomic bases of tongue flaps. Surg Radiol Anat 1998; 20: 83- 88.
25. Zhao Z, Zhang Z, Li Y et al. The buccinator musculomucosal island flap for partial tongue reconstruction. J Am Coll Surg 2003;196:753-760.