Branching patterns of facial artery in fetuses

Yüz bölgesinin kanlanmasını sağlayan ana arter, arteriya fasiyalis’tir. Plastik cerrahların çocuk yüz cerrahisinde olumlu sonuçlar elde etmeleri için arteriya fasiyalis ve dallarının yerleşimleri ve varyasyonlarını çok iyi bilmeleri gerekir. Bu nedenle biz arteriya fasiyalis ve dallarının yerleşimlerini inceledik. Bu çalışmada, anatomi laboratuarında bulunan fetus kadavralar kullanıldı. 16 fetus’da çift taraflı olarak arteriya fasiyalis ve dallarını inceledik (toplamda 25 arte-riya fasiyalis). Arteriya fasiyalis ve dallarını sonlandıkları dallara göre sınıflara ayırdık. Çalışmamızda, fetuslarda arteriya fasiyalisin üç tipini tanımladık. Arteriya fasiyalis Tip 1 de arteria angularis, Tip 2 de arteria labialis superior, Tip 3 de arteria labialis inferior olarak sonlanıyordu. İnsan fetusu ve çocukta arteriya fasiyalis ve dallarının seyri ile ilgili yapılmış çok az çalışma vardır. Bu yüzden biz arteriya fasiyalis ve dallarının varyasyonlarını çalışmayı planladık. Arteriya fasiyalis varyasyonlarının cerrahlar ve radyo-loglar tarafından bilinmesi cerrahi uygulamalar sonrası yara iyileşmesinin hızlanması ve kanama gibi komplikas-yonlardan kaçınmak için önemlidir.

Arteriya fasiyalisin fetuslarda dallanma şekilleri

The facial artery is the major artery that supplies structures of the face. Locations and variations of the facial artery and its branches must be known by plastic surgeons to obtain good results in child face surgery. Therefore, we examined the location of facial artery and its branches. In this study, fetus preserved cadavers were examined in the anatomy laboratory. We investigated the patterns of the facial artery and its branches bilaterally in 16 fetuses (total 25 facial arteries). We categorized the facial artery and its branches according to their terminated branches. In this study, we described three types of facial artery distributions in fetuses. In Type I, it was terminated as an angular artery; in Type II, it was ended as superior labial artery; and in Type III, it was terminated as an inferior labial artery. A few studies exist related to the potential course of the facial artery and its branches in fetuses or children; therefore, we planned to study the variations in the course of facial artery and its branches. The awareness on the existence of variations in the itinerary of the facial artery by surgeons and radiologists is critical to avoid complications such as bleeding and speed up healing process after routine or reconstructive surgical procedures.

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1. Moore KL, Persaud TVN. The developing human, clinically oriented embryology. 5th ed. An HBJ International Edition W.B. Saunders Company 1993; p: 412.
2. Williams PL, Worwick R. Gray’s Anatomy, 36th ed., Jarrold Printing, Norwich, England. 1980. pp. 187-88, 679-81.
3. Woodburne RT. Essential of Human Anatomy, 14th ed. 1969. p. 202-03.
4. Brian MM, Suzi S, Martin S, Gilleson ME. Fetal foot length as a predictor of gestasyonel age. Ann J Obstet Gynecol 1987;156: 350-55.
5. Niranjan NS. An anatomical study of the facial artery. Ann Plast Surg 1988;21: 14-22.
6. Dupoirieux L, Plane L, Gard C, Penneau M. Anatomical basis and results of the facial artery musculomucosal flap for oral reconstruction. Br J Oral Maxillofac Surg 1999;37: 25-8.
7. Nakajima H, Imanishi N, Aiso S. Facial artery in the upper lip and nose: anatomy and a clinical application. Plast Reconstr Surg 2002;109: 855-63.
8. Koh KS, Kim HJ, Oh CS, Chung IH. Branching patterns and symmetry of the course of the facial artery in Koreans. Int J Oral Maxillofac Surg 2003;32: 414-18.
9. Gardetto A, Moriggl B, Maurer H, Erdinger K, Papp C. Anatomical basis for a new island axial pattern flap in the perioral region. Surg Radiol Anat 2002;24: 147-54.
10. Mağden O, Edizer M, Atabey A, Tayfur V, Ergür I. Cadaveric study of the arterial anatomy of the upper lip. Plast Reconstr Surg 2004;114: 355-59.
11. Zhao YP, Ariji Y, Gotoh M, Kurita K, Natsume N. Color doppler sonography of the facial artery in the anterior face, Oral Surg Oral Med Pathol Oral Radiol Endod 2002;93:195-201.
12. Ariji Y, Kimura Y, Gotoh M, Sakuma S, Zhao YP, Ariji E. Blood flow in and around the masseter muscle: normal and pathologic features demonstrated by color doppler sonography. Oral Surg Oral Med Pathol Oral Radiol Endod 2001;91: 472-82.
13. Pribaz JJ, Meara JG, Wright S, Smith JD, Stephens W, Breuing KH. Lip and vermillion reconstruction with the facial artery musculomucosal flap. Plast Reconstr Surg 2000;105: 864-72.
14. Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg 1992;90: 421-29.
15. Pribaz JJ, Falco N. Nasal reconstruction with auricular microvascular transplant, Ann Plast Surg 1993;31: 289-97.
16. Zhao Z, Zhang Z, Li Y, Li S, Xiao S, Fan X, et al. The buccinator musculomucosal island flap for partial tongue reconstruction. J Am Coll Surg 2003;196: 753-60.
17. Zhao Z, Li S, Li Y, Yang M, Huang W, Liu Y, et al. Evaluation of the facial artery and vein using color doppler imaging. Zhonghua Zheng Xing Wai Ke Za Zhi 2002;18:224-25.
18. Arnold WH, Lang M, Sperber GH. 3D- reconstruction of craniofacial structures of a human anencephalic fetus. Case report. Ann Anat 2001;183:67-71.
19. Zhao Z, Li S, Yan Y, Li Y, Yang M, Li D, et al. The septal chondromucosal island pedicle flaps: anatomic study and clinical applications, Plast Reconstr Surg 1999;103:1355-60.
20. Imanishi N, Nakajima H, Kishi K, Chang H, Aiso S. Is the platysma flap musculomucosus? Angiographic study of the platysma. Plast Reconstr Surg 2005;115: 1018-24.
21. Kawai K, Imanishi N, Nakajima H, Aiso S, Kakibuchi M, Hosokawa K. Arterial anatomical features of the upper palpepra. Plast Reconstr Surg 2004;113: 479-84.
22. Jung DH, Kim HJ, Koh KS, Oh CS, Kim KS, Yoon JH, et al. Arterial supply of the nasal tip in Asians. Laryngoscope 2000;110 308-11.
23. Kozielec T, Jozwa H. Variation of the Course the Facial Artery in the Prenatal Period in Man. Folia Morpho (Warsz) 1977;36: 55-61.