IJAR.2022.144

Type of Article:  Original Research

Volume 10; Issue 2 (June 2022)

Page No.: 8367-8371

DOI: https://dx.doi.org/10.16965/ijar.2022.144

Study of Branching Pattern of External Carotid Artery

Shivaprakash S *1, Ashok K R 2.

*1 Assistant Professor, Department of Anatomy, JSS Medical College, JSS Academy of Higher Education and research, Mysuru, Karnataka, India.

2 Associate Professor, Department of Anatomy, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India.

 Address for Correspondence: Dr Shivaprakash S, Assistant Professor, Department of Anatomy, JSS Medical College, JSS Academy of Higher Education and research, Mysuru, Karnataka, India. Phone No: 91 – 9740010544 E-Mail: shivaprakashs@jssuni.edu.in  

ABSTRACT

Background: Anatomical information of vasculature is of need for the surgeons and radiologists. Carotid artery and its branches supply most of head, neck, and brain. Injuries to the external carotid artery and its branches is often complex and results in high mortality. Knowledge of types and frequencies of vascular variations of external carotid artery is of help for invasive diagnostic and interventional procedures.

Materials and methods: 50 external carotid arteries were dissected to study the branching pattern of external carotid artery.

Results: Conventional branching pattern was seen in 58% specimens. Superior thyroid artery originated from common carotid artery in 12% specimens. Linguofacial trunk was observed in 16%. Occipital artery and ascending pharyngeal artery rose from a single trunk in 12%. Origin of facial artery from maxillary artery was observed in one specimen.

Conclusion: Study of variations in the branching pattern of the external carotid artery adds to the existing anatomical knowledge. Variations in the branching pattern is of definite help for interventional radiologists, vascular, craniofacial and neck surgeons.

KEY WORDS: External carotid artery, Facial artery, Linguofacial trunk.

REFERENCES

[1]. Michael Gleeson. From Neck. In Gray’s Anatomy – The Anatomical basis of clinical practice. 41st edition. Edited by Susan Standring. New York: Elsevier; 2016:453.
[2]. Reid DB, Irshad K, Miller S, Reid AW, Reid W, Diethrich EB. Endovascular significance of the external carotid artery in the treatment of cerebrovascular insufficiency. J Endovasc Ther 2004;11(6):727-33.
[3]. Xu DS, Abruzzo TA, Albuquerque FC, Dabus G, Eskandari MK, Guterman LR, et al. External carotid artery stenting to treat patients with symptomatic ipsilateral internal carotid artery occlusion: a multicentre case series. Neurosurgery 2010;Aug 67(20:314-21.
[4]. Mangla S, Sclafani SJ. External carotid arterial injury. Injury 2008;Nov 39(11):1249-56.
[5]. Nisha K Shetty, Ramanojam, Shandilya, Sudhir Pawar, Pushkar K Gadre, Kiran Gadre, Divya Singh. Management of late post traumatic facial artery pseudoaneurysmal cyst: review of literature. J Maxillofac Oral Surg 2015;Jun 14(2):201-205.
[6]. Ii N, Fuwa N, Toyomasu Y, Takada A, Nomura M, Kawamura T et al. A novel external carotid arterial sheath system for intra-arterial infusion chemotherapy of head and neck cancer. Cardiovasc Intervent Radiol 2017;Jul 40(7):1099-1104.
[7]. Faller A, Sharrer O. Uber die Variabilitat des arteria thyroidea. Acta Anat 1947;4:117-119.
[8]. Chandralekha G, Cooper MM. Origin of superior thyroid artery. J Anat Soc India 1977;26:35.
[9]. Smith SD, Benton RS. A rare origin of Superior thyroid artery. Acta Anat 1978; 101:91-93.
[10]. Rimi KR, Ara S, Hossain M, Shefyetullah KM, Naushaba H, Bose BK. Postmortem Study of Thyroid Arteries in Bangladeshi People. Bangladesh Journal of Anatomy 2009;7:26-33.
[11]. Sanjeev I K, Anita H, Ashwini M, Mahesh U, Rairam G B. Branching pattern of external carotid artery in human cadavers. J Clin Diagn Res 2010;4:3128-3133
[12]. Anita T, Dombe D, Asha K, Kalbande S. Clinically relevant variations of superior thyroid artery: an anatomic guide for neck surgeries. Int J Pharm Biomed Sci 2011;2(2):51 -54.
[13]. Chandrakala SP, Swapnali, Mavishettar GF. Variations in the origin and branching patterns of superior thyroid artery. Anatomica Karnataka 2011;5(3):20-24.
[14]. Hayashi N, Hori E, Ohtani Y, Ohtani O, Kuwayama N, Endo S. Surgical anatomy of the cervical carotid artery for carotid endarterectomy. Neurol Med Chir 2005;45:25-29
[15]. Ogeng’o J,Misiani MK, Loyal P, Ongeti KW, Gimongo J, Inyimili MI, Murunga AK. Variations in branching pattern of external carotid artery in a black Kenyan population. Anatomy Journal of Africa 2015;4(2):584-590.
[16]. Anangwe D, Saidi H, Ogengo J, Awori KO. Anatomical variations of the carotid arteries in adult kenyans. East Afr Med J 2008;85:244-247.
[17]. Ozgur Z, Govsa F, Ozgur T. Assessment of origin characteristics of the front branches of the external carotid artery. J Craniofac Surg 2008;19:1159-1166.
[18]. Mata JR, Mata FR, Souza MC, Nishijo H, Ferreira TA. Arrangement and prevalence of branches in the external carotid artery in humans. Ital J Anat Embryol 2012;117:65-74.
[19]. Yonenaga K, Tohnai I, Mitsudo K, Mori Y, Saijo H, Iwai T, Yonehara Y, Ota Y, Torigoe K, Takato T. Anatomical study of the external carotid artery and its branches for administration of superselective intra-arterial chemotherapy via the superficial temporal artery. Int J clin oncol 2011;16:654-656.
[20]. Zumre O, Salbacak A, Cicekcibasi AE, Tuncer I, Seker M. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann Anat 2005;187:361-369.
[21]. Lappas DA, Kamberos SP, Gisakis IG, Takis CH,Lykaki G. Anatomic study of the variations in the origin of the branches of the external carotid artery. Beta Medical Arts 2002;81.
[22]. Shintani S, Terakado N, Alcalde RE, Tomizawa K, Nakayama S, Ueyama Y et al. An anatomical study of the arteries for intraarterial chemotherapy of head and neck cancer. Int J Clin Oncol 1999;4:327-30.
[23]. Lucev N, Bobinac D, Maric I, Drescik I. Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 2000;122(4):590-1.
[24]. Bergman RA, Afifi AK, Miyauchi R. Compendium of human anatomic variation, Text atlas and World literature. Baltimore. Urban & Schwarzenberg 1988:64-66.
[25]. Kaneko K, Akita M, Murata E, Imai M, Sowa K. Unilateral anomalous left common carotid artery; a case report. Ann Anat 1996; 178:477-80.
[26]. Gurbuz J, Çavdar S, Ozdogmu O. Trifurcation of the left common carotid artery: A case report. Clin Anat 2001;14:58-61.
[27]. Ashutosh Mangalgiri, Laxmi Narayan Namdev, Devengra Mahore, Madan Kapre. The study of higher origin of facial artery and its surgical significance. Indian J Otolaryngol Head Neck Surg 2015;67(1):72-74.
[28]. Tubbs RS, Salter EG, Oakes WJ. Unilateral agenesis of the facial artery with compensation by a giant transverse facial artery. Folia Morphol 2005;64(3):226–228.
[29]. Eid N, Ito Y, Otsuki Y. Anomalous branching pattern of external carotid artery: Clinical relevance to cervicofacial surgery. Clin Anat 2011;24:953-955.
[30]. Eretter K, Lieber MN, Krammar EB, Mayr RA. A bilateral maxillofacial trunk in man: an extraordinary anomaly of the carotid system of arteries. Acta Anat (Basel) 1991;141:206-11.
[31]. Rusu MC, Jianu AM, Monea MD, Ilie AC. Two cases of combined anatomical variations: maxillofacial trunk, vertebral, posterior communicating and anterior cerebral atresia, linguofacial and labiomental trunks. Folia Morphol (Warsz) 2021;Feb 9 doi:10.5603/FM.a2021.0007.
[32]. Gailloud P, Khan HG, Nathalie K, Rufenacht DA, Fasel JHD. The supra isthmic anastomatic arch. AJR 1998;170:497-8.
[33]. Jitendra P Patel, Rashmikant V Dave, Ritesh K Shah, Sanjay D Kanani, Ashok B Nirvan. A Study of Superior Thyroid Artery In 50 Cadavers. Int J Biol Med Res 2013;4(1):2875-2878.
[34]. Livini studio morfologicadelle arteria tiroidee sperm. Arg Biel Norma Patol 1900;34:42,129.
[35]. Vishnu Gupta, Rakesh Agarwal. Anomalous Branching Pattern of the External Carotid Artery in Cadavers. International Journal of Scientific Study 2014;2(1):28-31.
[36]. Luzsa G. X-ray anatomy of vascular system. London: Butterworth and Co. Ltd 1974:120-125.
[37]. Rusu MC, Maru N, Radoi PM, Dinca D. Trifurcated external carotid artery and complete gamma-loop of its maxillary branch. Surg Radiol Anat 2019;41:231-234.
[38]. McEachen JC, Obrzut M, Bokhari SJ. A rare combination of carotid artery congenital abnormalities: Understanding the embryology and clinical associations. Emerg Radiol 2009;16:411-414.

Cite this article: Shivaprakash S, Ashok K R. Study of Branching Pattern of External Carotid Artery. Int J Anat Res 2022;10(2):8367-8371. DOI: 10.16965/ijar.2022.144