Document Detail


The Course and Variation of the Facial Artery and Vein: Implications for Facial Transplantation and Facial Surgery.
MedLine Citation:
PMID:  21712695     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The main arterial supply of the facial skin envelope is the facial artery which serves as the main pedicle for a number of facial flaps, including a facial transplant graft. This study explored the course of the facial artery and vein, branching patterns, terminations, and anomalous variants. Cadaveric dissections of 201 facial arteries and 198 facial veins were performed. All branches originated from a single facial arterial trunk in 86% of specimens and branching patterns were symmetrical in 53%. The facial artery predominantly terminated as a lateral nasal artery (49%). In 5 cases, the facial artery was undetectable with transverse facial arterial dominance (1 case bilateral). The facial vein was predictable in position except for 2 instances, being replaced by a transverse facial vein (unilateral). Facial arterial dominance in facial blood supply is common but unpredictable. Careful vascular workup prior to facial transplantation and unipedicled flap procedures is therefore essential.
Authors:
Jonathan W G Lohn; Jack W Penn; John Norton; Peter E M Butler
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-27
Journal Detail:
Title:  Annals of plastic surgery     Volume:  -     ISSN:  1536-3708     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London, United Kingdom; and †Department of Anatomy, Royal Free and University College Medical School, University College London, London, United Kingdom.
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