HIGH ORIGIN OF

“FACIAL ARTERY”
Name of the presenter
E.Ramji
 INTRODUCTION
With all the developed technologies nowadays scientists
are trying to change the physical profile of a person
One such a innovative field is facial surgery. In cosmetic
surgery raising of vasocutaneous flap in modifying the
folds and creases is done.
To make the face beautiful is challenging but its very
interesting work.
 AIM OF THE STUDY
To find out variation In the origin of facial artery & to
enhance our knowledge of its presence in the face
So to equip both anatomist and surgeons to have a
thorough understanding of the vasculature of the face,
and the plastic surgeons in particular to have a more
confident approach in reconstructive procedures in this
region
 NORMAL ORIGIN AND
BRANCHING OF FACIAL ARTERY
The facial artery arises from
the anterior aspect of ECA.
It ascends up between the
mandible and
submandibular gland to
reach the face through
digastric triangle. At face it
ascends up in the
nasolabial fold & terminate
at the medial angle of eye
.
 REVIEW OF LITERATURE
While going through the previous studies
regarding the variations in the origin and
branching of facial artery the following
references were found out
1. An anomalous case of common carotid artery
giving off several branches of higher division of
the internal carotid artery by Matsumoto M,
Okuda H, Ishidoh E, Mitsui H at 1986.
2. Abnormal intra-parotid origin of the facial artery
by Nayak S at 2006 .
3. The Study of Higher Origin of Facial Artery and its
Surgical Significance by Ashutosh Mangalgiri
Devendra Mahore & Madan Kapre at 2014.
The following variations in the origin of branches of ECA
was made out-
1. High origin of facial artery.
2. Common linguofacial trunk.
3. Thyrolinguofacial trunk.

In this study high origin of facial artery was taken as criteria

to look in to .
 MATERIALS & METHODS
Materials - 25 cadaveric faces (50 hemi
faces) were dissected .

Methods -
• Conventional dissection
• Dye injection method
• Radiography
 OBSERVATION

In this study high origin of facial artery was found

in one hemiface (left side)- i.e., 2%
• In this case the facial artery was taking origin
from the external carotid behind the angle
of mandible in the structure of parotid gland
and it did not groove the submandibular
gland .
• The glandular and submental branches
arose as a single twig from it and then
branched to reach their destiny through the
submandibular gland .
• The submental artery was found in line with
the origin of facial artery
• By coincidence in this case common
linguopalatine trunk was also found.
 NORMAL ORIGIN OF THE FACIAL
ARTERY WAS FOUND IN 68% OF THE
HEMIFACES DISSECTED IN THIS STUDY.
IN THE REMAINING CASE IT WAS
FOUND AS COMMONLINGUO
FACIAL TRUNK
 DISCUSSION
• In 1907 George A. Piersol reported high origin
of facial artery at the level of angle of jaw.

• In 1943 Grant report a high origin of facial

artery along with a lingual artery as a trunk.

• In 2005 Tubb RS & Oakes WJ reported unilateral

agenesis of the facial artery with
compensation by a giant transverse facial
artery.
• In 2014 Ashutosh Mangalgiri & Madan Kapre
found facial artery originating from the
external carotid artery just below the origin of
maxillary artery within the parotid gland.

In my study it is only 2% high origin

of facial artery was found which
coincides with these studies.
 CONCLUSION
This kind of high origin of facial artery may result
inadvertent injury during procedures like surgery of the
parotid gland, mandibular resection in angle reduction
or lymphadenectomy in this region or in parotid gland
surgery itself ,if the surgeon operating is unaware of the
above .
Severe haemorrhage due to difficulty in securing and
ligating the cut end of the artery may even prove fatal .
So knowledge of such abnormalities will definitely help
the surgeon operating in this area to avoid such injury or
in raising a sustainable vasculocutaneous flap.
Studies like this will help the surgeon for planned
approach of the structures in this region.
 REFERENCE
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2. Tubbs RS, Salter EG, Oakes WJ (2005)
Unilateral agenesis of the facial artery with
compensation by a giant transverse facial
artery. Folia Morphol 64(3):226–228
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Anat Nipo ´n 25:22–24
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(1986) An anom- alous case of common
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higher division of the internal carotid artery.
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Thank you