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01.06.2020 | Anatomic Variations

Origin variations of the superior thyroid, lingual, and facial arteries: a computed tomography angiography study

verfasst von: Mario Herrera-Núñez, José Luis Menchaca-Gutiérrez, Ricardo Pinales-Razo, Guillermo Elizondo-Riojas, Alejandro Quiroga-Garza, Bernardo Alfonso Fernandez-Rodarte, Rodrigo Enrique Elizondo-Omaña, Santos Guzmán-López

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 9/2020

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Abstract

Purpose

To determine the anatomical variations and morphology of the external carotid artery (ECA) and its anterior branches.

Methods

Using computed tomography angiography (CTA), the origin, internal diameter, and surface laterality emergence of the superior thyroid (STA), lingual (LA), and facial (FA) arteries were evaluated retrospectively evaluated and classified. The bifurcation level of the common carotid artery (CCA) in relation to the cervical vertebrae and disc was also determined.

Results

A total of 76 CTA were included in the study. STA originated from the carotid bifurcation (CB) (type I), CCA (type II) and ECA (type III) in 20.4 (31/152), 17.1 (26/152) and 50.7% (77/152) cases, respectively. Also 10.5% (16/152) arose from a shared trunk with LA as a thyrolingual trunk (TLT) (type IVa), and absent in 1.3% (2/152). LA originated in the CB in only one case. A linguofacial trunk (LFT) was present in 14.5% (22/152). Mean diameters of STA, LA and FA were 1.70, 1.95 and 2.45 mm, respectively. Meanwhile, surface laterality were predominately from anteromedial, medial, and anterior, respectively. CB was mainly on C3 or C3–C4 (55.9% of cases).

Conclusions

STA origin below the ECA is a common finding. Our population presented the highest percentage of TLT (10.5%) and high CB (9.8%) in literature. Considering these variations are important to prevent complications in neck surgical procedures.

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Titel: Origin variations of the superior thyroid, lingual, and facial arteries: a computed tomography angiography study
verfasst von: Mario Herrera-Núñez
José Luis Menchaca-Gutiérrez
Ricardo Pinales-Razo
Guillermo Elizondo-Riojas
Alejandro Quiroga-Garza
Bernardo Alfonso Fernandez-Rodarte
Rodrigo Enrique Elizondo-Omaña
Santos Guzmán-López
Publikationsdatum: 01.06.2020
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 9/2020
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-020-02507-6

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Origin variations of the superior thyroid, lingual, and facial arteries: a computed tomography angiography study