What artery on the face can become prominent and replace part of the facial artery in some individuals?

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From the Research

The superficial temporal artery is the artery on the face that can become prominent and replace part of the facial artery in some individuals. This anatomical variation is important to recognize during facial surgeries, trauma management, and when performing procedures like facial flaps or arterial embolization, as the expected blood supply pattern may differ from the typical anatomical arrangement. The superficial temporal artery (STA) is a terminal branch of the external carotid artery, supplying multiple regions of the scalp and face 1. According to a meta-analysis, the STA diameter was 1.5 mm, and its frontal and parietal branches were present in 97.6% and 96.4% of cases, respectively 2. Understanding these vascular variations helps prevent unexpected bleeding complications during facial procedures. Some key points to consider include:

  • The STA bifurcation point was located above the zygomatic arch in 79.1% of cases, below the zygomatic arch in 6.7%, and on the zygomatic arch in 11.1% of cases 2.
  • The transverse facial artery, which is found in the lateral face, may also play a role in supplying the parotid gland and duct, facial nerve, facial muscles, and skin 3.
  • Variations in the origin of the facial artery, such as a higher origin or origin as a linguo-facial trunk, may also complicate surgery 4. However, the most recent and highest quality study suggests that the superficial temporal artery is the most likely artery to become prominent and replace part of the facial artery in some individuals 2.

References

Research

Topographical anatomy of the transverse facial artery.

Clinical anatomy (New York, N.Y.), 2010

Research

The study of higher origin of facial artery and its surgical significance.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2015

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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