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Terminal bifurcation of the external jugular vein: a rare variation

  • Received : 2022.04.13
  • Accepted : 2022.05.23
  • Published : 2022.12.31

Abstract

Variations of external jugular vein are common. Here, we present a rare terminal bifurcation of the left external jugular vein. The left external jugular vein was formed by the union of entire retromandibular vein and posterior auricular vein. One inch above the clavicle, it bifurcated into medial and lateral divisions. The medial division terminated into the internal jugular vein and the lateral division terminated into the subclavian vein. Medial division received a common vein formed by the union of anterior jugular vein and an anonymous vein lying under the sternocleidomastoid muscle. The lateral division received a common vein formed by the union of suprascapular and transverse cervical veins. The knowledge about this variation could be useful to head and neck surgeons, radiologists and plastic surgeons.

Keywords

References

  1. Cvetko E. A case of left-sided absence and right-sided fenestration of the external jugular vein and a review of the literature. Surg Radiol Anat 2015;37:883-6. 
  2. Comert E, Comert A. External jugular vein duplication. J Craniofac Surg 2009;20:2173-4. 
  3. Ponnambalam SB, Karuppiah DS. Unilateral external jugular vein fenestration with variant anatomy of the retromandibular and facial vein. Anat Cell Biol 2020;53:117-20. 
  4. Singh R. Abnormal formation of external jugular vein and its repercussions. J Craniofac Surg 2020;31:e354-5. 
  5. Patil J, Kumar N, Swamy RS, D'Souza MR, Guru A, Nayak SB. Absence of retromandibular vein associated with atypical formation of external jugular vein in the parotid region. Anat Cell Biol 2014;47:135-7. 
  6. Chauhan NK, Rani A, Chopra J, Rani A, Srivastava AK, Kumar V. Anomalous formation of external jugular vein and its clinical implication. Natl J Maxillofac Surg 2011;2:51-3. 
  7. Vadgaonkar R, Rai R, Ranade AV, Pai MM, Prabhu LV, Ashwin K, Jiji PJ. An anomalous left external jugular vein draining into right subclavian vein. Bratisl Lek Listy 2008;109:461-2. 
  8. Shetty P, Nayak SB, Thangarajan R, D'Souza MR. A rare case of persistent jugulocephalic vein and its clinical implication. Anat Cell Biol 2016;49:210-2. 
  9. Ono K, Yoshioka N, Hage D, Ibaragi S, Tubbs RS, Iwanaga J. Duplication of the external jugular vein: a language barrier of database search in classic anatomical studies. Surg Radiol Anat 2021;43:1721-8. 
  10. Satheesha NB. Jugulo-facial venous circle, accessory slip of trapezius and absence of typical facial vein- clinically important anatomical variations. J Anat Soc India 2017;66(Suppl 2):S11-2. 
  11. Nagata T, Masumoto K, Watanabe Y, Katou F. End-to-side anastomosis to the external jugular vein: preservation of external jugular vein blood flow. Br J Oral Maxillofac Surg 2012;50:e31-2. 
  12. Ibrahim AE, Adelman DM, Parham C, Hong Z, Villa M, Chahine FM, Ghieh FM. The external jugular vein used as recipient vessel in head and neck free flap reconstruction: outcomes compared to the internal jugular vein. J Craniofac Surg 2019;30:178-83. 
  13. Sugiyama S, Iwai T, Tohnai I. Empty fenestration of the external jugular vein: a rare variant. J Anat Soc India 2017;66(Suppl 2):S1-3. 
  14. Yadav S, Ghosh SK, Anand C. Variations of superficial veins of head and neck. J Anat Soc India 2000;49:61-2.