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Bilateral unusual branching pattern of the external carotid artery in a human cadaver

  • Stefan Trifonov (Department of Anatomy, Histology, Cytology and Biology, Faculty of Medicine, Medical University – Pleven) ;
  • Miroslav Dobrev (Department of Anatomy, Histology, Cytology and Biology, Faculty of Medicine, Medical University – Pleven) ;
  • Preslava Hristova (Department of Microbiology and Virology, Faculty of Pharmacy, Medical University – Pleven) ;
  • Iren Bogeva-Tsolova (Department of Anatomy, Histology, Cytology and Biology, Faculty of Medicine, Medical University – Pleven)
  • Received : 2023.12.21
  • Accepted : 2024.01.19
  • Published : 2024.06.30

Abstract

Comprehensive understanding of the variations in the branching of the external carotid artery (ECA) is essential to minimizing vascular complications during cranio-facial and neck surgical procedures. We demonstrate a rare case of unusual branching of ECAs in both carotid triangles and anomalous origin of the left ascending pharyngeal artery (APA) during dissection of embalmed cadaver. The right and left common carotid arteries (CCA) bifurcated at the level of the upper border of the thyroid cartilage. The right superior thyroid artery (STA) originated anterior to the carotid bifurcation (CB), while the left STA originated from the anterior aspect of the left CCA. The right ECA trifurcated into linguofacial trunk, APA, and distal ECA, 15.7 mm from CB. On the left side, lingual artery and APA arose as a short common linguopharyngeal trunk, 1.9 mm from CB. The left facial and occipital arteries originated anteromedially and posteriorly at the same level.

Keywords

References

  1. Standring S. Gray's anatomy: the anatomical basis of clinical practice. 42nd ed. Elsevier; 2020.
  2. Lucev N, Bobinac D, Maric I, Drescik I. Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 2000;122:590-1. https://doi.org/10.1067/mhn.2000.97982
  3. Gluncic V, Petanjek Z, Marusic A, Gluncic I. High bifurcation of common carotid artery, anomalous origin of ascending pharyngeal artery and anomalous branching pattern of external carotid artery. Surg Radiol Anat 2001;23:123-5. https://doi.org/10.1007/s00276-001-0123-x
  4. Thwin SS, Soe MM, Myint M, Than M, Lwin S. Variations of the origin and branches of the external carotid artery in a human cadaver. Singapore Med J 2010;51:e40-2.
  5. Kishve PS, Kishve SP, Joshi M, Aarif SM, Kalakoti P. An unusual branching pattern of common and external carotid artery in a human cadaver: a case report. Australas Med J 2011;4:180-2. https://doi.org/10.4066/AMJ.2011.637
  6. Rao TR. Unusual branching pattern of the external carotid artery in a cadaver. Chang Gung Med J 2011;34(6 Suppl):24-7.
  7. Troupis T, Michalinos A, Dimovelis I, Demesticha T, Vlasis K, Skandalakis P. Bilateral abnormal origin of the anterior branches of the external carotid artery. Ann Vasc Surg 2014;28:494.e5-7. https://doi.org/10.1016/j.avsg.2013.04.020
  8. Ogeng'o JA, Misiani MK, Loyal P, Ongeti KW, Gimongo J, Inyimili MI, Murunga AK. Variations in branching pattern of external carotid artery in a black Kenyan population. Anat J Afr 2015;4:584-90.
  9. Sanjeev IK, Anita H, Ashwini M, Mahesh U, Rairam GB. Branching pattern of external carotid artery in human cadavers. J Clin Diagn Res 2010;4:3128-33.
  10. Zumre O, Salbacak A, Cicekcibasi AE, Tuncer I, Seker M. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann Anat 2005;187:361-9. https://doi.org/10.1016/j.aanat.2005.03.007
  11. Devadas D, Pillay M, Sukumaran TT. A cadaveric study on variations in branching pattern of external carotid artery. Anat Cell Biol 2018;51:225-31. https://doi.org/10.5115/acb.2018.51.4.225
  12. Yamamoto D, Koizumi H, Ishima D, Kuroda H, Shibahara I, Niki J, Miyasaka K, Watanabe T, Kondo R, Kumabe T. Angiographic characterization of the external carotid artery: special attention to variations in branching patterns. Tohoku J Exp Med 2019;249:185-92. https://doi.org/10.1620/tjem.249.185
  13. Won SY. Anatomical considerations of the superior thyroid artery: its origins, variations, and position relative to the hyoid bone and thyroid cartilage. Anat Cell Biol 2016;49:138-42. https://doi.org/10.5115/acb.2016.49.2.138