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A. Mojallal - One of the best experts on this subject based on the ideXlab platform.
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Transverse Facial Artery Perforators: Anatomical, Two- and Three-Dimensional Radiographic Study
Plastic and Reconstructive Surgery, 2019Co-Authors: A. Pierrefeu, S. Brosset, M. Lahon, S. Guerid, H. Shipkov, F. Boucher, P. Breton, N. Sigaux, A. MojallalAbstract:BACKGROUND: Increased anatomical knowledge of skin vascularization, such as the recent description of angiosome and perforasome concepts, has led to important innovations in flap surgery. In this sense, few studies have been performed on face vascularization especially for Facial Artery perforasomes. The aim of this study was to analyze the number, size, and localization of transverse Facial Artery perforators and their perfusion area. METHODS: Fourteen hemifaces of fresh adult cadavers from the Department of Anatomy of Lyon University were harvested. Transverse Facial Artery perforators were identified, dissected, cannulated, and selectively injected with 1 ml of patent blue or contrast solution. Photography, microangiography, and computed tomography were performed. Perforator diameter and localization from the lateral canthus were measured. Exact topography and size of the perforasome were analyzed. RESULTS: Twenty-three transverse Facial Artery perforators were identified. Mean perforator diameter was 1.01 +/- 0.3 mm. Mean perforating site was 31.0 +/- 8.0 mm lateral to and 38.7 +/- 8.8 mm below the lateral canthus. Mean single perforasome surface area was 25.3 +/- 18.34 cm and mean transverse Facial Artery skin territory was 40.5 +/- 9.78 cm. CONCLUSIONS: The transverse Facial Artery provides at least one perforator that can be accurately localized using a Doppler probe. Clinical applications related to the improved knowledge of transverse Facial Artery perforators could be as follows: (1) performing a lateral Facial skin flap; (2) Facial composite allotransplants; (3) face-lift procedures to improve skin perfusion; and (4) prevention of vessel injury in aesthetic procedures such as dermal filler injection or thread-lift techniques.
Spomenka Manojlović - One of the best experts on this subject based on the ideXlab platform.
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Facial Artery pseudoaneurysm without evidence of trauma
International Journal of Oral and Maxillofacial Surgery, 2011Co-Authors: Emil Dediol, Spomenka Manojlović, Josip Biočić, Dalibor Franćeski, Gordana IvanacAbstract:False aneurysm or pseudoaneurysm is usually a result of blunt trauma causing laceration of part of the vessel wall and extravasation of blood into surrounding tissue, followed by tamponade and clot formation. The wall of the pseudoaneurysm consists of perivascular fibrous tissue. Extracranial carotid Artery pseudoaneurysms are relatively rare because trauma to external carotid Artery branches usually results in total transection rather then partial laceration of blood vessel. Most affected branches are the superficial temporal Artery, internal maxillary Artery and distal Facial Artery, usually where they pass over the bone (zygoma or mandible). The authors present the case of a 78-year-old male patient with Facial Artery pseudoaneurysm in its proximal part in the submandibular region with no known evidence of trauma. To the authors' knowledge this is the first case in the literature of Facial Artery pseudoaneurysm without traumatic origin and the third case of proximal Facial Artery pseudoaneurysm. Although formation of pseudoaneurysm in the region of face and neck is rare, the authors consider that inclusion of pseudoaneurysm in the differential diagnosis of a neck mass is important.
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Traumatic Facial Artery aneurysm: case report.
Journal of Oral and Maxillofacial Surgery, 1999Co-Authors: Zeljko Orihovac, Mišo Virag, Spomenka ManojlovićAbstract:Traumatic arterial aneurysms are extremely uncommon in the Facial region. When they do occur, the superficial temporal Artery is the most frequently affected vessel, but other branches of the external carotid, including the Facial Artery, also may be involved. This report describes a patient with a traumatic Facial Artery aneurysm.
A. Pierrefeu - One of the best experts on this subject based on the ideXlab platform.
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Transverse Facial Artery Perforators: Anatomical, Two- and Three-Dimensional Radiographic Study
Plastic and Reconstructive Surgery, 2019Co-Authors: A. Pierrefeu, S. Brosset, M. Lahon, S. Guerid, H. Shipkov, F. Boucher, P. Breton, N. Sigaux, A. MojallalAbstract:BACKGROUND: Increased anatomical knowledge of skin vascularization, such as the recent description of angiosome and perforasome concepts, has led to important innovations in flap surgery. In this sense, few studies have been performed on face vascularization especially for Facial Artery perforasomes. The aim of this study was to analyze the number, size, and localization of transverse Facial Artery perforators and their perfusion area. METHODS: Fourteen hemifaces of fresh adult cadavers from the Department of Anatomy of Lyon University were harvested. Transverse Facial Artery perforators were identified, dissected, cannulated, and selectively injected with 1 ml of patent blue or contrast solution. Photography, microangiography, and computed tomography were performed. Perforator diameter and localization from the lateral canthus were measured. Exact topography and size of the perforasome were analyzed. RESULTS: Twenty-three transverse Facial Artery perforators were identified. Mean perforator diameter was 1.01 +/- 0.3 mm. Mean perforating site was 31.0 +/- 8.0 mm lateral to and 38.7 +/- 8.8 mm below the lateral canthus. Mean single perforasome surface area was 25.3 +/- 18.34 cm and mean transverse Facial Artery skin territory was 40.5 +/- 9.78 cm. CONCLUSIONS: The transverse Facial Artery provides at least one perforator that can be accurately localized using a Doppler probe. Clinical applications related to the improved knowledge of transverse Facial Artery perforators could be as follows: (1) performing a lateral Facial skin flap; (2) Facial composite allotransplants; (3) face-lift procedures to improve skin perfusion; and (4) prevention of vessel injury in aesthetic procedures such as dermal filler injection or thread-lift techniques.
R. Shane Tubbs - One of the best experts on this subject based on the ideXlab platform.
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The Premasseteric Branch of the Facial Artery: A Review and Translation of Adachi's Work.
Cureus, 2020Co-Authors: Stephen J Bordes, Marios Loukas, Sina Zarrintan, Joe Iwanaga, R. Shane TubbsAbstract:The premasseteric branch of the Facial Artery is a variable posterior branch that is closely associated with the anterior border of the masseter muscle. Since its first description, the premasseteric branch has been described using different terms such as the masseteric or posterior branch of the Facial Artery. While the Artery's anatomy is known, it is infrequently discussed in the literature. This manuscript reviews the Artery's origin, course, and importance during maxilloFacial procedures, especially those involving manipulation of the masseter. We also provide a translation of Adachi's 1928 German text describing the branch.
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Unilateral agenesis of the Facial Artery with compensation by a giant transverse Facial Artery
Folia morphologica, 2005Co-Authors: R. Shane Tubbs, E. George Salter, W. Jerry OakesAbstract:During routine dissections carried out in the course of our medical gross anatomy work, an unusual structure was found unilaterally on the left side of an adult male cadaver. Upon investigation, this was determined to be a hugely dilated transverse Facial Artery. Also noted was the complete absence of the ipsilateral Facial Artery. To our knowledge, this is the first report of complete agenesis and not simply diminution of the Facial Artery with compensatory enlargement of the transverse Facial Artery.
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Aneurysm of the distal Facial Artery from a penetrating oral prosthesis
Clinical Anatomy, 2005Co-Authors: R. Shane Tubbs, W. Jerry Oakes, David R. Kelly, E. George SalterAbstract:We report a 94-year-old male who died of pneumonia. During the routine dissection of the head and neck for a gross anatomy course at our institution a mass was noted in the region of the right cheek. Macroscopic and microscopic observation of this mass revealed an aneurysm of the Facial Artery. A traumatic defect was noted at the apex of the aneurysmal wall related to an intraoral prosthetic clasp that had penetrated the buccinator muscle. Traumatic aneurysms of the face have been caused by blunt trauma to the jaw with or without fracture, surgical manipulation around the teeth and jaw, and following missile injury. Some have described compression of neighboring structures such as cranial nerves and other blood vessels with resultant compromise. We believe our case to be the first report of a Facial Artery aneurysm in a cadaver and we are unaware of other reports from the literature describing the production of a Facial Artery aneurysm from a puncture of an intraoral prosthesis through the medially placed buccinator muscle. Although seemingly rare, health care professionals should make efforts to ensure that oral prostheses do not develop sharp or irregular edges that could potentially perforate the lateral oral cavity with potential perforation of the overlying vasculature.
N. Sigaux - One of the best experts on this subject based on the ideXlab platform.
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Transverse Facial Artery Perforators: Anatomical, Two- and Three-Dimensional Radiographic Study
Plastic and Reconstructive Surgery, 2019Co-Authors: A. Pierrefeu, S. Brosset, M. Lahon, S. Guerid, H. Shipkov, F. Boucher, P. Breton, N. Sigaux, A. MojallalAbstract:BACKGROUND: Increased anatomical knowledge of skin vascularization, such as the recent description of angiosome and perforasome concepts, has led to important innovations in flap surgery. In this sense, few studies have been performed on face vascularization especially for Facial Artery perforasomes. The aim of this study was to analyze the number, size, and localization of transverse Facial Artery perforators and their perfusion area. METHODS: Fourteen hemifaces of fresh adult cadavers from the Department of Anatomy of Lyon University were harvested. Transverse Facial Artery perforators were identified, dissected, cannulated, and selectively injected with 1 ml of patent blue or contrast solution. Photography, microangiography, and computed tomography were performed. Perforator diameter and localization from the lateral canthus were measured. Exact topography and size of the perforasome were analyzed. RESULTS: Twenty-three transverse Facial Artery perforators were identified. Mean perforator diameter was 1.01 +/- 0.3 mm. Mean perforating site was 31.0 +/- 8.0 mm lateral to and 38.7 +/- 8.8 mm below the lateral canthus. Mean single perforasome surface area was 25.3 +/- 18.34 cm and mean transverse Facial Artery skin territory was 40.5 +/- 9.78 cm. CONCLUSIONS: The transverse Facial Artery provides at least one perforator that can be accurately localized using a Doppler probe. Clinical applications related to the improved knowledge of transverse Facial Artery perforators could be as follows: (1) performing a lateral Facial skin flap; (2) Facial composite allotransplants; (3) face-lift procedures to improve skin perfusion; and (4) prevention of vessel injury in aesthetic procedures such as dermal filler injection or thread-lift techniques.
