The premasseteric branch of facial artery: its importance for craniofacial surgery
The masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or neurectomy-induced atrophy of the muscle. A clear understanding of the course of the premasseteric branch of the facial artery and its relations with...
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| Published in: | Turkish neurosurgery Vol. 19; no. 1; pp. 45 - 50 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Turkey
Turkısh Neurosurgery Socıety
01-01-2009
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| Abstract | The masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or neurectomy-induced atrophy of the muscle. A clear understanding of the course of the premasseteric branch of the facial artery and its relations with adjacent structures is essential in maneuvering the masseter muscle safely. In the present study the premasseteric branch was analyzed in details.
Neurovascular and anatomical features and relations of the premasseteric branch and its branches were evaluated according to location, origin, diameter, length and course by bilateral meticulous anatomic micro dissection under 4x loop magnification in formalin fixed 14 adult preserved cadavers.
The premasseteric branch originated separately from the facial artery in all cases. The course of the branch was observed to the upper anterior border of the masseter muscle. The diameter of the premasseteric branch was 1.12 mm (mean) at the level of origin. The diameter of the premasseteric branch was larger than the facial artery in 3% of cases. The location of the branch was defined according to body of the mandible. Branches and anastomoses of the premasseteric branch were also represented.
Anatomical data of the premasseteric branch will help craniofacial surgeons elevate flaps safely. |
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| AbstractList | The masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or neurectomy-induced atrophy of the muscle. A clear understanding of the course of the premasseteric branch of the facial artery and its relations with adjacent structures is essential in maneuvering the masseter muscle safely. In the present study the premasseteric branch was analyzed in details.
Neurovascular and anatomical features and relations of the premasseteric branch and its branches were evaluated according to location, origin, diameter, length and course by bilateral meticulous anatomic micro dissection under 4x loop magnification in formalin fixed 14 adult preserved cadavers.
The premasseteric branch originated separately from the facial artery in all cases. The course of the branch was observed to the upper anterior border of the masseter muscle. The diameter of the premasseteric branch was 1.12 mm (mean) at the level of origin. The diameter of the premasseteric branch was larger than the facial artery in 3% of cases. The location of the branch was defined according to body of the mandible. Branches and anastomoses of the premasseteric branch were also represented.
Anatomical data of the premasseteric branch will help craniofacial surgeons elevate flaps safely. AMAÇ: M. masseter, kraniofasiyal cerrahlara fasiyal palsi, benign masseter hipertrofisi, kraniofasiyal travma, nörektomi sonrası kas atrofisinin düzeltilmesi operasyonlarında büyük avantaj sağlar. Transpozisyon operasyonlarında kasın, kendisini besleyen a. facialis'in dalı olan ramus premassetericus'la birlikte güvenle taşınabilmesi için bu dalın seyrinin anlaşılması büyük önem taşır. Bu amaçla çalışmamızda, ramus premassetericus'un detaylı olarak incelenmesine çalışılmıştır. YÖNTEM ve GEREÇ: 14 erişkin formalin ile fiske edilmiş kadavrada (12 erkek, 2 kadın; 55-82 yaşları arasında; 27 olgu: 14 sol-13 sağ taraf) anatomik mikrodiseksiyon yöntemiyle 4x büyüteç kullanılarak ramus premassetericus ve dalları ortaya konuldu. R. premassetericus yerleşim, orijin, çap, uzunluk ve seyir özellikleri, musculus masseter ve ductus parotideus ile ilişkisi yönleriyle değerlendirildi. BULGULAR: Dalın m. masseter'in üst kenarı boyunca seyrettiği gözlendi. Dalın başlangıç noktası seviyesinde çapı ortalama 1,12 mm olarak saptandı. %3 olguda dalın çapı, a. facialis'in çapından daha büyüktü. Dalın yerleşimi corpus mandibula'ya göre belirlendi.R. premassetericus'un dalları ve anastomozları da ortaya konuldu. SONUÇ: Ramus premassetericus'a ait verilerin kraniyofasiyal cerrahlara flaplerin güvenli kaldırılmasında yardımcı olacağı düşüncesindeyiz. AIM: The masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or neurectomy-induced atrophy of the muscle. A clear understanding of the course of the premasseteric branch of the facial artery and its relations with adjacent structures is essential in maneuvering the masseter muscle safely. In the present study the premasseteric branch was analyzed in details. MATERIAL and METHODS: Neurovascular and anatomical features and relations of the premasseteric branch and its branches were evaluated according to location, origin, diameter, length and course by bilateral meticulous anatomic micro dissection under 4x loop magnification in formalin fixed 14 adult preserved cadavers. RESULTS: The premasseteric branch originated separately from the facial artery in all cases. The course of the branch was observed to the upper anterior border of the masseter muscle. The diameter of the premasseteric branch was 1.12 mm (mean) at the level of origin. The diameter of the premasseteric branch was larger than the facial artery in 3% of cases. The location of the branch was defined according to body of the mandible. Branches and anastomoses of the premasseteric branch were also represented. CONCLUSION: Anatomical data of the premasseteric branch will help craniofacial surgeons elevate flaps safely. AIMThe masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or neurectomy-induced atrophy of the muscle. A clear understanding of the course of the premasseteric branch of the facial artery and its relations with adjacent structures is essential in maneuvering the masseter muscle safely. In the present study the premasseteric branch was analyzed in details.MATERIAL AND METHODSNeurovascular and anatomical features and relations of the premasseteric branch and its branches were evaluated according to location, origin, diameter, length and course by bilateral meticulous anatomic micro dissection under 4x loop magnification in formalin fixed 14 adult preserved cadavers.RESULTSThe premasseteric branch originated separately from the facial artery in all cases. The course of the branch was observed to the upper anterior border of the masseter muscle. The diameter of the premasseteric branch was 1.12 mm (mean) at the level of origin. The diameter of the premasseteric branch was larger than the facial artery in 3% of cases. The location of the branch was defined according to body of the mandible. Branches and anastomoses of the premasseteric branch were also represented.CONCLUSIONAnatomical data of the premasseteric branch will help craniofacial surgeons elevate flaps safely. |
| Author | Senan, Sevda Karabekir, Hamit Selim Mağden, Orhan Göçmen-Mas, Nüket Edizer, Mete Karaçayli, Umit |
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| References | 13. Suzuki T: Arterial supply to the masseter muscle in the cow. Nippon Juigaku Zasshi 46(5):6567-6596, 1984 14. Suzuki T. Arterial supply to the masseter muscle in the rat. Kaibogaku Zasshi. Feb; 64(1):8-17, 1989 12. Suwa F, Takemura A, Ehara Y, Takeda N, Masu M: On the arteria maxillaris which passes medial to the pterygoideus lateralis muscle of the Japanese-patterns of origin of the inferior alveolar, the masseteric and the posterior temporal arteries. Okajimas Folia Anat Jpn 67(5):303-308, 1990 10. Saadeh FA, Bergman RA: Direct branch of external carotid: a masseteric artery. Gegenbaurs Morphol Jahrb 136(1):75-77, 1990 3. Gray's Anatomy. Alimentary system. Section ed: Bannister, L.H ; Cardiovascular system. Section ed: Giorgio Gabellan, 38th ed. London: Churchill-Livingstone, 1995:1518-1520 15. Takeda Y, Okuda H: The facial artery of the common marmoset (Callithrix jacchus). Okajimas Folia Anat Jpn 67(2-3):97-109, 1990 1. Ariji Y, Kimura Y, Gotoh M, Sakuma S, Zhao YP, Ariji E: Blood flow in and around the masseter muscle: normal and pathologic features demonstrated by color Doppler sonography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91(4):472-482, 2001 9. Pinar YA, Govsa F: Anatomy of the superficial temporal artery and its branches: its importance for surgery. Surg Radiol Anat 28(3):248-253, 2006 8. Mc Carty: Plastic Surgery, vol 3, USA, Saunders Company, 1990: 2286-2290 7. Marinho LH, Shanahan DA, Langdon JD, Sinnatamby CS: The inferiorly based masseter muscle flap: anatomical basis for its use in head and neck reconstructive surgery. Int J Oral Maxillofac Surg 20(2):100-105, 1991 6. Hwang K, Kim YJ, Park H, Chung IH: Selective neurectomy of the masseteric nerve in masseter hypertrophy. J Craniofac Surg 15(5):780-784, 2004 11. Song WK, Lew H, Yoon JS, Oh MJ, Lee SY: The role of medial orbital wall morphological properties in orbital blow-out fractures. Invest Ophthalmol Vis Sci, Sep 29, 2008 [Epub ahead of print] 4. Hwang K, Kim YJ, Chung IH, Lee SI: Deep middle masseteric artery (dMMA) attributed to hemorrhage in resection of masseter muscle and mandibular angle. J Craniofac Surg 12(4):381-385, 2001 5. Hwang K, Kim YJ, Chung IH, Song YB: Course of the masseteric nerve in masseter muscle. J Craniofac Surg 16(2):197-200, 2005 2. Cormac and Lamberty: Blood supply by regions 6. 2nd ed. Churchill-Livingstone, 1994: 135 |
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| Snippet | The masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or... AIMThe masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or... AMAÇ: M. masseter, kraniofasiyal cerrahlara fasiyal palsi, benign masseter hipertrofisi, kraniofasiyal travma, nörektomi sonrası kas atrofisinin düzeltilmesi... |
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| SubjectTerms | Aged Aged, 80 and over Arteries - anatomy & histology Arteries - surgery Cadaver Craniofacial Abnormalities - surgery Face - blood supply Face - surgery Facial Injuries - surgery Female Humans Male Masseter Muscle - anatomy & histology Masseter Muscle - blood supply Masseter Muscle - surgery Microdissection Middle Aged Surgical Flaps - blood supply |
| Title | The premasseteric branch of facial artery: its importance for craniofacial surgery |
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