open access
Variant course of the submental vein
- Institute of Anatomy, Faculty of Medicine, University of Ljubljana, Slovenia
- Department of Maxillofacial and Oral Surgery, General Hospital Celje, Slovenia
open access
Abstract
Superficial head and neck vessels are increasingly used in surgical procedures and are especially important in facial transplantation surgeries. We report a variant course of the submental vein observed during a dissection of a 79-year-old-male embalmed cadaver: a left submental vein running caudally across the intermediate tendon of the digastric muscle, separating from the course of the submental artery and emptying directly into the common facial vein in the carotid triangle. Such course may complicate submental island flap harvesting, as well as the graft manipulations and reattachment, since the vein could be damaged during the conventional procedure. This report therefore extends current knowledge of the variations of the vascular anatomy of the head and neck.
Abstract
Superficial head and neck vessels are increasingly used in surgical procedures and are especially important in facial transplantation surgeries. We report a variant course of the submental vein observed during a dissection of a 79-year-old-male embalmed cadaver: a left submental vein running caudally across the intermediate tendon of the digastric muscle, separating from the course of the submental artery and emptying directly into the common facial vein in the carotid triangle. Such course may complicate submental island flap harvesting, as well as the graft manipulations and reattachment, since the vein could be damaged during the conventional procedure. This report therefore extends current knowledge of the variations of the vascular anatomy of the head and neck.
Keywords
anatomical variation, gracilis muscle flap, gross anatomy, submental artery, submental island flap
Title
Variant course of the submental vein
Journal
Issue
Article type
Case report
Pages
176-178
Published online
2019-05-10
Page views
2273
Article views/downloads
1181
DOI
Pubmed
Bibliographic record
Folia Morphol 2020;79(1):176-178.
Keywords
anatomical variation
gracilis muscle flap
gross anatomy
submental artery
submental island flap
Authors
N. Umek
L. Skamagkoulis
E. Cvetko
- Abouchadi A, Capon-Degardin N, Patenôtre P, et al. The submental flap in facial reconstruction: advantages and limitations. J Oral Maxillofac Surg. 2007; 65(5): 863–869.
- Chen Xi, Zhou H, Zhang YJ, et al. Applied anatomy of the submental island flap and its clinical application in the repair of defects following hypopharyngeal carcinoma resection. World J Otorhinolaryngol Head Neck Surg. 2015; 1(1): 44–49.
- Choudhry R, Tuli A, Choudhry S. Facial vein terminating in the external jugular vein. An embryologic interpretation. Surg Radiol Anat. 1997; 19(2): 73–77.
- Goyal N, Jowett N, Dwojak S, et al. Use of the submental vessels for free gracilis muscle transfer for smile reanimation. Head Neck. 2016; 38(10): E2499–E2503.
- Lin HC, Huang YS, Chu YH, et al. Vascular anatomy is a determining factor of successful submental flap raising: a retrospective study of 70 clinical cases. PeerJ. 2017; 5: e3606.
- Magden O, Edizer M, Tayfur V, et al. Anatomic study of the vasculature of the submental artery flap. Plast Reconstr Surg. 2004; 114(7): 1719–1723.
- Martin D, Pascal JF, Baudet J, et al. The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg. 1993; 92(5): 867–873.
- Patel UA, Bayles SW, Hayden RE. The submental flap: A modified technique for resident training. Laryngoscope. 2007; 117(1): 186–189.
- Pistre V, Pelissier P, Martin D, et al. Ten years of experience with the submental flap. Plast Reconstr Surg. 2001; 108(6): 1576–1581.
- Sterne GD, Januszkiewicz JS, Hall PN, et al. The submental island flap. Br J Plast Surg. 1996; 49(2): 85–89.
- Vollala VR, Bollala SR, Pamidi N. Important vascular anomalies of face and neck: a cadaveric study with clinical implications. Firat TIp Derg. 2008; 13(2): 123–126.