open access

Vol 79, No 1 (2020)
Case report
Submitted: 2019-03-28
Accepted: 2019-04-22
Published online: 2019-05-10
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Variant course of the submental vein

N. Umek1, L. Skamagkoulis2, E. Cvetko1
·
Pubmed: 31106846
·
Folia Morphol 2020;79(1):176-178.
Affiliations
  1. Institute of Anatomy, Faculty of Medicine, University of Ljubljana, Slovenia
  2. Department of Maxillofacial and Oral Surgery, General Hospital Celje, Slovenia

open access

Vol 79, No 1 (2020)
CASE REPORTS
Submitted: 2019-03-28
Accepted: 2019-04-22
Published online: 2019-05-10

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.

Get Citation

Keywords

anatomical variation, gracilis muscle flap, gross anatomy, submental artery, submental island flap

About this article
Title

Variant course of the submental vein

Journal

Folia Morphologica

Issue

Vol 79, No 1 (2020)

Article type

Case report

Pages

176-178

Published online

2019-05-10

Page views

2273

Article views/downloads

1181

DOI

10.5603/FM.a2019.0056

Pubmed

31106846

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

References (11)
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  2. 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.
  3. 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.
  4. 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.
  5. 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.
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  7. 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.
  8. Patel UA, Bayles SW, Hayden RE. The submental flap: A modified technique for resident training. Laryngoscope. 2007; 117(1): 186–189.
  9. Pistre V, Pelissier P, Martin D, et al. Ten years of experience with the submental flap. Plast Reconstr Surg. 2001; 108(6): 1576–1581.
  10. Sterne GD, Januszkiewicz JS, Hall PN, et al. The submental island flap. Br J Plast Surg. 1996; 49(2): 85–89.
  11. 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.

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