Anatomical study of the carotid bifurcation and origin variations of the ascending pharyngeal and superior thyroid arteries

• Autorzy: Al-Rafiah A. , El-Haggagy A. A. , Aal I. H. A. , Zaki A. I.
• Języki publikacji: EN

Abstrakty

EN

Background: Human anatomy texts in current use have very little precise information as to the frequency of variations in the bifurcation of the common carotid artery, and a clear description of the relation between external and internal carotid arteries as well as the variation of the origin of the ascending pharyngeal and superior thyroid arteries is limited. Material and methods: Sixty common carotid arteries in the sagittal section of the head and neck of 30 human adult cadavers were obtained from the Anatomy Department of King Abdulaziz University. The data collected were analysed using the Chi square-test. Results: The carotid bifurcation was at the level of the superior border of the thyroid cartilage in 48.3% of cases, 25% were opposite the hyoid bone, and 18.3% were at the level between the thyroid cartilage and the hyoid bone. The bifurcation appeared at a lower level than the superior border of the thyroid cartilage in 5% of cases, while in 3.3% of cases the bifurcation level was seen higher than the hyoid bone. The usual anteromedial position of the external carotid artery to the internal carotid artery was found in 51.7% of cases, whereas it was medial to the internal carotid artery in 36.7% of cases. In 10% it was seen in an anterior position and only in 1.7% the external carotid artery was lateral to the internal carotid artery. In 93.3% of the cases the ascending pharyngeal artery originated from one root, while in the remaining 6.7% of cases it originated from two roots. In 80% of cases the superior thyroid artery arose from the external carotid artery. In 18.3% of cases it originated from the common carotid artery, and in 1.7% it arose from a thyrolingofacial trunk. Conclusions: The carotid bifurcation can occur as high as the hyoid bone, or as low as the cricoid cartilage. The anteromedial position of the external carotid artery (ECA) in relation to the internal carotid artery (ICA) was the most common anatomical position. The origins and configurations of the ascending pharyngeal artery and the superior thyroid artery are variable. (Folia Morphol 2011; 70, 1: 47–55)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2011
• Tom: 70
• Numer: 1
• Opis fizyczny: p.47-55,fig.,ref.

Twórcy

autor

Al-Rafiah A.

• Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, KSA, Saudi Arabia

autor

El-Haggagy A. A.

• Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, KSA, Saudi Arabia

autor

Aal I. H. A.

• Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, KSA, Saudi Arabia

autor

Zaki A. I.

• Faculty of Medicine, King Abdul Aziz University Hospital, Jeddah, KSA, Saudi Arabia
• Faculty of Medicine, King Abdul Aziz University, P.O. Box 42806, Jeddah, 21551, Female Section Building 7, Saudi Arabia

Bibliografia

• 1. Agur AMR, Anne MR, Dalley AF (2005) Grant’s atlas of anatomy. 11th Ed. Williams & Wilkins, Baltimore.
• 2. Akyol MU, Koc C, Ozcan M, Ozdem C. Superior thyroid artery arising from the common carotid artery. Otolaryngol. Head Neck Surg, 1997; 116: 701.
• 3. Anangwe D, Saidi H, Ogeng’o J, Awori KO (2008) Anatomical variations of the carotid arteries in adult kenyans. Est Afr Med J, 85: 244–247.
• 4. Anil A, Turgut HB, Peker T, Pelin C (2000) Variations of the branches of the external carotid artery. Gazi Med J, 11: 81–83.
• 5. Anu VR, Pai MM, Rajalakshmi R, Latha VP, Rajanigandha V, D’Costa S (2007) Clinically-relevant variations of the carotid arterial system. Singapore Med J, 48: 566.
• 6. Bergman RA, Thompson SA, Afifi AK, Saadeh FA (1988) Compendium of human anatomic variations. Urben and Schwarzenberg, Baltimore.
• 7. Chitra R (2008) Trifurcation of the right common carotid artery. Indian J Plast Surg, 41: 85–88.
• 8. Czerwinski F (1981) Variability of the course of external carotid artery and its rami in man in the light of anatomical and radiological studies. Folia Morphol, 4: 449–453.
• 9. Espalieu P, Cottier M, Relave M, Youvarlakis P, Cuilleret J (1986) Radio-anatomic study of the carotid axis with regard to the implantation of microsurgical vascular anastomoses. Surg Radiol Anat, 8: 257–263.
• 10. Faller A, Scharer O (1947) Uber die Variabilitat der Arteriae Thyroideae. Acta Anat, 4: 119–122.
• 11. Gluncic V, Petanjek Z, Marusic A, Gluncic I (2001) High bifurcation of common carotid artery, anomalous origin of ascending pharyngeal artery and anomalous branching of external carotid artery. Surg Radiol Anat, 23: 123–125.
• 12. Gulsen S, Caner H, Altinors N (2009) An anatomical variant: low-lying bifurcation of the common carotid artery and its surgical implications in anterior cervical discectomy. J Korean Neurosurg Soc, 45: 32–34.
• 13. Handa J, Matsuda M, Handa H (1972) Lateral position of the external carotid artery. Report of a case. Radiology, 102: 361–362.
• 14. Hayashi N, Hori E, Ohtani Y, Ohtani O, Kuwayama N, Endo S (2005) Surgical anatomy of the cervical carotid artery for carotid endarterectomy. Neurol Med Chir (Tokyo), 45: 25–29.
• 15. Hollinshead WH (1954) Anatomy for surgeons. Vol. 1. The Head and Neck, Hoeber Harper, New York, pp. 553–557.
• 16. Ilić A, Bogdanović D, Jelicić NO (1973) Nacinu odvajanja prvih pobocnih grana spoljne karotidne arterije. Srpski Arhiv, 2: 117–122.
• 17. Ito H, Mataga I, Kageyama I, Kobayashi K (2006) Clinical anatomy in the neck region the position of external and internal carotid arteries may be reversed. Okajimas Folia Anat Jpn, 82: 157–167.
• 18. Kaneko K, Akita M, Murata E, Imai M, Sowa K (1996) Unilateral anomalous left common carotid artery; a case report. Ann Anat, 178: 477–480.
• 19. Kipré YZ, Ouattara D, Broalet E, Kouakou F, Gotta FS, Kakou M, Yangni-Angaté H, Kassanyou S, BiN’guessan G (2008) Investigation of the collateral branches of the external carotid artery in population from west Africa. Morphologie: Bulletin de‘Association des Anatomists, 92: 176–180.
• 20. Krmpotić-Nemanić J (1978) Anatomie Variationen und Mißbildungen der Gefäßge im Kopf-und Halsbereich. Arch Oto-RhinoLaryingol, 219: 1–91.
• 21. Lemaire V, Jacquemin G, Medot M, Fissette J (2001) Thyrolingual trunk arising from the common carotid artery: a case report. Surg Radiol Anat, 23: 135–137.
• 22. Lo A, Oehley M, Bartlett A, Adams D, Blyth P, Al-Ali S (2006) Anatomical variations of the common carotid artery bifurcation. ANZ J Surg, 76: 970–972.
• 23. Lucev N, Bobinac D, Maric I, Drescik I (2000) Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg, 122: 590–591.
• 24. Matsumoto M, Okuda H, Ishidoh E, Mitsui H (1986) An anomalous case of the common carotid artery giving off several branches and high division of the internal carotid artery. Okajimas Folia Anat Jpn, 63: 37–44.
• 25. Moore KL (2006) Clinically oriented anatomy. 5th Ed. Lippincott, Williams and Wilkins, pp. 1067–1068.
• 26. Nikolić VO (1961) Kolateralnim granama gornjeg dijela zajednicke karotide. Rad Med Fak, 3: 269–278.
• 27. Ozgur Z, Govsa F, Ozgur T (2008) Anatomic evaluation of the carotid artery bifurcation in cadavers: implications for open and endovascular therapy. Surg Radiol Anat, 30: 475–480.
• 28. Prendes JL, Mckinney WM, Buonanno FS, Jones AM (1980) Anatomic variations of the carotid bifurcation affecting Doppler scan interpretation. J Clin Ultrasound, 8: 147–150.
• 29. Smith D, Larsen JL (1979) On the symmetry and asymmetry of the bifurcation of the common carotid artery: a study of bilateral carotid angiograms in 100 adults. Neuroradiology, 17: 245–247.
• 30. Snell RS (2008) Clinical anatomy by regions. 8th Ed. Williams and Wilkins, Lippincott.
• 31. Standring S (2005) Gray’s anatomy: the anatomical basis of clinical practice. 39th Ed. Elsevier, Churchill Livingstone, Edinburgh, London, New York, Oxford, Philadelphia, Sydney, Toronto.
• 32. Smith RS, Benton SD (1978) A rare origin of the superior thyroid artery. Acta Anatomica, 101: 91–93.
• 33. Teal JS, Rumbaugh, CL, Bergeron RT, Segall HD (1973) Lateral position of the external carotid artery: a rare anomaly? Radiology, 108: 77–81.
• 34. Von Poisel S, Golth DZ (1974) Variabilität der großen Arterien im Trigonum caroticum. Wien Med Wochenschr, 15: 229–232.
• 35. Zumre O, Salbacak A, Cicekcibasi AE, Tuncer I, Seker M (2005) 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, 187: 361–369.

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