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A Rare Case Report: Thyrolingual Trunk and The Absence of Facial Artery Determined by 3D-CTA

Year 2013, Volume: 20 Issue: 3, 257 - 259, 01.06.2013

Zülal Öner Serkan Öner Evren Köse Suat Kamışlı Kaya Saraç

Abstract

Thyrolingual trunk (TLT), arising from the branches of the external carotid artery (ECA), is well-known to be an anatomical variation. However, TLT may rarely originate from the common carotid artery (CCA). Here, we report a 59-year-old male patient with a diagnosis of cerebrovascular disease in whom TLT arising from the left CCA was incidentally determined by three dimensional angiography performed in order to evaluate carotid stenosis and intracranial vascular structures. TLT arose from the left CCA anterior and at its point of origin, infundibular dilatation was observed. On the right side, however, superficial temporal artery STA was originated from the CCA anterior. In addition, the facial artery (FA) was absent on the left, which is a rare variation. Awareness of variations in the cervical region is of great importance for the diagnosis of the pathologies and treatment. Key words: Common Carotid Artery; External Carotid Artery; Thyrolingual Trunk; Multidetector Computed Tomography.

Keywords

Common Carotid Artery; External Carotid Artery; Thyrolingual Trunk; Multidetector Computed Tomography.

References

  • Iwai T, Izumi T, Inoue T, Maegawa J, Fuwa N, Mitsudo K, et al. Thyrolingual trunk arising from the common carotid artery identified by three—dimensional computed tomography angiography. Surg Radiol Anat 2012;34:85-8.
  • Lemaire V, Jacquemin G, Medot M, Fissette J. Thyrolingual trunk arising from the common carotid artery: a case report. Surg Radiol Anat 2001;23:135-7.
  • Adachi B. Arterien system der Japaner. Band |, Kyoto, Verlag der Kaiserlich— Japanischen Universitat zu Kyoto 1928;73-7.
  • Araya R. Anatomical study of the external carotid artery in Japanese. Facial artery. J Oral Anat 1960;15:319-257.
  • Ezure H, Mori R, Ito J, Otsuka N. Case of a completely absent facial artery. Int J Anat Var 2011;4272-4.
  • Hanai H, Fujii H, Nakajima T, Nakamura T, Asano T, Yasuda K, et al. The facial artery and its superior and inferior labial arteries in adult humans. Josai Shika Daigaku Kiyo 1986;15(3)2541-50. Standring S. Gray’s Anatomy. UK, London 2008;444-45. \l
  • Lemaire V, Jacquemin G, Nelissen X, Heymans 0. Tip of the greater horn of the hyoid boneza landmark for cervical surgery. Surg Radiol Anat 2005;27:33—6.
  • Toni R, Casa CD, Castorina S, Malaguti A, Mosca S, Roti E, et al. A meta—analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann
  • Anat 2004;186:255-62.
  • Zumre O, Salbacak A, Cicekcibası AE, Tuncer |, Seker M. 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 2005;187:361—69.
  • Kaneko K, Akita M, Murata E, |mai M, Sowa K. Unilateral anomalous left common carotid artery; a case report. Ann Anat1996;178:477-80.
  • Ozgur Z, Govsa F, Ozgur T. Assessment of origin characteristics of the front branches of the external carotid artery. J Craniofac Surg 2008;19:1159-66.
  • Lucev N, Bobinac D, Maric |, Drescik |. Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 2000;122:590—91.
  • Wollschlaeger G, Wollschlaeger PB, Lucas W, Lopez VF. Experience and result with postmortem cerebral angiography performed as routine procedure of the autopsy. Am J Roentgenol Radium Ther Nucl Med 1967;101:68—87.
  • Sanders WP, Sorek PA, Mehta BA. Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. AJNR Am J Neuroradiol 1993;14:675-530.
  • Uchino A, Saito N, Okada Y, Kozawa E, Nishi N, Mizukoshi
  • W, et al. Fenestrations of the intracranial vertebrobasilar
  • system diagnosed by MR angiography. Neuroradiology 2012;54:445-50

Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu

Year 2013, Volume: 20 Issue: 3, 257 - 259, 01.06.2013

Zülal Öner Serkan Öner Evren Köse Suat Kamışlı Kaya Saraç

Abstract

Arteria carotis externa'nın (ECA) dallarından ayrılan truncus thyrolingualis'in (TLT) anatomik bir varyasyon olduğu iyi bilinmektedir. Ancak TLT nadiren de olsa arteria carotis communis'ten (CCA) köken almaktadır. Biz burada 59 yaşında tanımlanmış serebrovasküler hastalığı (SVH) olan bir erkek hastada karotis stenozunu ve intrakraniyal vasküler yapıları değerlendirmek amacıyla üç boyutlu CT anjiyografi (3D-CTA) çekilmesi sonucunda rastladığımız sol CCA'dan köken alan TLT olgusunu sunmaktayız. TLT, sol CCA'nın anterior yüzünden ayrılmaktaydı. TLT'nin CCA'dan çıkış yerinde infundibuler dilatasyon meydana gelmişti. Sağ tarafta ise süperfisyal temporal arter (STA), CCA anterior yüzünden çıkmaktaydı. Ayrıca bu vakada rastladığımız nadir görülen bir varyasyon da arteria facialis (FA) yokluğuydu. Sağ tarafta FA gözlenirken sol tarafın FA'sı gözlenmemiştir. Boyun bölgesine ait arter varyasyonlarının bilinmesi bu bölgeye ait patolojilerin tanı ve tedavisi açısından oldukça önemlidir. Anahtar kelimeler: Arteria Carotis Communis; Arteria Carotis Externa; Truncus Thyrolingualis; Multidetektör Bilgisayarlı Tomografi.

Keywords

Arteria Carotis Communis; Arteria Carotis Externa; Truncus Thyrolingualis; Multidetektör Bilgisayarlı Tomografi.

References

  • Iwai T, Izumi T, Inoue T, Maegawa J, Fuwa N, Mitsudo K, et al. Thyrolingual trunk arising from the common carotid artery identified by three—dimensional computed tomography angiography. Surg Radiol Anat 2012;34:85-8.
  • Lemaire V, Jacquemin G, Medot M, Fissette J. Thyrolingual trunk arising from the common carotid artery: a case report. Surg Radiol Anat 2001;23:135-7.
  • Adachi B. Arterien system der Japaner. Band |, Kyoto, Verlag der Kaiserlich— Japanischen Universitat zu Kyoto 1928;73-7.
  • Araya R. Anatomical study of the external carotid artery in Japanese. Facial artery. J Oral Anat 1960;15:319-257.
  • Ezure H, Mori R, Ito J, Otsuka N. Case of a completely absent facial artery. Int J Anat Var 2011;4272-4.
  • Hanai H, Fujii H, Nakajima T, Nakamura T, Asano T, Yasuda K, et al. The facial artery and its superior and inferior labial arteries in adult humans. Josai Shika Daigaku Kiyo 1986;15(3)2541-50. Standring S. Gray’s Anatomy. UK, London 2008;444-45. \l
  • Lemaire V, Jacquemin G, Nelissen X, Heymans 0. Tip of the greater horn of the hyoid boneza landmark for cervical surgery. Surg Radiol Anat 2005;27:33—6.
  • Toni R, Casa CD, Castorina S, Malaguti A, Mosca S, Roti E, et al. A meta—analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann
  • Anat 2004;186:255-62.
  • Zumre O, Salbacak A, Cicekcibası AE, Tuncer |, Seker M. 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 2005;187:361—69.
  • Kaneko K, Akita M, Murata E, |mai M, Sowa K. Unilateral anomalous left common carotid artery; a case report. Ann Anat1996;178:477-80.
  • Ozgur Z, Govsa F, Ozgur T. Assessment of origin characteristics of the front branches of the external carotid artery. J Craniofac Surg 2008;19:1159-66.
  • Lucev N, Bobinac D, Maric |, Drescik |. Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 2000;122:590—91.
  • Wollschlaeger G, Wollschlaeger PB, Lucas W, Lopez VF. Experience and result with postmortem cerebral angiography performed as routine procedure of the autopsy. Am J Roentgenol Radium Ther Nucl Med 1967;101:68—87.
  • Sanders WP, Sorek PA, Mehta BA. Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. AJNR Am J Neuroradiol 1993;14:675-530.
  • Uchino A, Saito N, Okada Y, Kozawa E, Nishi N, Mizukoshi
  • W, et al. Fenestrations of the intracranial vertebrobasilar
  • system diagnosed by MR angiography. Neuroradiology 2012;54:445-50
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Zülal Öner This is me

Serkan Öner This is me

Evren Köse This is me

Suat Kamışlı This is me

Kaya Saraç This is me

Publication Date June 1, 2013
Published in Issue Year 2013 Volume: 20 Issue: 3

Cite

APA Öner, Z., Öner, S., Köse, E., Kamışlı, S., et al. (2013). Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu. Journal of Turgut Ozal Medical Center, 20(3), 257-259.
AMA Öner Z, Öner S, Köse E, Kamışlı S, Saraç K. Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu. J Turgut Ozal Med Cent. June 2013;20(3):257-259.
Chicago Öner, Zülal, Serkan Öner, Evren Köse, Suat Kamışlı, and Kaya Saraç. “Nadir Görülen Bir Vaka: 3D-CTA Ile Tanımlanmış Truncus Thyrolingualis Ve Arteria Facialis Yokluğu”. Journal of Turgut Ozal Medical Center 20, no. 3 (June 2013): 257-59.
EndNote Öner Z, Öner S, Köse E, Kamışlı S, Saraç K (June 1, 2013) Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu. Journal of Turgut Ozal Medical Center 20 3 257–259.
IEEE Z. Öner, S. Öner, E. Köse, S. Kamışlı, and K. Saraç, “Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu”, J Turgut Ozal Med Cent, vol. 20, no. 3, pp. 257–259, 2013.
ISNAD Öner, Zülal et al. “Nadir Görülen Bir Vaka: 3D-CTA Ile Tanımlanmış Truncus Thyrolingualis Ve Arteria Facialis Yokluğu”. Journal of Turgut Ozal Medical Center 20/3 (June 2013), 257-259.
JAMA Öner Z, Öner S, Köse E, Kamışlı S, Saraç K. Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu. J Turgut Ozal Med Cent. 2013;20:257–259.
MLA Öner, Zülal et al. “Nadir Görülen Bir Vaka: 3D-CTA Ile Tanımlanmış Truncus Thyrolingualis Ve Arteria Facialis Yokluğu”. Journal of Turgut Ozal Medical Center, vol. 20, no. 3, 2013, pp. 257-9.
Vancouver Öner Z, Öner S, Köse E, Kamışlı S, Saraç K. Nadir Görülen Bir Vaka: 3D-CTA ile Tanımlanmış Truncus Thyrolingualis ve Arteria Facialis Yokluğu. J Turgut Ozal Med Cent. 2013;20(3):257-9.