Saturday 28 July 2012

external carotid


It arises the external carotid artery in the carotid triangle immediately above the greater cornu of the hyoid bone and after short course in the neck it enters the face by piercing the deep cervical fascia at the antero inferior angle of Masseter about an inch in front of the angle of the mandible and runs tortuously upwards & forwards nearly to the angle of the mouth.
   Then it ascends along the side of the nose and ends at the medial angle of the eye by anatomizing with the dorsal nasal branch of the ophthalmic artery.       
Relation
At the lower part, it lies on the Mandible, Buccinator and levator anguli oris covered by the skin, Platysma. Risorius. Zygomaticus major and Levator labii superioris alaque nasi.
   The facial vein lies posterior to the artery and some branches of the facial nerve cross the artery from behind forwards. The facial artery is tortuous in the face, as it has to accomodate itself to the movements of the mandible, lips and cheeks.

Branches (in the face)
1)  Inferior labial: Arises just below the angle of the mounth and passes medially deep to the Depressor anguli oris. It supplies the lower lip and anatomies with the fellow of the opposite side and also with the mental branch of the inferior dental artery.
2) Superior tabial: Arises just above the angle of the month under cover of the Zygomaticus major. It supplies the upper lip and anatomizes with its follow of the opposite side.
     Near the middle line it gives off a Septal Branch, which supplies the lower & front part of the nasal septum and an Alar branch, which supplies the ala of the nose. Sometimes the superior & inferior labial arteries are found to arise together from a single stem.
3)  Lateral nasal: Arises by the side of the nose and lies in the groove above the ala. It supplies the ala & dorsum of the nose and anastomoses with the artery of the opposite side and the neighbouring arteries.

DISSECTION NOTE: Trace the above-mentioned big three branches as well as the terminal part of the facial artery towards the medial angle of the eye; its other smaller, unnamed, muscular branches need not be shown. Lastly clean the trnasverse facial artery and the superficial temporal vessels.

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