TY - JOUR
T1 - Extraoral ligation of the lingual artery
T2 - An anatomic study
AU - Homze, Eric J.
AU - Harn, Stanton D.
AU - Bavitz, Bruce J.
PY - 1997
Y1 - 1997
N2 - Objectives. This article's purpose is to describe the variation in lingual artery position, review the anatomy and historical background of the smaller triangles of the anterior aspect of the neck, and discuss management of intraoral hemorrhage arising from the lingual artery. Study design. Ninety-one extraoral dissections of the submandibular region were performed on 54 human cadavers. Results. Pirogoff's triangle was present in 58.2% of the cases. The lingual artery was inferior to the digastric tendon in 67% and 6.3 mm (±3.9 mm) superior to the hyoid bone. The lingual artery was inferior to the hypoglossal nerve in 84.6%, directly deep to the nerve in 11%, and superior to the nerve in 4.4%. Conclusions. The lingual artery and hypoglossal nerve were more inferior than classically described. This finding suggests the need for a refinement of the extraoral ligation procedure, in which the facial artery is ligated first, and then, if necessary, the lingual artery is clamped and tied.
AB - Objectives. This article's purpose is to describe the variation in lingual artery position, review the anatomy and historical background of the smaller triangles of the anterior aspect of the neck, and discuss management of intraoral hemorrhage arising from the lingual artery. Study design. Ninety-one extraoral dissections of the submandibular region were performed on 54 human cadavers. Results. Pirogoff's triangle was present in 58.2% of the cases. The lingual artery was inferior to the digastric tendon in 67% and 6.3 mm (±3.9 mm) superior to the hyoid bone. The lingual artery was inferior to the hypoglossal nerve in 84.6%, directly deep to the nerve in 11%, and superior to the nerve in 4.4%. Conclusions. The lingual artery and hypoglossal nerve were more inferior than classically described. This finding suggests the need for a refinement of the extraoral ligation procedure, in which the facial artery is ligated first, and then, if necessary, the lingual artery is clamped and tied.
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U2 - 10.1016/S1079-2104(97)90236-5
DO - 10.1016/S1079-2104(97)90236-5
M3 - Article
C2 - 9084192
AN - SCOPUS:0031084884
SN - 1079-2104
VL - 83
SP - 321
EP - 324
JO - Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
JF - Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
IS - 3
ER -