DOI:

10.37988/1811-153X_2023_3_140

Clinical anatomy features of the buccal part of the facial vein

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Authors

  • A.V. Mirontsev 1, 2, assistant at the Operative surgery and topographic anatomy department; senior lecturer of the Fundamental medicine Department
  • Yu.L. Vasil’ev 1, PhD in Medical Sciences, full professor of the Operative surgery and topographic anatomy Department
    ORCID ID: 0000-0003-3541-6068
  • L.Yu. Kolesova 3, PhD in Medical Sciences, cosmetologist
    ORCID ID: 0000-0003-2335-8462
  • K.A. Zhandarov 1, PhD in Medical Sciences, associate professor of the Operative surgery and topographic anatomy department
    ORCID ID: 0000-0002-2908-6990
  • M.V. Tolgskiy 4, 5th year student
    ORCID ID: 0000-0003-2884-0565
  • R.R. Tiumenev 4, 5th year student
    ORCID ID: 0000-0001-8238-0198
  • V.I. Shakhabadinov 4, 6th year student
    ORCID ID: 0000-0002-3216-7978
  • E.A. Mustafina 4, 5th year student
    ORCID ID: 0000-0002-1009-0383
  • A.G. Smoleevsky 1, 6th year student
    ORCID ID: 0000-0002-8771-8589
  • E.V. Blinova 1, 2, PhD in Medical Sciences, professor of the Operative surgery and topographic anatomy Department; head of the Fundamental medicine Department
    ORCID ID: 0000-0003-0050-0251
  • M.Yu. Kapitonova 5, Doctor of Sciences (Medicine), professor of anatomy at the department of Basic medical sciences
    ORCID ID: 0000-0001-6055-3123
  • V.V. Tatarkin 4, PhD in Medical Sciences, associate professor of the Surgical and clinical anatomy Department
    ORCID ID: 0000-0002-9599-3935
  • N.V. Mikutskaya 6, PhD in Medical Sciences, senior lecturer of the Operative surgery and topographic anatomy department
    ORCID ID: 0000-0002-3632-7406
  • A. Khlebnikova 7, dermatologist-cosmetologist
    ORCID ID: 0009-0000-1980-6627
  • S.S. Dydykin 1, PhD in Medical Sciences, head of the Operative surgery and topographic anatomy Department
    ORCID ID: 0000-0002-1273-0356
  • 1 Sechenov University, 119991, Moscow, Russia
  • 2 Moscow Engineering Physics Institute, 115409, Moscow, Russia
  • 3 Novonexus LLC, 125190, Moscow, Russia
  • 4 Mechnikov North-West State Medical University, 191015, Saint-Petersburg, Russia
  • 5 University of Malaysia Sarawak, 94300, Samarahan, Malaysia
  • 6 Stavropol State Medical University, 355017, Stavropol, Russia
  • 7 “Friends” clinic of evidence-based medicine, 400066, Volgograd, Russia

Abstract

Surgical interventions such as bishectomy or the oroantral fissure closure using the buccal extension of the buccal fat pad performed with transoral incision, which is associated with a significant number of risks. These risks include damaging of the facial vein and there is no information its relationships with the fat body of the cheek in literature. The aim of the study is to describe the features of the clinical anatomy of the buccal part of the facial vein and its relationships with the buccal extention of the buccal fat pad.
Materials and methods.
We used 30 fresh cadavers heads, 15 both males and females. Vessels been filled with silicone compound according to the M. Landofi method. Topographic and anatomical study was performed by layer-by-layer dissection on each side, so the total number of observations was 60. The relation of the facial vein to the facial artery, buccal fat pad and buccal muscle were described. Dissection results were photographed and recorded.
Results.
The facial vein was founded in 82% (n=49) cases. Were found 3 types of the relationship between the facial vein and the buccal fat pad. In the first type (58%; n=35), the facial vein passes through the buccal region between the outer surface of the buccal muscle and the buccal extension of the buccal fat pad. In the second type (15%; n=9), the facial vein lies on the surface of the buccal muscle anteriorly to the buccal fat pad. The third type (8%; n=5) — the facial vein lies superficially, outward from the buccal fat pad. In most cases the combined weight of 1 and 2 types of the facial vein relationships was 73% (n=44), the facial vein in the buccal region lies in the space between the buccal fat pad and the buccal muscle, crossing the most common horizontal incisions.
Conclusions.
The different types of the facial vein and buccal fat pad relationships should be taken into account as a potential risk factor during planning surgical interventions. Since in most cases the course of the facial vein crossing with the direction of the most common surgical incision, it is necessary to look for other safer options for surgical access to the buccal fat pad.

Key words:

facial vein, buccal fat pad, bishectomy

For Citation

[1]
Mirontsev A.V., Vasil’ev Yu.L., Kolesova L.Yu., Zhandarov K.A., Tolgskiy M.V., Tiumenev R.R., Shakhabadinov V.I., Mustafina E.A., Smoleevsky A.G., Blinova E.V., Kapitonova M.Yu., Tatarkin V.V., Mikutskaya N.V., Khlebnikova A., Dydykin S.S. Clinical anatomy features of the buccal part of the facial vein. Clinical Dentistry (Russia).  2023; 26 (3): 140—145. DOI: 10.37988/1811-153X_2023_3_140

References

  1. De Riu G., Meloni S.M., Bozzo C., Meloni F., Tullio A. A double buccal fat pad flap for middle palate defect closure—a new technique for palate closure. Int J Oral Maxillofac Surg. 2006; 35 (11): 1057—9. PMID: 16828541
  2. Liu Y.M., Chen G.F., Yan J.L., Zhao S.F., Zhang W.M., Zhao S., Chen L. Functional reconstruction of maxilla with pedicled buccal fat pad flap, prefabricated titanium mesh and autologous bone grafts. Int J Oral Maxillofac Surg. 2006; 35 (12): 1108—13. PMID: 17097269
  3. Pinto P.X., Debnath S. Use of pedicled graft of buccal fat pad to line a nasal defect in releasing pushback palatoplasty. Br J Oral Maxillofac Surg. 2007; 45 (3): 249—50. PMID: 17064829
  4. Denes S.A., Tieghi R., Elia G. The buccal fat pad for closure of oroantral communication. J Craniofac Surg. 2016; 27 (3): e327—30. PMID: 27100645
  5. Kim J.T., Sasidaran R. Buccal fat pad: An effective option for facial reconstruction and aesthetic augmentation. Aesthetic Plast Surg. 2017; 41 (6): 1362—1374. PMID: 28849246
  6. Cohen S.R., Fireman E., Hewett S., Saad A. Buccal fat pad augmentation for facial rejuvenation. Plast Reconstr Surg. 2017; 139 (6): 1273e-1276e. PMID: 28538560
  7. Wang W., Xie Y., Huang R.L., Zhou J., Tanja H., Zhao P., Cheng C., Zhou S., Pu L.L.Q., Li Q. Facial contouring by targeted restoration of facial fat compartment volume: The midface. Plast Reconstr Surg. 2017; 139 (3): 563—572. PMID: 28234822
  8. Paul M.D. The anterior SMAS approach for facelifting and for buccal fat pad removal. Aesthetic Plast Surg. 2017; 41 (5): 1100—1105. PMID: 28698935
  9. Moura L.B., Spin J.R., Spin-Neto R., Pereira-Filho V.A. Buccal fat pad removal to improve facial aesthetics: an established technique? Med Oral Patol Oral Cir Bucal. 2018; 23 (4): e478-e484. PMID: 29924767
  10. Sezgin B., Tatar S., Boge M., Ozmen S., Yavuzer R. The excision of the buccal fat pad for cheek refinement: Volumetric considerations. Aesthet Surg J. 2019; 39 (6): 585—592. PMID: 30084868
  11. Loukas M., Kapos T., Louis R.G. Jr, Wartman C., Jones A., Hallner B. Gross anatomical, CT and MRI analyses of the buccal fat pad with special emphasis on volumetric variations. Surg Radiol Anat. 2006; 28 (3): 254—60. PMID: 16528468
  12. Robardey G., Le Roux M.K., Foletti J.M., Graillon N., Gormezano M., Varoquaux A., Lan R., Chossegros C. The Stensen‘s duct line: A landmark in parotid duct and gland injury and surgery. A prospective anatomical, clinical and radiological study. J Stomatol Oral Maxillofac Surg. 2019; 120 (4): 337—340. PMID: 30981905
  13. Pierrefeu A., Brosset S., Lahon M., Guerid S., Shipkov H., Boucher F., Breton P., Sigaux N., Mojallal A. Transverse facial artery perforators: Anatomical, two- and three-dimensional radiographic study. Plast Reconstr Surg. 2019; 143 (4): 820e-828e. PMID: 30921143
  14. Stringer M.D., Mirjalili S.A., Meredith S.J., Muirhead J.C. Redefining the surface anatomy of the parotid duct: an in vivo ultrasound study. Plast Reconstr Surg. 2012; 130 (5): 1032—1037. PMID: 23096603
  15. Afzelius P., Nielsen M.Y., Ewertsen C., Bloch K.P. Imaging of the major salivary glands. Clin Physiol Funct Imaging. 2016; 36 (1): 1—10. PMID: 25319072
  16. Mirontsev A.V., Vasil‘ev Yu.L., Zhandarov K.A., Kolesova L.Yu. Comparative anatomy of the interrelations between the transverse facial artery and the parotid duct. Russian Journal of Operative Surgery and Clinical Anatomy. 2022; 4: 31—36 (In Russian). eLIBRARY ID: 49916248
  17. Traboulsi-Garet B., Camps-Font O., Traboulsi-Garet M., Gay-Escoda C. Buccal fat pad excision for cheek refinement: A systematic review. Med Oral Patol Oral Cir Bucal. 2021; 26 (4): e474-e481. PMID: 34023838
  18. Pimentel T., Hadad H., Statkievicz C., Alcantara-Júnior A.G., Vieira E.H., Souza F.Á., Garcia-Júnior I.R. Management of complications related to removal of the buccal fat pad. J Craniofac Surg. 2021; 32 (3): e238-e240. PMID: 32868718
  19. Alcântara M.T., Ribeiro N.R., Abreu D.F. Complications associated with bichectomy surgery: a literature review. Minerva Dent Oral Sci. 2021; 70 (4): 155—160. PMID: 33138350
  20. Lee J., Nolan P., Baker J. Treatment of parotid sialocele after sustaining a facial injury. Case report and literature review. N Y State Dent J. 2016; 82 (2): 27—32. PMID: 27209715
  21. Awana M., Arora S.S., Arora S., Hansraj V. Reconstruction of a traumatically transected Stensen‘s duct using facial vein graft. Ann Maxillofac Surg. 2015; 5 (1): 96—9. PMID: 26389044
  22. Lohn J.W., Penn J.W., Norton J., Butler P.E. The course and variation of the facial artery and vein: implications for facial transplantation and facial surgery. Ann Plast Surg. 2011; 67 (2): 184—8. PMID: 21712695
  23. Cotofana S., Steinke H., Schlattau A., Schlager M., Sykes J.M., Roth M.Z., Gaggl A., Giunta R.E., Gotkin R.H., Schenck T.L. The anatomy of the facial vein: Implications for plastic, reconstructive, and aesthetic procedures. Plast Reconstr Surg. 2017; 139 (6): 1346—1353. PMID: 28538555
  24. Hanspach J., Nagel A.M., Hensel B., Uder M., Koros L., Laun F.B. Sample size estimation: Current practice and considerations for original investigations in MRI technical development studies. Magn Reson Med. 2021; 85 (4): 2109—2116. PMID: 33058265
  25. Ovsepyan A.L., Smirnov A.A., Pustozerov E.A., Mokhov D.E., Mokhova E.S., Trunin E.M., Dydykin S.S., Vasil‘ev Y.L., Yakovlev E.V., Budday S., Paulsen F., Zhivolupov S.A., Starchik D.A. Biomechanical analysis of the cervical spine segment as a method for studying the functional and dynamic anatomy of the human neck. Ann Anat. 2022; 240: 151856. PMID: 34793958
  26. Landolfi M., Karmarkar S., Bhatia S., Taibah A., Russo A., Sanna M. An easy, cost-effective, and time-conserving method of studying the vascular anatomy of the base of the skull. Skull Base Surg. 1995; 5 (3): 181—4. PMID: 17170945

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Received

July 6, 2023

Accepted

August 15, 2023

Published on

September 24, 2023