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: 0000-0003-3541-6068
  • L.Yu. Kolesova 3, PhD in Medical Sciences, cosmetologist
    ORCID: 0000-0003-2335-8462
  • K.A. Zhandarov 1, PhD in Medical Sciences, associate professor of the Operative surgery and topographic anatomy department
    ORCID: 0000-0002-2908-6990
  • M.V. Tolgskiy 4, 5th year student
    ORCID: 0000-0003-2884-0565
  • R.R. Tiumenev 4, 5th year student
    ORCID: 0000-0001-8238-0198
  • V.I. Shakhabadinov 4, 6th year student
    ORCID: 0000-0002-3216-7978
  • E.A. Mustafina 4, 5th year student
    ORCID: 0000-0002-1009-0383
  • A.G. Smoleevsky 1, 6th year student
    ORCID: 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: 0000-0003-0050-0251
  • M.Yu. Kapitonova 5, Doctor of Sciences (Medicine), professor of anatomy at the department of Basic medical sciences
    ORCID: 0000-0001-6055-3123
  • V.V. Tatarkin 4, PhD in Medical Sciences, associate professor of the Surgical and clinical anatomy Department
    ORCID: 0000-0002-9599-3935
  • N.V. Mikutskaya 6, PhD in Medical Sciences, senior lecturer of the Operative surgery and topographic anatomy department
    ORCID: 0000-0002-3632-7406
  • A. Khlebnikova 7, dermatologist-cosmetologist
    ORCID: 0009-0000-1980-6627
  • S.S. Dydykin 1, PhD in Medical Sciences, head of the Operative surgery and topographic anatomy Department
    ORCID: 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

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Received

July 6, 2023

Accepted

August 15, 2023

Published on

September 24, 2023