{"id":873,"date":"2017-09-30T03:54:13","date_gmt":"2017-09-30T03:54:13","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=873"},"modified":"2017-09-30T03:54:13","modified_gmt":"2017-09-30T03:54:13","slug":"ijar-2017-338","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-338","title":{"rendered":"IJAR.2017.338"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"http:\/\/www.ijmhr.org\/ijar.5.3\/IJAR.2017.338.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-5-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0 Case Report<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 3.3 (September 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a04369-4372<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.338<\/h3>\n<h3 style=\"text-align: justify;\">BILATERAL VARIATION IN THE CAROTID ARTERIAL SYSTEM: A CASE REPORT<\/h3>\n<p style=\"text-align: justify;\"><strong>Padmashree.B.R <sup>1<\/sup>, Radhika P.M *<sup>2<\/sup>, Veena Vidyashankar <sup>3<\/sup>, Shailaja Shetty <sup>4<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1 <\/sup>Postgraduate , Department of Anatomy, Ramaiah Medical College, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\">*<sup>2<\/sup> Assistant Professor, Department of Anatomy, Ramaiah Medical College, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Associate Professor, Department of Anatomy, \u00a0Ramaiah Medical College, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>4<\/sup> \u00a0Professor &amp;HOD, Department of Anatomy, Ramaiah Medical College, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence:<\/strong> Dr.Radhika P.M, Assistant Professor, Department of Anatomy, Ramaiah Medical College, MSRIT Post, Bangalore, 560054, India. Phone: 9035044023 <strong>E-Mail:<\/strong> parameshradhika@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction<\/strong>: Common carotid artery is the most important arterial system which supplies the structures of head and neck region. Variations have been documented with respect to the course, branching and distribution of common carotid artery. Variations in the branching pattern of external carotid artery are also commonly documented. The branches of external carotid artery are important landmarks for adequate exposure and appropriate placement of cross clamps on the carotid artery.It is important for plastic surgeons in orderto avoid iatrogenic injuries and create a blood less surgical field<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods: <\/strong>During the routine dissection of head and neck region of a 50 year old, male embalmed cadaver in the Department of Anatomy, Ramaiah Medical College during the year 2015-16, a variation in the position and branching pattern of external carotid artery was noted bilaterally. All the variations were documented and digitally photographed.<\/p>\n<p style=\"text-align: justify;\"><strong>Observation: <\/strong>External carotid artery was anterolateralto internal carotid artery in the lower part of the carotid triangle on both right &amp; left sides. \u00a0On the right side, superior thyroid artery was arising from common carotid artery. On left side, Superior thyroid artery, ascending pharyngeal artery and the lingual artery were arising from common carotid arteryproximal to its bifurcation.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> A thorough knowledge of\u00a0 variations in carotid arterial system are very much important to surgeons during ligation of the blood vessels at the time of surgeries\u00a0 involving the head and neck region to prevent iatrogenic complications. Knowledge of these variations is also important for radiologist for interpretation of angiograms.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Common carotid artery, external carotid artery, carotid bifurcation, superior thyroid artery, lingual artery.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Standring S. Gray\u2019s anatomy. The anatomical basis of clinical practice. 40th ed. London: Elsevier Churchill Livingstone;2008.415<\/li>\n<li style=\"text-align: justify;\">Navakalyani, Janaki.V, Sumalatha. Variant branching patterns of external carotid artery-pharyngo-occipital trunk and occipito-auricular trunk. Journal of Dental and Medical Sciences 2016; 15(8):44-47.<\/li>\n<li style=\"text-align: justify;\">T.R. Unusual branching pattern of external carotid artery in a cadaver. Chang Gung Med J2011; 34(Suppl 6):24-27.<\/li>\n<li style=\"text-align: justify;\">Hayashi N, Hori E, Ohtani Y, Ohtani O, Kuwayama N, Endo S.Surgical anatomy of cervical carotid artery for carotid endarterectomy. Neurol Med Chir (Tokyo).2005 ;45(1):25-9<\/li>\n<li style=\"text-align: justify;\">SujathaManupathi, RajuSuganasi, Indiradevi.B, SirishaB, Kanchanalatha.G. Variant anterolateral position of external carotid artery and its clinical significance. Indian journal of basic and applied medical research.2012-June; 1(3): 236-238.<\/li>\n<li style=\"text-align: justify;\">PrendensJL, Mc Kinney WM, Buonanno FS, Jones AM. Anatomic variations of the carotid bifurcation affecting the Doppler scan interpretation. J.Clin Ultrasound.1980;8:147-150.<\/li>\n<li style=\"text-align: justify;\">BussakaH, SatoN, OguniT, KorogiM, YamashitaY, TakahashiM. Lateral position of ECA.Rhinsho hoshasen.1990;35:1061-3.<\/li>\n<li style=\"text-align: justify;\">B.Roa,V.R.Vollala,M.Rao,V.P.Samuel,Deepthinath,S.Nayak,N.Pamidi.Unusual position of external carotid artery:A case report.Indian journal of Plastic surgery.July \u2013December-2015; 38(2):170<\/li>\n<li style=\"text-align: justify;\">Sudeshna Majumdhar, Santanu Bhattarcharya, PanchananKundu, Kalyan Bhattarcharya. Unilateral variation in the position of internal and external carotid arteries.Italian journal of anatomy and embryology.2013; 118:177-183.<\/li>\n<li style=\"text-align: justify;\">BergmannBergman RA, A\ufb01\ufb01 AK, Miyauchi R Opus I: Cardiomuscular : Alpha-betical Listing of Cardiovascular: C, Common carotid artery. In: Bergman RA, A\ufb01\ufb01 AF, Miyauchi R, editors. Illustrated Encyclopedia of Human Anatomic Variation. Available from: URL: http:\/\/www.anatomyatlases.org\/AnatomicVariants\/Cardiovascular\/Text\/Arteries\/CarotidCommon.shtml<\/li>\n<li style=\"text-align: justify;\">BannaM, LajauniasP.The Arteries of the Lingual thyroid; Angiographic findings and anatomic variations.AM J Neuro-radiol.1990;11:730-732.<\/li>\n<li style=\"text-align: justify;\">LucevN, Babinac D, MaricJ, DrescikI. Variations of the Great arteries in the Carotid triangle.Otolaryngol Head and neck surgery.2000;122:590-591<\/li>\n<li style=\"text-align: justify;\">Takkallapalli Anitha, Dattatray Dombe, Krishnamurthy Asha, Sanjay Kalbande. Clinically relevant variations of the superior thyroid artery: An anatomic guide for neck surgeries Int J Pharm Biomed Sci 2011, 2(2), 51-54.<\/li>\n<li style=\"text-align: justify;\">Abhijeet Joshi, SumitGupta,V.H.Vaniya.Anatomical variation in the origin of superior thyroid artery and its relation with the external laryngeal nerve.National Journal of Medical Research.2014; 4 (2):138-141.<\/li>\n<li style=\"text-align: justify;\">Shivaleela C, Anupama. D, Lakshmi prabhasubhash R. Study of anatomical variations in the origin of superior thyroid artery.International journal of anatomy and research.2016;4(1):1765-68.<\/li>\n<li style=\"text-align: justify;\">C.S,Tejaswi Hiremarali Lokanathan. Anatomical variations in the origin of superior thyroid artery and its clinical signifance.International journal of anatomy and research.2016;4(3):2656-58.<\/li>\n<li style=\"text-align: justify;\">Sung Yoon Won.Anatomical considerations of superior thyroid artery:itsorigin,variations and position relative to hyoid bone and thyroid cartilage.Anat cell boil. 2016 june; 49(2):138-142<\/li>\n<li style=\"text-align: justify;\">Czerwinski F. Variability of the course of external carotid artery and its rami in man in the light of anatomical and radiological studies. Folia Morphol 1981;4:449\u2013 454.<\/li>\n<li style=\"text-align: justify;\">Surekha. DJadhav. Manoj P Ambali, Raosaheb J.patil. Anatomical variation of the origin of the right lingual artery. International journal of anatomical variations.2011;4:75-76.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Padmashree.B.R, Radhika P.M, Veena Vidyashankar, Shailaja Shetty. BILATERAL VARIATION IN THE CAROTID ARTERIAL SYSTEM: A CASE REPORT. Int J Anat Res 2017;5(3.3):4369-4372. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2017.338\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0 Case Report Volume 5; Issue 3.3 (September 2017) Page No.:\u00a04369-4372 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.338 BILATERAL VARIATION IN THE CAROTID ARTERIAL SYSTEM: A CASE REPORT Padmashree.B.R 1, Radhika P.M *2, Veena Vidyashankar 3, Shailaja Shetty 4. 1 Postgraduate , Department of Anatomy, Ramaiah Medical College, Bangalore, Karnataka, India. *2 Assistant Professor, Department of Anatomy, Ramaiah Medical<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-338\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/873"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=873"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/873\/revisions"}],"predecessor-version":[{"id":895,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/873\/revisions\/895"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}