blood vessels of the face
carotid sinus
a swelling before common carotid artery bifurcates into internal and external carotid arteries, where pulse is palpated, carotid pulse felt in groove
venous sinuses
blood-filled space between two layers of tissue
the right side of body, common carotid and subclavian artiers are both branches from
brachiocephalic artery
sbumental artery
branch from facial artery, supplies submandibular salivary gland, and mylohyoid and digastric muscles
superior labial artery
branch from facial artery, supplies upper lip tissue
incisive artery
branch of in alv artery, divide into dental and alveolar branches, dental branches of incisive artery supply pulp tissue of mandibular anterior teeth by way of each tooth apical foramen
infraorbital artery
branches from the maxillary artery the pterygopalatine fossa and may share a common trunk with the posterior superior alveolar artery., infraorbital artery enter the orbit through inferior orbital fissure, travels in the infraorbital canal, provides orbital branches to the orbit and gives off the naterior superior alveolar artery
common carotid artery
branchless and travel up the neck, lateral to the trachea and larynx, to the upper border of the thyroid cartilage, travels in a sheath also contain internal jugular vein and 10th cranial or vagus nerve
hematoma
bruise that results when a blood vessel is injured and a small amount of blood escapes into the surrounding tissue and clots
thrombus/thrombi
clot that forms on the inner blood vessel wall
pterygoid plexus of veins
collection of small anastomsoing vessels located around ptergoid muscles and surrounding maxillary artery.
major arteries that supply head and neck are
common carotid and subclavian arteries, origin from heart, symetrically located on each side of body
anastomosis/anastomoses
communication of blood vessel with another blood vessel by a connecting channel
maxillary vein
deeper than the superficial temporal vein and begins int eh infrtemproal fossa by collecting blood from the pterygoid plexus, near the maxillary artery.
inferior alveolar artery gives off
dental and alveolar branches,
brachicephalic artery
direct branch of aorta
internal carotid artery
division that travels upward in a slight lateral position( in relationship to the external carotid artery) after leaving common carotid artery, source of opthalmic artery
lingual veins
dorsal veins that drain the dorsal surface of tongue, lingual viens drain ventral surface of tongue and sublingual veins drain floor of mouth, may join to form single vessel amy empy into larger vessels separately, may drain into facial or internal juglar vein
posterio division continues
downward course on surface of SCM, drains lateral scalp behind hear, become Ex jugular vein
superficial temporal vein
drain lateral ascalp and superfically located, drain into and form the tremoandibular vein along wit deeper maxillary vein
ophthalmic veins
drain tissues of orbit, anastomosis provides communication with cavernous venous stinus, which may becom fatally infected thru the spread of dental infection, serious because no veins have valves in head
facial vein
drains into internal jugular vein, beings meidal corner of eye with junction of two veins from frontal region
inferior labial vein
drains lower lip
submental vein
drains tissues of chin as well as submandibular region
superior labial vein
drains upper lip
posterior superior alveolar artery
enters posterior superior alveolar foramina on maxillary tuberosity and then gives off detnal branches and alveolar branches, anastomoses with anterio rsuperior alveolar artery,
anterior division of retromandibular joins
facial
facial artery
final anterior branch of external carotid artery, superior to lingual artery branches off anteriorly, runs medial to mandible, over submandibular salivary gland, then around mandible's inferior border to its lateral side, terminates at medial cnathus of ee, supplies oral, buccal, zygomatic, nasal, infraorbital and orbital regions, parallelled by facial vein
ascending palatine artery
first branch form facial artery, supplies soft palate, palatine muscles, palatine tonsils, can be source of the serious blood loss or hemoorhage that may occur if it is injured during tonsillectomy
embolus/emboli
foreign material or throbus traveling in the blood that can block the vessel
retromandibular vein
form external jugular vein from a portion of its route, merger of superficial temporal vein and maxillary vein, emerges from parotid gland, this vein and its venules drain areas similar to those supplied by superficial temproal and maxilary
superior thryoid artery branches supply what muscles
infrahyoid muslces, sternocleidomastoid msucle, muscles of the larynx, and thyroid gland
common carotid artery divides into
internal and external carotid arteries about the level of the larynx
Posterior auricualr artery supplies
internal ear by its auricular branch and mastoid ari cells by stylomastoid artery
hemorrhage
large amounts of blood that escape into the surrounding tissue without clotting when a blood vessel is seriously injured
maxillary artery
larger terminal branch of eca. Begins at nekc of mandibular condyle within parotid salivary gland, run between the mandible and sphenomandbiular ligament anteriorly and superiorly through the infratemporal fossa, superficial or deep to laterl pterygoid muscle, after traversing the infrtemporal fossa enters pterygopalatine fossa, this is where gives off many branches
blood vessels spread cancer faster than what vessels
lymphatic vessels
Pterygoid plexus protects
maxxilary artery from being compressed during mastication, filling or empything, the pterygoid plexus can accommodate changes in volume of the infratemporal fossa that occur when mandibe moves, drains the viens from deep portion of the face and then drians into maxillary vein
ascending pharyngeal artery
medial branch from ECA,small branches like pharyngeal branches and meningeal branches, supply pharyngeal wall(where anastomose with the ascending palatine artery) soft palate, and meninges of the brain
middle meningeal artery supplies
mengines of brain by way of foremn spinosum, located on inferior surface of the skull as well as the skull bones
branches within infratemporal fossa include
middle meningeal and inferior alveolar arteies and several arteires to muscles
Through pterygoid plexus, the maxillary vein recieves the
middle meningeal, posterior superior alveolar, infeiro alveolar, and other viens such as those from the nose and palate, afer receiveing these veins, th emaxillary vein merges with the superficial temporol vein to drian into and form the retromandibular
carotid pulse
most reliable cuz common carotid is major artery supplying the brain and therefore in an emergency situation remains palpable by hc professional when peripheral arteries such as radial artery are not
plexus
network of blood vessels, usually veins
posterior branches of the ECA
occipital and posterior auricular artery
posterior auricular artery
of ECA, arises superior to occipital artery, and stylohyoid muscles at about levevl of tip of styloid process.
the alveolar branches of incisive artery supply
peridontium including gingiva of anterior teeth, anastomose with the alveolar branches of incisive artery
frontal branch supplies and parietal branch supply
portions of scalp in the frontal and parietal regions
occipital artery
posterior branch of the external caroid artery, passes upward behind the ascending ramus of mandible and travels to posterior portion of scalp,
posterior superior alveolar artery supply
pulp tissue of posterio maxillary teeth by way of each tooth's apical foramen, supply periodontium and gingiva of posterior maxillary teeth
carotid pulse
reliable pulse palpated from the common carotid artery
tongue is also supplied by branches of the lingual artery including
several small dorsal lingual branches to the base and body and deep lingual artery, terminal portion of lingual artery to the apex
arteriole
smaller artery that branches off an artery and connects with a capillary
capillary
smaller blood vessel that branches off an arteriole to supply blood directly to tissue
superficial termporal artery
smaller terminal branch of eca, arise within partoid salivary gland, visible under skin temporal region in patient.
venule
smaller vein that drains the capillaries of the tissue area and then joins larger veins
maxillary artery ends by becomging
sphenopalatine artery
plaque
substance which consists of cholesterol(mainly), calicum, clotting proteins, and other substances that can be found lining arteries
3 anterior branches of the external carotid artery
superior thyroid, lingual, and facial arteries
buccal artery
supplies buccinator msucle and othe rsoft tissue of cheek
sublingual artery
supplies mylohyoid muscle, sublingual salivary gland, and mucous membranes of the floor of the mouth.
transverve facial artery
supplies the parotid salivary gland duct and nearby facial tissue
Suprahyoid branch
supplies the suprahyoid muscles
deep temporal arteries
supply anterior and posterior portion of temporalis muscle
masseteric artery
supply masseter muscle
sphenopalatine artery
supply nasal cavity, gives rise to posterior lateral nasal branches and septal branches, including a nasopalatine branch, that accompanies the nasopalatine nerve through incisive foramen on maxilla
dental branches
supply pulp tissue of mandibular posterior teeth by way of each tooth's apical foramen
pterygoid arteries
supply the lateral and medial pterygoid muscles
occipital artery supplies
suprahyoid and sternocleidomastoid muscles as well as the scalp and meningeal tissues in through the muscular branches, sternocleidomastoid branches, auricular, and mengingeal branches, related to 12th cranial hypoglossal nerve
the junction of two veins in frontal region of facial vein
supratrochelar vein and supraorbital vein
middle temporal artery supplies
temporalis muscle
angular artery
termination of facial artery and supplies tissue along the side of the nose
atherosclerosis
the narrowing and blockage of the arteries by a buildup of plaque
alveolar branches of the inferior alveolar artery supply
the periodontium of the mandibular posterior teeth, including gingiva,
dental professional must be able to locate the larger blood vessels of head and neck because
these vessels may become compromised due to a disease process or during a dental procedure such as a local anesthetic injection
Superficial temporal artery has several branches
transvers facial artery, middle temporal artery, fronta branch, and parietal branch
descending palatine artery
travels to palate through the pterygopalatine canal which then terminates both greater palatine artery and lesser palatine artery by way of greater and lesser palatine foramina to supply the hard and soft palate
terminal branches of the external carotid artery
two branches, superficial termporal artery, and maxiallary artery, give rise to important arteries in head and neck area
artery
type of blood vessel that carries blood away from the heart
vein
type of blood vessel that travels to the heart, carrying blood
valves in what are absent in the head and neck
veins valves, two way flow, dictated by local pressure changes, dental or facial infections can lead to serious complications
what are more numerous and larger than arteries
veins, superficial veins in skin, anastomsose freely, greater variability
opthalmic artery
which supplies the eye, orbit and lacrimal gland
supraorbital vein also anastomoses
wwith ophthalmic veins
inferior labial artery
another branch from facial artery that supplies lower lip tissue including muscles of the facial expression such as depressor anguli oris muscle
lingual artery
anterior branch of E.C.Aarises superior to the superior thyroid artery at the level of the hyoid bone, travels anteriorly toapex of the tongue inferior surface, supplies tissues such as suprahyoid muscles, floor of mouth, by dorsal lingual, deep lingual, sublingual, and suprahyoid branches
superior thyroid artery
anterior branch of eca,has branches, infrahyoid artery, sternocleidomastoid branch, superior laryngeal artery, cricothyroid branch, supploy tissue inferior to hyoid bone
four set of branches of external carotid artery
anterior, medial, posterior, and terminal branches
left side of body the comm carotid and subclavian arteries arise directly from
aorta
mental artery
arise from in alveolar artery and exits mandibular canal by way of mental foramen, deep apices of 1st and 2nd premolars of mandibular teeth, supplies tissue of chin and anastomoses with the inferior labial artery
anterior superior alveolar artery
arise from infraorbital artery gives off dental and alveolar branches, anastomoses with posterio superior alveaolar artery, supply pulp max anterior teeth, supply periodontium and gingivam anastomoses with facial artery
inferior alveolar artery
arise from maxillary artery in infratemporal fossa, runs inferiorly to enter mandibular foramen and then mandibula rcanal along the inferior alveolar nerve, mylohyoid artery branches from inferior alveolar artery before it enters the canal
mylohyoid artery
arises from inferior alveolar artery before main artery enters the mandibular canal by way of mandibular foramen, travels in mylohyoid groove on inner surface of mandible supplies the floor of the mouth and the mylohyoid muscle
subclavian artery
arises lateral to the common carotid artery, supply both intracranial and extracranial sturctures, upper extremity arm
Inferior alveolar artery branches into two
arteries within mandibular canal, mental and incisive arteries
facial vein receives branches form same areas e of the face that are supplied by facial
artery, vein anastomoses with deep veins such as pterygoid plexus in infratemporal fossa and with large retromandbiular vein before joing the internal jgular vein at level of hyoid bone
blood flow
artery-->arteriole-->capillary-->venule-->veins
facial artery major branches
ascending palatine, glandular branches, submental, inferior labial, superior labial, angular arteries
bacteremia
bacteria traveling within the vascular system
external carotid artery
begins at superior border of the thyroid cartilage, at the termination of the common carotid artery and the carotid sheath, supplies extracranial tissues, including oral cavity, has four set of branches grouped according to their location to main artery
