Extraoral ligation of the lingual artery: An anatomic study

Eric J. Homze, Stanton D. Harn, Bruce J. Bavitz

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)321-324
Number of pages4
JournalOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Volume83
Issue number3
DOIs
StatePublished - Jan 1 1997

Fingerprint

Tongue
Ligation
Arteries
Hypoglossal Nerve
Lingual Nerve
Hyoid Bone
Cadaver
Tendons
Dissection
Anatomy
Neck
Hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology
  • Dentistry(all)

Cite this

Extraoral ligation of the lingual artery : An anatomic study. / Homze, Eric J.; Harn, Stanton D.; Bavitz, Bruce J.

In: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, Vol. 83, No. 3, 01.01.1997, p. 321-324.

Research output: Contribution to journalArticle

@article{cd24efd312b44232b22ea9ffd32948d2,
title = "Extraoral ligation of the lingual artery: An anatomic study",
abstract = "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.",
author = "Homze, {Eric J.} and Harn, {Stanton D.} and Bavitz, {Bruce J.}",
year = "1997",
month = "1",
day = "1",
doi = "10.1016/S1079-2104(97)90236-5",
language = "English (US)",
volume = "83",
pages = "321--324",
journal = "Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology",
issn = "2212-4403",
publisher = "Elsevier USA",
number = "3",

}

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 - 1997/1/1

Y1 - 1997/1/1

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.

UR - http://www.scopus.com/inward/record.url?scp=0031084884&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031084884&partnerID=8YFLogxK

U2 - 10.1016/S1079-2104(97)90236-5

DO - 10.1016/S1079-2104(97)90236-5

M3 - Article

C2 - 9084192

AN - SCOPUS:0031084884

VL - 83

SP - 321

EP - 324

JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

SN - 2212-4403

IS - 3

ER -