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. 2021 Oct 28;57(11):1172. doi: 10.3390/medicina57111172

Table 1.

Summary of described branching patterns of the facial artery and their frequency (literature review).

Author Type of Study Number of Arteries Types/Categories Frequency Annotations
Bayram et al. [4] Anatomical study n = 25 3 types based on termination Type 1 (angular): 76%
Type 2 (superior labial): 12%
Type 3 (inferior labial): 12%
Study performed on fetuses
Dupoirieux et al. [20] Anatomical study n = 20 5 classes based on pattern and termination Type 1 (angular): 20%
Type 2 (nasal dorsal): 45%
Type 3 (coronal labial): 35%
Type 4 (double): 0%
Type 5 (weak): 0%
Furukawa et al. [14] Head and neck CT with contrast agent n = 187 4 types based on termination Type 1 (superior labial): 34.2%
Type 2 (nasolabial): 39.6%
Type 3 (lateral nasal): 24%
Type 4 (dominant angular): 2.1%
Koh et al. [21] Anatomical study n = 91 6 types based on the pattern of final arterial branches Forehead type: 4.4%
Angular type: 36.3%
Nasal type: 44%
Alar type: 3.3%
Superior labial type: 6.6%
Inferior labial type: 5.5%
Koziej et al. [13] Head and neck CT with contrast agent n = 255 5 categories based on termination and branching Type I (proximal to superior labial): 24.7%
Type II (distal to superior labial): 31.4%
Type III (textbook course): 40%
Type IV (dominant lateral angular): 1.6%
Type V (hypoplastic vessel): 2.4%
Lasjaunias et al. [22] Angiographic findings Qualitative description of the vascularization of the face and branches of the facial artery and their hemodynamic important anastomoses Functional arterial monopedicles formed by the following (partly) anastomosing branches:
Ascending palatine artery
Submaxillary artery
Submental artery
Inferior masseteric artery
Jugal trunk (buccal artery and posterior jugal artery)
Middle mental artery
Inferior labial artery
Superior labial artery
Anterior jugal artery
Nasal arcade
Angular orbital artery
Lee et al. [23] Anatomical study n = 54 3 categories based on the branching Type I (nasolabial type): 51.8%
Type II (infraorbital trunk): 29.6%
Type III (forehead pattern): 18.6%
Lohn et al. [12] Anatomical study n = 201 6 categories based on the terminal branch Type I (angular): 20%
Type II (lateral nasal): 48%
Type III (inferior alar): 17%
Type IV (superior labial): 10%
Type V (inferior labial): 3%
Type VI (undetected): 2%
Loukas et al. [8] Anatomical study n = 200 6 types based on the branching and termination with subtypes Type A (typical arrangement): 47.5%
Type B (nasal): 38.7%
Type C (superior labial–alar): 8.4%
Type D (duplex or long course): 3.8%
Type E (rudimentary): 1.4%
Duplex, being an angular artery branching off at the level of the mouth
Mağden et al. [24] Anatomical study n = 27 Neurovascular and anatomical features and relations of the premasseteric branch and its branches (origin location, diameter, length, course) Separate origin of the premasseteric branch from the facial artery in all cases
Location determined according to the body of the mandible
Diameter 1.12 mm (at level of origin), in 3% of cases larger than the facial artery
Observation of the course up to the upper anterior border of the masseter
Description of branches and anastomoses
Marx et al. [25] Case report Anomalous artery pattern in both sides
Termination as inferior labial on the right, missing inferior labial on the left
Midy et al. [16] Anatomical study n = 40 4 types based on the termination Type 1 (angular): 27.5%
Type 2 (labial): 40%
Type 3 (nasal): 30%
Type 4 (abortive): very uncommon, found only once
Mitz et al. [26] Anatomical study n = 50 5 types based on course, pattern, and termination Type 1 (nasal): 78%
Type 2 (classic): 4%
Type 3 (intermediate): 10%
Type 4 (duplicate): 4%
Type 5 (weak): 8%
Niemann et al. [17] Anatomical study n = 39 6 types based on the origin of the branches Type 1, each of the branches arose separately from the facial
artery, as in the standard anatomic definition: 64.10%
Type 2, the superior labial branch gave off an inferior alar
branch: 17.95%
Type 3, the superior and inferior labial branches originated
from a common trunk and the facial artery had early
termination: 2.56%
Type 4, the superior and inferior alar branches came from a
common trunk and no superior labial and inferior labial
branches were present: 2.56%
Type 5, the facial artery was rudimentary, which is when the
artery terminated after giving off an inferior labial artery,
but before reaching the upper lip: 2.56%
Type 6, the facial artery was abortive, which is when the
facial artery gives off no facial branches: 2.56%
Padur and Kumar [15] Case report Bifurcation of the facial artery with posterior branch terminating in the buccal region
Pilsl et al. [11] Anatomical study n = 60 4 types based on course, pattern, and termination Type 1 (textbook course): 41.7%
Type 2 (no angular): 26.7%
Type 3 (superior labial): 18.3%
Type 4 (two branches): 13.3%
In type 4, the branching was observed at the level of the mouth after release of the inferior labial artery
Pinar et al. [27] Anatomical study n = 50 5 classes based on termination Type 1 (angular): 22%
Type 2 (nasal): 60%
Type 3 (alar): 12%
Type 4 (superior labial): 4%
Type 5 (hypoplastic): 2%
Vasudha et al. [28] Anatomical study n = 50 Classification based on description of Koh et al., Bayram et al. and Loukas et al. Type 1 (angular): 56%
Type 2 (superior labial): 30%
Type 3 (inferior labial): 0%
Type A (typical arrangement): 0%
Type B (nasal): 12%
Type C (superior labial—alar): 30%
Type D (duplex or long course): 56%
Type E (rudimentary): 2%
Type I (angular): 56%
Type II (lateral nasal): 12%
Type III (inferior alar): 0%
Type IV (superior labial): 30%
Type V (inferior labial): 0%
Type VI (undetected): 2%