Facial Artery
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The facial artery (external maxillary artery in older texts) is a branch of the
external carotid artery The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure T ...
that supplies structures of the superficial face.


Structure

The facial artery arises in the
carotid triangle The carotid triangle (or superior carotid triangle) is a portion of the anterior triangle of the neck. Coverings and boundaries It is bounded: * Posteriorly by the anterior border of the Sternocleidomastoid; * Anteroinferiorly, by the superior bel ...
from the
external carotid artery The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. External carotid artery supplies blood to the face and neck. Structure T ...
, a little above the
lingual artery The lingual artery arises from the external carotid artery between the superior thyroid artery and facial artery. It can be located easily in the tongue. Structure The lingual artery first branches off from the external carotid artery. It runs ...
and, sheltered by the
ramus of the mandible In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone ...
. It passes obliquely up beneath the
digastric The digastric muscle (also digastricus) (named ''digastric'' as it has two 'bellies') is a small muscle located under the jaw. The term "digastric muscle" refers to this specific muscle. However, other muscles that have two separate muscle belli ...
and
stylohyoid The stylohyoid muscle is a slender muscle, lying anterior and superior of the posterior belly of the digastric muscle. It is one of the suprahyoid muscles. It shares this muscle's innervation by the facial nerve, and functions to draw the hyoid ...
muscles, over which it arches to enter a groove on the posterior surface of the
submandibular gland The paired submandibular glands (historically known as submaxillary glands) are major salivary glands located beneath the floor of the mouth. They each weigh about 15 grams and contribute some 60–67% of unstimulated saliva secretion; on stimula ...
. It then curves upward over the body of the mandible at the antero-inferior angle of the
masseter In human anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it ...
; passes forward and upward across the cheek to the angle of the mouth, then ascends along the side of the nose, and ends at the medial commissure of the eye, under the name of the
angular artery The angular artery is an artery of the face. It is the terminal part of the facial artery. It ascends to the medial angle of the eye's Orbit (anatomy), orbit. It is accompanied by the angular vein. It ends by anastomosing with the dorsal nasal br ...
. The facial artery is remarkably tortuous. This is to accommodate itself to neck movements such as those of the
pharynx The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its struc ...
in
deglutition Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing is ...
; and facial movements such as those of the
mandible In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower tooth, teeth in place. The mandible sits beneath the maxilla. It is the only movabl ...
,
lip The lips are the visible body part at the mouth of many animals, including humans. Lips are soft, movable, and serve as the opening for food intake and in the articulation of sound and speech. Human lips are a tactile sensory organ, and can be ...
s, and
cheeks The cheeks ( la, buccae) constitute the area of the face below the eyes and between the nose and the left or right ear. "Buccal" means relating to the cheek. In humans, the region is innervated by the buccal nerve. The area between the insi ...
.


Relations

In the neck, its origin is superficial, being covered by the integument,
platysma The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect ...
, and fascia; it then passes beneath the
digastric The digastric muscle (also digastricus) (named ''digastric'' as it has two 'bellies') is a small muscle located under the jaw. The term "digastric muscle" refers to this specific muscle. However, other muscles that have two separate muscle belli ...
and
stylohyoid The stylohyoid muscle is a slender muscle, lying anterior and superior of the posterior belly of the digastric muscle. It is one of the suprahyoid muscles. It shares this muscle's innervation by the facial nerve, and functions to draw the hyoid ...
muscles and part of the
submandibular gland The paired submandibular glands (historically known as submaxillary glands) are major salivary glands located beneath the floor of the mouth. They each weigh about 15 grams and contribute some 60–67% of unstimulated saliva secretion; on stimula ...
, but superficial to the
hypoglossal nerve The hypoglossal nerve, also known as the twelfth cranial nerve, cranial nerve XII, or simply CN XII, is a cranial nerve that innervates all the extrinsic and intrinsic muscles of the tongue except for the palatoglossus, which is innervated by ...
. It lies upon the
middle pharyngeal constrictor The middle pharyngeal constrictor is a fan-shaped muscle located in the neck. It is one of three pharyngeal constrictors. Similarly to the superior and inferior pharyngeal constrictor muscles, the middle pharyngeal constrictor is innervated by a ...
and the superior pharyngeal constrictor, the latter of which separates it, at the summit of its arch, from the lower and back part of the tonsil. On the face, where it passes over the body of the mandible, it is comparatively superficial, lying immediately beneath the dilators of the mouth. In its course over the face, it is covered by the integument, the fat of the cheek, and, near the angle of the mouth, by the
platysma The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect ...
,
risorius The risorius muscle is a muscle of facial expression. It arises from the fascia over the parotid gland, and inserts into the angle of the mouth. It is supplied by the facial nerve (CN VII). It may be absent or asymmetrical in some people. It retr ...
, and
zygomaticus major The zygomaticus major muscle is a muscle of the human body. It extends from each zygomatic arch (cheekbone) to the corners of the mouth. It is a muscle of facial expression which draws the angle of the mouth superiorly and posteriorly to allow one ...
. It rests on the
buccinator The buccinator () is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.Illustrated Anatomy of the Head ...
and
levator anguli oris The levator anguli oris (caninus) is a facial muscle of the mouth arising from the canine fossa, immediately below the infraorbital foramen. It elevates angle of mouth medially. Its fibers are inserted into the angle of the mouth, intermingli ...
, and passes either over or under the infraorbital head of the
levator labii superioris The levator labii superioris (pl. ''levatores labii superioris'', also called quadratus labii superioris, pl. ''quadrati labii superioris'') is a muscle of the human body used in facial expression. It is a broad sheet, the origin of which extend ...
. The
anterior facial vein Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...
lies lateral/posterior to the artery, and takes a more direct course across the face, where it is separated from the artery by a considerable interval. In the neck it lies superficial to the artery. The branches of the
facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of tas ...
cross the artery from behind forward. The facial artery anastomoses with (among others) the
dorsal nasal artery The dorsal nasal artery is an artery of the face. It is one of the two terminal branches of the ophthalmic artery. It contributes arterial supply to the lacrimal sac, and outer surface of the nose. Structure Origin The dorsal nasal artery is on ...
of the
internal carotid artery The internal carotid artery (Latin: arteria carotis interna) is an artery in the neck which supplies the anterior circulation of the brain. In human anatomy, the internal and external carotids arise from the common carotid arteries, where these b ...
.


Branches

The branches of the facial artery are: * cervical ** Ascending palatine artery ** Tonsillar branch ** Submental artery ** Glandular branches * facial **
Inferior labial artery The inferior labial artery (inferior labial branch of facial artery) arises near the angle of the mouth as a branch of the facial artery; it passes upward and forward beneath the triangularis and, penetrating the orbicularis oris, runs in a tort ...
**
Superior labial artery The superior labial artery (superior labial branch of facial artery) is larger and more egregious than the inferior labial artery. It follows a similar course along the edge of the upper lip, lying between the mucous membrane and the orbicularis ...
** Lateral nasal branch to
nasalis muscle The nasalis muscle is a sphincter-like muscle of the nose. It has a transverse part and an alar part. It compresses the nasal cartilages, and can "flare" the nostrils. Some people can use it to close the nostrils to prevent entry of water when un ...
**
Angular artery The angular artery is an artery of the face. It is the terminal part of the facial artery. It ascends to the medial angle of the eye's Orbit (anatomy), orbit. It is accompanied by the angular vein. It ends by anastomosing with the dorsal nasal br ...
- the terminal branch


Muscles

Muscles supplied by the facial artery include: *
buccinator The buccinator () is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.Illustrated Anatomy of the Head ...
*
levator anguli oris The levator anguli oris (caninus) is a facial muscle of the mouth arising from the canine fossa, immediately below the infraorbital foramen. It elevates angle of mouth medially. Its fibers are inserted into the angle of the mouth, intermingli ...
*
levator labii superioris The levator labii superioris (pl. ''levatores labii superioris'', also called quadratus labii superioris, pl. ''quadrati labii superioris'') is a muscle of the human body used in facial expression. It is a broad sheet, the origin of which extend ...
*
levator labii superioris alaeque nasi The levator labii superioris alaeque nasi muscle is, translated from Latin, the "lifter of both the upper lip and of the wing of the nose". It has the longest name of any muscle in an animal. The muscle is attached to the upper frontal process o ...
*
levator veli palatini The levator veli palatini () is the elevator muscle of the soft palate in the human body. It is supplied via the pharyngeal plexus. During swallowing, it contracts, elevating the soft palate to help prevent food from entering the nasopharynx. ...
*
masseter In human anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it ...
*
mentalis The mentalis muscle is a paired central muscle of the lower lip, situated at the tip of the chin. It originates from the mentum of the mandible, and inserts into the soft tissue of the chin. It is sometimes referred to as the "pouting muscle" due ...
* mylohyoid * nasalis *
palatoglossus The palatoglossus or palatoglossal muscle is a muscle of the soft palate and extrinsic muscle of the tongue. Its surface is covered by oral mucosa and forms the visible palatoglossal arch. Structure Palatoglossus arises from the palatine aponeu ...
*
palatopharyngeus The palatopharyngeus (palatopharyngeal or pharyngopalatinus) muscle is a small muscle in the roof of the mouth. It is a long, fleshy fasciculus, narrower in the middle than at either end, forming, with the mucous membrane covering its surface, the ...
*
platysma The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect ...
*
procerus The procerus muscle (or pyramidalis nasi) is a small pyramidal slip of muscle deep to the superior orbital nerve, artery and vein. ''Procerus'' is Latin, meaning tall or extended. Structure The procerus muscle arises by tendinous fibers from t ...
*
risorius The risorius muscle is a muscle of facial expression. It arises from the fascia over the parotid gland, and inserts into the angle of the mouth. It is supplied by the facial nerve (CN VII). It may be absent or asymmetrical in some people. It retr ...
*
styloglossus The styloglossus, the shortest and smallest of the three styloid muscles, arises from the anterior and lateral surfaces of the styloid process near its apex, and from the stylomandibular ligament. Passing inferiorly and anteriorly between the int ...
*
transverse Transverse may refer to: *Transverse engine, an engine in which the crankshaft is oriented side-to-side relative to the wheels of the vehicle *Transverse flute, a flute that is held horizontally * Transverse force (or ''Euler force''), the tangen ...
portion of the nasalis


Clinical significance

The facial artery may be punctured during maxillofacial surgery, and is likely to
haemorrhage Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vagi ...
significantly.


Additional images

Image:Gray176.png, Mandible. Outer surface. Side view. Image:Gray474.png, Diagram showing the origins of the main branches of the carotid arteries. Image:Gray507.png, Superficial dissection of the right side of the neck, showing the carotid and subclavian arteries. Image:Gray515.png, Bloodvessels of the eyelids, front view. Image:Gray1210.png, Side of neck, showing chief surface markings. File:Slide12ss.JPG, Facial artery File:Slide2tt.JPG, Facial artery File:Slide5ww.JPG, Facial artery File:Slide6ww.JPG, Facial artery File:Slide4aaa.JPG, Facial artery File:Slide11aaa.JPG, Facial artery File:Slide12aaa.JPG, Facial artery File:Slide22aaa.JPG, Facial artery File:Slide2fff.JPG, Facial artery File:Slide4ggg.JPG, Facial artery File:Slide1jjj.JPG, Facial artery File:Slide6yyyy.JPG, Facial artery File:Slide4BBB.JPG, Facial artery File:Slide28ior.JPG, Facial artery.Deep dissection.Lateral view.


See also

*
Transverse facial artery The transverse facial artery is an artery that branches from the superficial temporal artery and runs across the face. Course The transverse facial artery is given off from the superficial temporal artery before that vessel leaves the parotid glan ...


References


External links

* * - "The Facial Artery and Vein" * - "Branches of the external carotid artery." * - "Common Carotid Artery and Branches of the External Carotid Artery" {{Authority control Arteries of the head and neck
Artery An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pul ...