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Surgical and Radiologic Anatomy

27-09-2024 | CT Angiography | Original Article

The lingual and facial arteries’ common origin: a systematic review with meta-analysis and a computed tomography angiography study

Authors: George Triantafyllou, Katerina Vassiou, Fabrice Duparc, Marianna Vlychou, Ioannis Paschopoulos, George Tsakotos, Razvan Costin Tudose, Mugurel Constantin Rusu, Maria Piagkou

Published in: Surgical and Radiologic Anatomy

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Abstract

Purpose

The present evidence-based systematic review with meta-analysis aimed to investigate the fusion morphology of the lingual artery and facial artery (in the form of the linguofacial trunk-LFT) pooled prevalence and morphometry. After carefully investigating the data literature, a retrospective computed tomography angiography (CTA) study was performed to investigate a few parameters that were not well-studied.

Materials

An evidence-based systematic review retrieved 41 studies that met our inclusion criteria to identify the LFT pooled prevalence. The literature search was performed using PubMed, Google Scholar, Scopus, and Web of Sciences databases. Then, a meta-analysis of the literature was performed using the open-source R programming language and the RStudio software. Moreover, two hundred CTAs were randomly selected and retrospectively studied to identify LFT topography, morphology, and morphometry.

Results

The LFT pooled prevalence was calculated at 16.41%. The subgroup analyses for nationality, type of study, laterality, and gender retrieved no statistically significant association. The unilateral appearance was estimated at 15.92%, compared to the bilateral at 3.28% (p < 0.001). Concerning the findings of our original study, 50 LFTs were identified (12.5%) unilaterally in 34 patients and bilaterally in 8 patients. A significant correlation was observed between the distance LFT origin from the carotid bifurcation (CCB) (p < 0.001) and the distances LA and FA origin from the CCB (p = 0.004).

Conclusions

A systematic review with meta-analysis of the LFT were presented, along with an original imaging retrospective study investigating detailed parameters of LFT topography, morphology and morphometry. Knowledge of LFT presence is essential for interventionists in the head and neck region.
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Metadata
Title
The lingual and facial arteries’ common origin: a systematic review with meta-analysis and a computed tomography angiography study
Authors
George Triantafyllou
Katerina Vassiou
Fabrice Duparc
Marianna Vlychou
Ioannis Paschopoulos
George Tsakotos
Razvan Costin Tudose
Mugurel Constantin Rusu
Maria Piagkou
Publication date
27-09-2024
Publisher
Springer Paris
Keyword
CT Angiography
Published in
Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-024-03490-y