A 3D map of the lingual artery—The perfect tool for transoral robotic surgeries on the base of tongue. Issue 4 (20th February 2023)

• Record Type: Journal Article
• Authors: Ostrowski, Patryk; Szczepanek, Elżbieta; Niemczyk, Kazimierz; Bonczar, Michał; Michalczak, Mateusz; Batko, Jakub; Krawczyk‐Ożóg, Agata; Wojciechowski, Wadim; Walocha, Jerzy; Koziej, Mateusz
• Is Part Of: Head & neck. Volume 45:Issue 4(2023)
• Page Start: 872
• Page End: 881
• Publication Date: 2023-02-20
• Subjects: base of tongue -- hemorrhage -- lingual artery -- oropharyngeal carcinoma -- transoral robotic surgery; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.27303
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Knowledge about the anatomy of the lingual artery (LA) is of immense importance when performing procedures on the base of tongue (BOT). Methods: A retrospective analysis was performed to establish morphometric data of the LA. The measurements were performed on 55 consecutive patients who underwent head and neck computed tomography angiographies (CTA). Results: A total of 96 LAs were analyzed. Additionally, a three‐dimensional heat map (showing the oropharyngeal region from the lateral, anterior, and superior point of view) of the occurrence of the LA and its branches was created. Conclusion: The length of the main trunk of the LA was measured to be 31.94 ± 11.44 mm. This reported distance is thought to be a surgical safe zone when performing transoral robotic surgery (TORS) on the BOT because it represents the area where the LA does not give off any major branches.