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New insights in the vascular supply of the human parotid gland—Consequences for parotid gland‐sparing irradiation
Author(s) -
van Holten Marjolein J.,
Roesink Judith M.,
Terhaard Chris H. J.,
Braam Pètra M.
Publication year - 2010
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21280
Subject(s) - parotid gland , medicine , head and neck , facial artery , cadaver , artery , anatomy , radiation therapy , head and neck cancer , blood supply , carotid arteries , external carotid artery , radiology , pathology , surgery
Background. Xerostomia is caused by irradiation for head and neck cancer, depending on the dose to the parotid gland. To investigate which part of the parotid gland has to be spared with radiotherapy, detailed information about the vascular supply of the parotid gland is necessary. Methods. Arterial vessels of the head of a human cadaver were colored. A 3‐dimensional reconstruction of the parotid gland and the arterial vessels was made and analyzed. Results. Five arterial vessels were responsible for the vascular supply of the parotid gland: the posterior auricular artery, 2 branches so far unnamed, the superficial temporal artery, and the transverse facial artery. All arteries were branches off the external carotid artery, and supplied different parts of the parotid gland. Conclusions. This study describes the detailed vascular supply of the human parotid gland. These results may contribute to improve parotid sparing radiotherapy, thus reducing complications such as xerostomia in the future. © 2009 Wiley Periodicals, Inc. Head Neck, 2009