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Facial anatomy
Published in Michael Parker, Charlie James, Fundamentals for Cosmetic Practice, 2022
The facial vein is a direct communication of the angular vein which commences at the root of the nose (between the eyebrows). It is located inferiorly to the facial artery, yet its course is far straighter than its arterial companion. It travels inferolaterally to the zygomaticus major and minor muscles and along the anterior aspect of the masseter. As it passes inferiorly it gains tributaries from the superior and inferior labial veins which drain the upper and lower lips, respectively. It proceeds to traverse the body of the mandible before curving backwards deep to the platysma muscle. Once it has reached the platysma, the facial vein is joined by the anterior division of the temporo-maxillary vein to form the common facial vein, which itself drains into the external jugular vein. See Figure 3.11.
Anatomy and Embryology of the External and Middle Ear
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
The arterial supply of the external meatus is derived from branches of the external carotid. The auricular branches of the superficial temporal artery supply the roof and anterior portion of the canal. The deep auricular branch of the first part of the maxillary artery arises in the parotid gland behind the temporomandibular joint, pierces the cartilage or bone of the external meatus and supplies the anterior meatal wall skin and the epithelium of the outer surface of the tympanic membrane. Finally, auricular branches of the posterior auricular artery pierce the cartilage of the auricle and supply the posterior portions of the canal. The veins drain into the external jugular vein, the maxillary veins and the pterygoid plexus. The lymphatic drainage follows that of the auricle.
Distension of the maxillary vein with hepatojugular reflux
Published in Journal of Community Hospital Internal Medicine Perspectives, 2019
A 92-year old woman presented to the emergency department with worsening dyspnea. She was found to be in atrial fibrillation with rapid ventricular response. Physical examination revealed hepatojugular reflux with venous distension extending to the level of the maxillary vein (arrow). Chest radiograph showed new bilateral interstitial changes and pro-brain natriuretic peptide level was elevated.