Anatomy of the Superficial Venous Structures of the Neck: A Cadaveric Study to Guide Superficial Injections

Hyung Jin Lee, Seong Yong Ryu, Liyao Cong, Hyung Jun Ahn, Min Kyu Park, Hee Jin Kim, Kyung Seok Hu

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND Minimally invasive aesthetic procedures of the neck are becoming more popular. However, anatomical studies on the venous structures of the neck in relation to these procedures are lacking.OBJECTIVEThe aims of this study were to identify the locations and communication patterns of the anterior jugular vein and external jugular vein (AJV and EJV) and the communicating vein (CV) based on superficial anatomical landmarks and to determine dangerous areas for dermal filler injections into the neck.MATERIALS AND METHODSThirty sides of the neck from Korean adult cadavers were dissected for this study.RESULTSFour anatomical variants were identified. In Type Ia, the CV ran along the anterior border of the sternocleidomastoid muscle (SCM) (33.4%); in Type Ib, a single vein was observed connecting the CV and the EJV at the level of laryngeal prominence (23.3%); in Type Ic, the CV proceeded separately from the medial side of the anterior border of the SCM (13.3%); and in Type II, the CV was absent while the EJV and AJV were observed (30%).CONCLUSIONGiven the 4 anatomical variants identified in this study, the authors recommend exerting caution when performing dermal filler injections approximately 10, 30, and 60 mm lateral to the midsagittal line to avoid iatrogenic side effects.

Original languageEnglish
Pages (from-to)203-209
Number of pages7
JournalDermatologic Surgery
Volume45
Issue number2
DOIs
Publication statusPublished - 2019 Feb 1

Bibliographical note

Funding Information:
Supported by a faculty research grant of Yonsei University College of Dentistry (6-2016-0027). The authors have indicated no significant interest with commercial supporters. H.-J. Lee and S.-Y. Ryu have contributed equally to this work.

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology

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