The facial artery, formerly called the external maxillary artery, is a branch of the

external carotid artery The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland. Structure Origin T ...

that supplies blood to superficial structures of the medial regions of the face.

Structure

The facial artery arises in the

carotid triangle The carotid triangle (or superior carotid triangle) is a portion of the anterior triangle of the neck. Anatomy Boundaries It is bounded: * Posteriorly by (the anterior border of) the sternocleidomastoid muscle, * Anteroinferiorly by (the sup ...

from the

, a little above the

lingual artery The lingual artery arises from the external carotid artery between the superior thyroid artery and facial artery. It can be located easily in the tongue. Structure The lingual artery first branches off from the external carotid artery. It runs ...

, and sheltered by the

ramus of the mandible In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone ...

. It passes obliquely up beneath the

digastric The digastric muscle (also digastricus) (named ''digastric'' as it has two 'bellies') is a bilaterally paired suprahyoid muscle located under the jaw. Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly ...

and

stylohyoid The stylohyoid muscle is one of the suprahyoid muscles. Its originates from the styloid process of the temporal bone; it inserts onto hyoid bone. It is innervated by a branch of the facial nerve. It acts draw the hyoid bone upwards and backwards. ...

muscles, over which it arches to enter a groove on the posterior surface of the

submandibular gland The paired submandibular glands (historically known as submaxillary glands) are major salivary glands located beneath the floor of the mouth. In adult humans, they each weigh about 15 grams and contribute some 60–67% of unstimulated saliva sec ...

. It then curves upward over the body of the mandible at the antero-inferior angle of the

masseter In anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it is the ...

( the antegonial notch); passes forward and upward across the cheek to the angle of the mouth, then ascends along the side of the nose, and ends at the medial commissure of the eye, under the name of the

angular artery The angular artery is an artery of the face. It is the terminal part of the facial artery. It ascends to the medial angle of the eye's orbit. It is accompanied by the angular vein. It ends by anastomosing with the dorsal nasal branch of the o ...

. The facial artery is remarkably tortuous. This is to accommodate itself to neck movements such as those of the

pharynx The pharynx (: pharynges) is the part of the throat behind the human mouth, mouth and nasal cavity, and above the esophagus and trachea (the tubes going down to the stomach and the lungs respectively). It is found in vertebrates and invertebrates ...

swallowing Swallowing, also called deglutition or inglutition in scientific and medical contexts, is a physical process of an animal's digestive tract (e.g. that of a human body) that allows for an ingested substance (typically food) to pass from the mou ...

; and facial movements such as those of the

mandible In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone i ...

lip The lips are a horizontal pair of soft appendages attached to the jaws and are the most visible part of the mouth of many animals, including humans. Mammal lips are soft, movable and serve to facilitate the ingestion of food (e.g. sucklin ...

s, and

cheeks The cheeks () constitute the area of the face below the eyes and between the nose and the left or right ear. ''Buccal'' means relating to the cheek. In humans, the region is innervated by the buccal nerve. The area between the inside of the che ...

Relations

In the neck, its origin is superficial, being covered by the integument,

platysma The platysma muscle or platysma is a :wikt:superficial, superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the ...

, and fascia; it then passes beneath the

and

muscles and part of the

, but superficial to the

hypoglossal nerve The hypoglossal nerve, also known as the twelfth cranial nerve, cranial nerve XII, or simply CN XII, is a cranial nerve that innervates all the extrinsic and intrinsic muscles of the tongue except for the palatoglossus, which is innervated b ...

. It lies upon the

middle pharyngeal constrictor The middle pharyngeal constrictor is a fan-shaped muscle located in the neck. It is one of three pharyngeal constrictor muscles. It is smaller than the inferior pharyngeal constrictor muscle. The middle pharyngeal constrictor originates from th ...

and the

superior pharyngeal constrictor The superior pharyngeal constrictor muscle is a quadrilateral muscle of the pharynx. It is the uppermost and thinnest of the three pharyngeal constrictors. The muscle is divided into four parts according to its four distincts origins: a pterygop ...

, the latter of which separates it, at the summit of its arch, from the lower and back part of the tonsil. On the face, where it passes over the body of the mandible, it is comparatively superficial, lying immediately beneath the dilators of the mouth. In its course over the face, it is covered by the integument, the fat of the cheek, and, near the angle of the mouth, by the

risorius The risorius muscle is a highly variable muscle of facial expression. It has numerous and very variable origins, and inserts into the angle of the mouth. It receives motor innervation from branches of facial nerve (CN VII). It may be absent or a ...

, and

zygomaticus major The zygomaticus major muscle is a muscle of the face. It arises from either zygomatic arch (cheekbone); it inserts at the corner of the mouth. It is innervated by branches of the facial nerve (cranial nerve VII). It is a muscle of facial expres ...

. It rests on the

buccinator The bucinator () is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.Illustrated Anatomy of the Head an ...

and

levator anguli oris The levator anguli oris (caninus) is a facial muscle of the mouth arising from the canine fossa, immediately below the infraorbital foramen. It elevates angle of mouth medially. Its fibers are inserted into the angle of the mouth, intermingli ...

, and passes either over or under the infraorbital head of the

levator labii superioris The levator labii superioris (: ''levatores labii superioris'', also called quadratus labii superioris, : ''quadrati labii superioris'') is a muscle of the human body used in facial expression. It is a broad sheet, the origin of which extends fro ...

. The anterior facial vein lies lateral/posterior to the artery, and takes a more direct course across the face, where it is separated from the artery by a considerable interval. In the neck it lies superficial to the artery. The branches of the

facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of ta ...

cross the artery from behind forward. The facial artery anastomoses with (among others) the dorsal nasal artery of the

internal carotid artery The internal carotid artery is an artery in the neck which supplies the anterior cerebral artery, anterior and middle cerebral artery, middle cerebral circulation. In human anatomy, the internal and external carotid artery, external carotid ari ...

Branches

The branches of the facial artery are: * cervical **

Ascending palatine artery The ascending palatine artery is an artery is a branch of the facial artery which ascends along the neck before splitting into two terminal branches; one branch supplies the soft palate, and the other supplies the palatine tonsil and pharyngotympa ...

** Tonsillar branch ** Submental artery ** Glandular branches * facial **

Inferior labial artery The inferior labial artery (inferior labial branch of facial artery) arises near the angle of the mouth as a branch of the facial artery; it passes upward and forward beneath the triangularis and, penetrating the orbicularis oris, runs in a tortuo ...

Superior labial artery The superior labial artery (superior labial branch of facial artery) is larger and more egregious than the inferior labial artery. It follows a similar course along the edge of the upper lip, lying between the mucous membrane and the orbiculari ...

** Lateral nasal branch to

nasalis muscle The nasalis muscle is a sphincter-like muscle of the Human nose, nose. It has a transverse part and an alar part. It compresses the nasal cartilages, and can "flare" the Nostril, nostrils. It can be used to test the facial nerve (VII), which suppl ...

Angular artery The angular artery is an artery of the face. It is the terminal part of the facial artery. It ascends to the medial angle of the eye's orbit. It is accompanied by the angular vein. It ends by anastomosing with the dorsal nasal branch of the o ...

- the terminal branch

Muscles

Muscles supplied by the facial artery include: *

levator labii superioris alaeque nasi The levator labii superioris alaeque nasi muscle (occasionally shortened alaeque nasi muscle) is, translated from Latin, the "lifter of both the upper lip and of the wing of the nose". The muscle is attached to the upper frontal process of the m ...

levator veli palatini The levator veli palatini () is a muscle of the soft palate and pharynx. It is innervated by the vagus nerve (cranial nerve X) via its pharyngeal plexus. During swallowing, it contracts, elevating the soft palate to help prevent food from enteri ...

mentalis The mentalis muscle is a paired central Skeletal muscle, muscle of the lower lip, situated at the tip of the chin. It originates from the mentum of the mandible, and inserts into the soft tissue of the chin. It is sometimes referred to as the "pou ...

* mylohyoid * nasalis *

palatoglossus The palatoglossal muscle is a muscle of the soft palate and an extrinsic muscle of the tongue. Its surface is covered by oral mucosa and forms the visible palatoglossal arch. Structure From its origin, it passes anteroinferiorly and laterally. I ...

palatopharyngeus The palatopharyngeus (palatopharyngeal or pharyngopalatinus) muscle is a small muscle in the roof of the mouth. It is a long, fleshy fasciculus, narrower in the middle than at either end, forming, with the mucous membrane covering its surface, t ...

procerus The procerus muscle (or pyramidalis nasi) is a small pyramidal muscle in the glabella. It is involved in facial expressions such as frowning and those associated with attentional control, and it indirectly helps shield the eyes from bright light ...

styloglossus The styloglossus muscle is a bilaterally paired muscle of the tongue. It originates at the styloid process of the temporal bone. It inserts onto the side of the tongue. It acts to elevate and retract the tongue. It is innervated by the hypogloss ...

transverse Transverse may refer to: *Transverse engine, an engine in which the crankshaft is oriented side-to-side relative to the wheels of the vehicle *Transverse flute, a flute that is held horizontally * Transverse force (or ''Euler force''), the tangen ...

portion of the nasalis

Clinical significance

The facial artery may be punctured during

maxillofacial surgery Oral and maxillofacial surgery (OMFS) is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the mouth, head and neck, and jaws, as well as facial plastic surgery including cleft lip and cleft palate ...

, and is likely to

haemorrhage Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vag ...

significantly.

Additional images

Image:Gray474.png, Diagram showing the origins of the main branches of the carotid arteries. Image:Gray1210.png, Side of neck, showing chief surface markings. File:Slide6ww.JPG, Facial artery

References

External links

* * - "The Facial Artery and Vein" * - "Branches of the external carotid artery." * - "Common Carotid Artery and Branches of the External Carotid Artery" {{Authority control Arteries of the head and neck

Artery An artery () is a blood vessel in humans and most other animals that takes oxygenated blood away from the heart in the systemic circulation to one or more parts of the body. Exceptions that carry deoxygenated blood are the pulmonary arteries in ...

Otorhinolaryngology Human head and neck Cardiovascular system