Manson's point: A facial landmark to identify the facial artery

Daniel Calva, Karan K. Chopra, Michael Sosin, Carla De La Cruz, Branko Bojovic, Eduardo D. Rodriguez, Paul N. Manson, Michael R. Christy

Research output: Contribution to journalArticle

Abstract

Introduction: The anatomy of the facial artery, its tortuosity, and branch patterns are well documented. To date, a reliable method of identifying the facial artery, based on surface landmarks, has not been described. The purpose of this study is to characterize the relationship of the facial artery with several facial topographic landmarks, and to identify a location where the facial artery could predictably be identified. Methods: Following institutional review board approval, 20 hemifacial dissections on 10 cadaveric heads were performed. Distances from the facial artery to the oral commissure, mandibular angle, lateral canthus, and Manson's point were measured. Distances were measured and confirmed clinically using Doppler examination in 20 hemifaces of 10 healthy volunteers. Results: Manson's point identifies the facial artery with 100% accuracy and precision, within a 3 mm radius in both cadaveric specimens and living human subjects. Cadaveric measurements demonstrated that the facial artery is located 19 mm ± 5.5 from the oral commissure, 31 mm ± 6.8 from the mandibular angle, 92 mm ± 8.0 from the lateral canthus. Doppler examination on healthy volunteers (5 male, 5 female) demonstrated measurements of 18 mm ± 4.0, 50 mm ± 6.4, and 79 mm ± 8.2, respectively. Conclusions: The identification of the facial artery is critical for the craniofacial surgeon in order to avoid inadvertent injury, plan for local flaps, and in preparation of a recipient vessel for free tissue microvascular reconstruction. Manson's point can aid the surgeon in consistently indentifying the facial artery.

Original languageEnglish (US)
Pages (from-to)1221-1227
Number of pages7
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume68
Issue number9
DOIs
StatePublished - Sep 1 2015

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Keywords

  • Anatomy
  • Craniofacial
  • Craniomaxillofacial
  • Face
  • Facial artery
  • Flaps

ASJC Scopus subject areas

  • Surgery

Cite this

Calva, D., Chopra, K. K., Sosin, M., De La Cruz, C., Bojovic, B., Rodriguez, E. D., Manson, P. N., & Christy, M. R. (2015). Manson's point: A facial landmark to identify the facial artery. Journal of Plastic, Reconstructive and Aesthetic Surgery, 68(9), 1221-1227. https://doi.org/10.1016/j.bjps.2015.05.007