Musa Acar,Büşra Şeker,Burcu Ayyalazan,Serdar Karaköse

  •  Year : 2025
  •  Vol : 3
  •  Issue : 1
  •  Page : 79-86
The base of the tongue is a difficult area to reach surgically. Although new surgical techniques make it easier to reach this area, there are some limitations. Knowing the anatomical details of the region plays an important role in overcoming these limitations. The LA is one of the most important neurovascular structures at the base of the tongue. Damage to this artery during surgery can cause problems that are difficult to reverse. In our study, we aimed to define the LA as a reliable landmark for transoral robotic surgery. The study was conducted on previously taken head CT images of 100 people (50 female and 50 male, age range 19–64). In our study, the parameters measured and recorded in the sagittal and axial plane. Those with a history of previous surgery in the region and images that could not be evaluated due to artifact were excluded from the study. In our study, two different parameters belonging to the LA were measured and their mean values were determined. The best approach for tongue base surgery should be the one that will both best control the examined area and minimize damage to surrounding vital structures. When literature information is evaluated, it is seen that new studies are important. Robotic surgery is an opportunity for patients in surgical interventions of an important region such as the tongue base. Radiological evaluation of the patient before surgical intervention is important to prevent possible errors. For this, sufficient morphological and morphometric information in the literature is required. We believe that the data we obtained will contribute to a better quality education for undergraduate students and radiology specialist students.
Cite this Article As : Acar, M. & Şeker, B. & Ayyalazan, B. & Karaköse, S. (2025). Morphometric analysis of arteria lingualis for transoral tongue base surgery: a study based on mdct angiography. Sustainable Welfare, 3(1), 79-86.

Conflict of interest : The authors declare that they have no conflict of interest.

This article is published under the CC BY-NC 4.0 license.
Sustainable Welfare
2025, Vol3, Issue1
ISSN: 3023-6673
Received : , Accepted : , Published Online :

References

  1. Dallan, I., Seccia, V., Faggioni, L., Castelnuovo, P., Montevecchi, F., Casani, A. P., ... & Vicini, C. (2013). Anatomical landmarks for transoral robotic tongue base surgery: comparison between endoscopic, external and radiological perspectives. Surgical and Radiologic Anatomy, 35, 3-10. https://doi.org/10.1007/s00276-012-0983-2
  2. Dunlap, Q., Mitchell, W. M., Gardner, J. R., King, D., Samant, R., Moreno, M., & Vural, E. (2022). Vascularity outcomes of lingual artery ligation in transoral robotic base of tongue resections. Otolaryngology–Head and Neck Surgery, 166(4), 684-687. https://doi.org/10.1177/01945998211017446
  3. Gualtieri, T., Verzeletti, V., Ferrari, M., Perotti, P., Morello, R., Taboni, S., ... & Deganello, A. (2021). A new landmark for lingual artery identification during transoral surgery: Anatomic‐radiologic study. Head & Neck, 43(5), 1487-1498. https://doi.org/10.1002/hed.26606
  4. Hou, T. N., Zhou, L. N., & Hu, H. J. (2011). Computed tomographic angiography study of the relationship between the lingual artery and lingual markers in patients with obstructive sleep apnoea. Clinical radiology, 66(6), 526-529. https://doi.org/10.1016/j.crad.2011.01.004
  5. Hou, T., Shao, J., & Fang, S. (2012). The definition of the V zone for the safety space of functional surgery of the tongue. The Laryngoscope, 122(1), 66-70. https://doi.org/10.1002/lary.22342
  6. Ibrahim, A., Kumar, S., Patil, A. R., Aishwarya, J. G., Shah, A. S., & Nair, S. (2021). Radiological and cadaveric study of anatomical safe zone for transoral base of tongue surgery. Journal of Robotic Surgery, 15(5), 711-716. https://doi.org/10.1007/s11701-020-01164-6
  7. Keskin F, Erdi MF, Arac D (2021) Effects of Posterior Surgical Approach on Cervical Alignment in The Treatment of Cervical Spondylotic Myelopathy. Selcuk Med J 37(1): 32-38. https://doi.org/10.30733/std.2020.01488
  8. Koplay Gun T, Akdag O, Sutcu M, Koplay M (2022) Evaluation of Patients Operated Because of Velopharyngeal Insufficiency with Dynamic Magnetic Resonance Imaging. Selcuk Med J 38(2): 58-63. https://doi.org/10.30733/std.2022.01548
  9. Li, S., & Shi, H. (2013). Lingual artery CTA-guided midline partial glossectomy for treatment of obstructive sleep apnea hypopnea syndrome. Acta Oto-Laryngologica, 133(7), 749-754. https://doi.org/10.3109/00016489.2013.765968
  10. Lins CCSA., Cavalcanti JS., Nascimento DL. (2005). Extraoral ligature of lingual artery: anatomic and topographic study. Int. j. morphol, 23(3), 271-274. https://doi.org/10.4067/S0717-95022005000300014
  11. Mun, M. J., Lee, C. H., Lee, B. J., Lee, J. C., Jang, J. Y., Jung, S. H., & Wang, S. G. (2016). Histopathologic evaluations of the lingual artery in healthy tongue of adult cadaver. Clinical and experimental otorhinolaryngology, 9(3), 257-262. https://doi.org/10.21053/ceo.2015.01137
  12. Ostrowski, P., Szczepanek, E., Niemczyk, K., Bonczar, M., Michalczak, M., Batko, J., ... & Koziej, M. (2023). A 3D map of the lingual artery—The perfect tool for transoral robotic surgeries on the base of tongue. Head & Neck, 45(4), 872-881. https://doi.org/10.1002/hed.27303
  13. Park, M. J., Choi, Y. J., Lee, Y. S., & Chung, Y. S. (2021). Defining Safety Space for Functional Tongue Surgery in Korean Male Obstructive Sleep Apnea Syndrome Patients; Analysis on Spatial Relation of the Tongue and the Lingual Artery. Korean Journal of Otorhinolaryngology-Head and Neck Surgery, 64(9), 641-651. https://doi.org/10.3342/kjorl-hns.2021.00458
  14. Rao, K. N., Dange, P. S., & Nagarkar, N. M. (2023). Transoral robotic surgery. Atlas of Head Neck and Skull-base Surgery, 291-294. https://doi.org/10.1007/978-981-99-6132-0_14
  15. Sarna, K., Sonigra, K. J., Amuti, T., Kamau, M., Ngeow, W. C., & Mandela Idenya, P. (2022). The journey of the lingual artery from the neck to the oral cavity: a cadaveric study. Craniomaxillofacial Trauma & Reconstruction, 15(1), 39-45. https://doi.org/10.1177/19433875211002058
  16. Sasikumar, N., Vijayalakshmi, S., Raghunath, G., Karunakaran, B., Nithya, S., Ks, P. D., ... & Dharshini, P. (2023). Morphometric study and branching patterns of external carotid artery using computed tomography angiography among the south indian population: a retrospective study. Cureus, 15(2). https://doi.org/10.7759/cureus.35624
  17. Sirbu, V. D., Poll, A., Nimigean, V. R., Cernătescu, R., Moraru, S. A., Vîrlan, M. J. R., & Nimigean, V. (2019). Anatomical variations on the origin of the lingual artery and their clinical significance—review from the literature. Romanian J Oral Rehabil, 11(3), 55-63.
  18. Ülkü ÇH, Özkal E, Uyar Y, Acar O (1999) Transnazal-transseptal hipofizektomi sonrası rinolojik bulgular. Selcuk Med J 15:99-103.
  19. Wang, C., Kundaria, S., Fernandez‐Miranda, J., & Duvvuri, U. (2014). A description of arterial variants in the transoral approach to the parapharyngeal space. Clinical anatomy, 27(7), 1016-1022. https://doi.org/10.1002/ca.22273
  20. Wu, D., Qin, J., Guo, X., & Li, S. (2015). Analysis of the difference in the course of the lingual arteries caused by tongue position change. The Laryngoscope, 125(3), 762-766. https://doi.org/10.1002/lary.24959