Facial Vein Variation: A Cadaveric Study

  • Humberto Ferreira Arquez Colombian Association Morphology.


Background: The veins of the head and neck have a complex developmental pattern which predisposes them to variations in formation and drainage. Superficial veins of the head and neck are utilized for central venous cannulation, oral reconstruction and parenteral nutrition in debilitated patients. Clinical and sonological examinations of these veins may provide clues toward underlying cardiac pathology.

Aims: The aim of the present study was to describe anatomical variation and determined the position of the facial vein in relation to neighboring structures.

Methods and Findings: Head and neck region were carefully dissected as per standard dissection procedure, studied serially during the years 2013-2017 in 16 males and 2 females, i.e. 36 sides, embalmed adults cadavers with different age group, in the laboratory of Morphology of the University of Pamplona. In 34 sides (94.5 %) of the cases the facial vein (FV) terminated into the internal jugular vein via the common facial vein (CFV) as per standard anatomic description. The facial vein on two sides (5.5 %) was found to drain into the external jugular vein with different degree of angulations and variable distance from the angle of the mandible. On the right side, the facial vein was draining into external jugular vein (EJV), 63.6 mm below the angle of the mandible. On the left side, the facial vein was draining into EJV, 42.4 mm below the angle of the mandible. The length of the neck was 137.8 mm.  The mean distance of the superior and inferior labial veins, deep facial vein, and angular vein from the inferior orbital margin was 41.89 ± 3.01, 52.31 ± 3.72, 26.85 ± 3.55 and 6.25 ± 0.65 mm, respectively.

Conclusion: A sound knowledge on variation of the course and termination of facial vein is very useful for oral and maxillofacial surgeons, plastic surgeons, otorrhinologists and radiologists, is essentially important in the clinical examination and surgical procedures of the head and neck region.

Author Biography

Humberto Ferreira Arquez, Colombian Association Morphology.
Professor Human Morphology, Medicine Program, University of Pamplona
Morphology Laboratory Coordinator- University of Pamplona


1. Bertha A, Rabi S. Anatomical Variations in Termination Of Common Facial Vein. J Clini Res. 2011; 5(1):24-7. Available from: http://www.jcdr.net/articles/pdf/1174/1592_1554_E(C)_F(J)_R(S)_ PF(A)_P(24-27)_LowRes.pdf
2. Abhinitha P, Rao MKG, Kumar N, Nayak SB, Ravindra SS, Aithal PA. Absence of external jugular vein and an abnormal drainage pattern in the veins of the neck- a case report. OA Anatomy. 2013; 1(2): 15. Available from: http://www.oapublishinglondon.com/article/577
3. Gupta V, Tuli A, Choudhry R, Agarwal S, Mangal A. Facial vein draining into external jugular vein in humans: its variations, phylogenetic retention and clinical relevance. Surg Radiol Anat. 2013; 25: 36-41. Available from: https://link.springer.com/article/10.1007/s00276-002-0080-z
4. Ferreira- Arquez H. Unusual venous drainage of the head and neck. Int J Pharm Bio Sci. 2014 Oct; 5(4): (B) 965 – 70. Available from: http://www.ijpbs.net/cms/php/upload/3710_pdf.pdf
5. Ferreira-Arquez H. Variaciones anatómicas en el drenaje venoso del cuello. Rev CES Med. 2016; 30(2): 238-43. Available from: http://revistas.ces.edu.co/index.php/medicina/article/view/3187/2685
6. Onishi S et al. Venous drainage of the face. J Plast Reconstr Aesthet Surg. 2017;70(4):433-40. Available from: http://www.sciencedirect.com/science/article/pii/S1748681516305514
7. Frazer JE. A manual of embryology: The development of the human body. London: Baillière Tindall and Cox, 1931.
8. Romanes GJ. Cunningham's textbook of anatomy. 12th edn. London: Cumberlege Oxford University Press, 1981.
9. Markowski J. Ueber die Entwicklung der Sinus durae matris und der Hirnvenen bei menschlichen Embryonen von 15.5-49 mm Scheitel-Steisslange. Juillet: Bull Acad Sci Cracovie, 1911.
10. Brook WH, Smith CJD. Clinical presentation of a persistent jugulocephalic vein. Clin Anat. 1989; 2: 167-73. Available from: http://onlinelibrary.wiley.com/doi/10.1002/ca.980020306/pdf
11. Padget DH. The development of the cranial venous system in man, from the viewpoint of comparative anatomy. Contr Embryol. 1957; 247: 79-140. Available from: https://embryology.med.unsw.edu.au/embryology/index.php/Paper
12. Choudhry R, Tuli A, Choudhry S. Facial vein terminating in the external jugular vein: an embryologic interpretation. Surg Radiol Anat. 1997; 19: 73-7. Available from: https://link.springer.com/article/10.1007/BF01628128
13. Lewis FT. The intra-embryonic blood-vessels of rabbits embryos from 8 to 13 days. Am J Anat 3: 12-13 (Proc Am Asst Anat) (1904) as quoted by Keibel F, Mall FP (1912) Manual of human embryology, vol 2. London: Lippincott Philadelphia, 1906.
14. Krmpotic-Nemanic J, Draf W, Helms J. Surgical anatomy of head and neck. New York: Springer, Berlin Heidelberg, 1989.
15. Pikkieff E. On subcutaneous veins of the neck. J Anat. 1937; 74: 119–27. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1252446/pdf/janat00526-0142.pdf
16. Tandler J. Das Gefäss-System. Lehrbuch der systematischen Anatomie, vol 3. Leipzig: Vogel, 1926.
17. Jansky M, Plucnar B, Svoboda Z. Beitrag zum Studium von Varietäten der subkutanen Halsvenen des Menschen. Acta Anat. 1959; 37: 298–310. Available from: https://www.karger.com/Article/PDF/141476
18. Bondaz M, Ricard AS, Majoufre-Lefebvre C, Caix P, Laurentjoye M. Facial vein variation: implication for facial transplantation. Plast Reconstr Surg Glob Open. 2014 Aug 7; 2(7):e183. Available from: http://journals.lww.com/prsgo/Citation/2014/07000/Facial_Vein_Variation___Implication_for_Facial.13.aspx
19. Cotofana S, Steinke H, Schlattau A, Schlager M, Sykes JM, Roth MZ, Gaggl A, Giunta RE, Gotkin RH, Schenck TL. The Anatomy of the Facial Vein: Implications for Plastic, Reconstructive, and Aesthetic Procedures. Plast Reconstr Surg. 2017 Jun; 139(6):1346-53. Available from: https://ucdavis.pure.elsevier.com/en/publications/the-anatomy-of-the-facial-vein-implications-for-plastic-reconstru
20. Wong CH, Mendelson B. Facial soft-tissue spaces and retaining ligaments of the midcheek: Defining the premaxillary space. Plast Reconstr Surg. 2013; 132:49–56. Available from: http://journals.lww.com/plasreconsurg/Abstract/2013/07000/Facial
_Soft_Tissue_ Spaces_and_Retaining_Ligaments.9.aspx
21. Rohrich RJ, Pessa JE. The fat compartments of the face: Anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007; 119:2219–27. Available from: http://journals.lww.com/plasreconsurg/documents/updates_in_aesth
etic_ surgery_0512_article.7.pdf
22. Cotofana S, Schenck TL, Trevidic P, et al. Midface: Clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg. 2015; 136(Suppl):219S–234S. Available from: https://ucdavis.pure.elsevier.com/en/publications/midface-clinical-anatomy-and-regional-approaches-with-injectable-
23. Gierloff M, Stöhring C, Buder T, Wiltfang J. The subcutaneous fat compartments in relation to aesthetically important facial folds and rhytides. J Plast Reconstr Aesthet Surg. 2012; 65:1292–97. Available from: http://www.sciencedirect.com/science/article/pii/S1748681512002550?via%3Dihub
24. Nagase T, Kobayashi S, Sekiya S, Ohmori K. Anatomic evaluation of the facial artery and vein using color Doppler ultrasonography. Ann Plast Surg. 1997; 39:64–7. Available from: http://journals.lww.com/annalsplasticsurgery/Abstract/1997/070
25. Pilsl U, Rosmarin W, Anderhuber F. The premaxillary space: A location for filler injection? Dermatol Surg. 2014; 40: 301–4.
26. Mendelson BC, Muzaffar AR, Adams WP Jr. Surgical anatomy of the midcheek and malar mounds. Plast Reconstr Surg. 2002; 110:885–96. Available from: https://pdfs.semanticscholar.org/bed1/1890ea4fcfe48574f277f31f925262a1b5f2.pdf?_ga=2.255684672.915328937.1507562679-644639894.1507562679
27. Beleznay K, Carruthers JD, Humphrey S, Jones D. Avoiding and treating blindness from fillers: A review of the world literature. Dermatol Surg. 2015;41: 1097–117. Available from: https://www.semanticscholar.org/paper/Avoiding-and-Treating-Blindness-From-Fillers-A-Rev-Beleznay-Carruthers/f4ddf17632ca9f55e14b4e3d6b
28. Selvi P, Kumar S. Variations in the venous drainage pattern of face and neck. Int J Pharm Bio Sci. 2013 Oct; 4(4): (B) 150 –4. Available from: http://www.ijpbs.net/cms/php/upload/2804_pdf.pdf
29. Vaida MA, Niculescu V, Motoc A, Bolintineanu S, Sargan I, Niculescu MC. Correlations between anomalies of jugular veins and areas of vascular drainage of head and neck. RJME. 2006; 47(3):287–89. Available from: http://www.rjme.ro/RJME/resources/files/470306287290.pdf
30. Youngberg JA. Pulmonary artery catheterization via external jugular vein. South Med J. 1982;75(3):289-90. Available from https://www.ncbi.nlm.nih.gov/pubmed/7
How to Cite
FERREIRA ARQUEZ, Humberto. Facial Vein Variation: A Cadaveric Study. International Archives of Medicine, [S.l.], v. 11, jan. 2018. ISSN 1755-7682. Available at: <http://imedicalpublisher.com/ojs/index.php/iam/article/view/2744>. Date accessed: 01 june 2023. doi: https://doi.org/10.3823/2547.
Human Anatomy

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