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Systematic review and meta-analysis of the anatomy of the maxillary artery using the Anatomical Quality Assurance (AQUA) checklist

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Abstract

Background

The maxillary artery (MA) is one of the terminal branches of the external carotid artery (ECA) and through its branches, it is responsible for vascularizing several organs and muscles of the head and neck, including their surrounding soft tissues, the oral and sinonasal cavities, dura mater, and various cranial nerves. The aim of this study was to conduct a systematic review and meta-analysis of maxillary artery anatomy according to the Anatomical Quality Assurance (AQUA) checklist.

Methods

We conducted a systematic search through PubMed, EMBASE, Scopus, ScienceDirect, Web of Science, SciELO, Springerlink, WILEY and BIREME databases. We applied the Anatomical Quality Assurance (AQUA) checklist for analysis the methodological quality of the articles.

Results

From a total of 11,759 articles found in the first search, and after applying the inclusion/exclusion criteria, in addition to eliminating duplicate articles, a final number of 24 articles were identified. The information on the maxillary artery was analyzed from each study regarding its course in relation to the lateral pterygoid muscle, the intra- and extraluminal diameters of the maxillary artery and its branches, and the types of branching of the maxillary artery in the pterygopalatine fossa.

Conclusion

From this study, it was possible to conclude the importance of anatomical knowledge of the maxillary artery, for its application in the clinical study of the head and neck, as well as the need to apply the AQUA checklist in the development of systematic anatomical reviews to ensure accurate reliability and a better assessment of the effect of anatomical publications.

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Acknowledgements

This work was funded by Universidad de La Frontera, Project IAF18-0014 and by Red Estatal de Odontología, Project REO19-014.

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Authors and Affiliations

Authors

Contributions

NO conceptualization, search strategies, quality assessment: risk of bias, manuscript preparation, manuscript editing. CS shortlisting of manuscripts, quality assessment: risk of bias, manuscript preparation, manuscript editing. PC-G literature search, collection of literature, shortlisting of manuscripts, quality assessment: risk of bias. MLV-B literature search, collection of literature, Shortlisting of manuscripts, Manuscript preparation. ST quality assessment: risk of bias, manuscript preparation, manuscript editing. RF quality assessment: risk of bias, manuscript preparation, manuscript editing.

Corresponding author

Correspondence to Nicolás E. Ottone.

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The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Ottone, N.E., Sandoval, C., Cid-Gutierrez, P. et al. Systematic review and meta-analysis of the anatomy of the maxillary artery using the Anatomical Quality Assurance (AQUA) checklist. Surg Radiol Anat 43, 1875–1886 (2021). https://doi.org/10.1007/s00276-021-02825-3

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