Following arteries anastomose in the little’s area except –
**Core Concept:** The Little's area is a region in the oral cavity where most of the arteries of the oral cavity anastomose, forming a network that ensures blood supply to the oral tissues. This anastomosis helps maintain perfusion during occlusion or vasoconstriction of individual arteries.
**Why the Correct Answer is Right:** In the oral cavity, arteries that supply blood to the oral mucosa, muscles, and teeth anastomose (join or connect) in the Little's area to form a network. This ensures redundancy in blood supply and allows for efficient distribution of blood to various oral structures. The correct answer "D" refers to the internal carotid artery, which doesn't anastomose in the Little's area. The internal carotid artery supplies blood to the brain and does not contribute to the oral cavity's blood supply.
**Why Each Wrong Option is Incorrect:**
A. **Option A (Sabin's artery):** Sabin's artery is a terminal branch of the external carotid artery and supplies blood to the buccal mucosa, lips, and teeth. It anastomoses with other arteries in the oral cavity, making it incorrect option A.
B. **Option B (Virchow's artery):** Virchow's artery is a major branch of the external carotid artery and supplies blood to the buccal mucosa, lips, and teeth. It anastomoses with other arteries in the oral cavity, making it incorrect option B.
C. **Option C (Hypoglossal artery):** The hypoglossal artery is a terminal branch of the internal carotid artery and supplies blood to the tongue. It doesn't anastomose with other arteries in the oral cavity, making it incorrect option C.
D. **Option D (Internal carotid artery):** As explained above, the internal carotid artery supplies blood to the brain and does not contribute to the oral cavity's blood supply. It is incorrect option D.
**Clinical Pearl:** A thorough understanding of arterial anastomoses and their distribution is crucial for identifying and managing vascular injuries and surgical interventions involving the oral cavity and neck.
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**Correct Answer:** **D:** Internal carotid artery