Onderog, "Morphology of the
retromandibular vein in relation to the facial nerve in the parotid gland," Cells Tissues Organs, vol.
(5) The etiology of retromandibular vein aneurysms are likely similar to those of other venous neck aneurysms and case reports suggest that venous aneurysms of the parotid gland tend to appear suddenly.
The mild diffuse dilatation of the retromandibular vein in Case 3 does not mimic a parotid mass on imaging and is shown to demonstrate the differing imaging appearance relative to the two ectasia cases.
The standard anatomical description of the veins of the face is of superficial temporal vein uniting with maxillary vein within the substance of the parotid gland to form retromandibular vein. The retromandibular vein divides into anterior and posterior divisions before emerging out from the apex of the parotid gland.
Kopuz, described an unusual course of the facial vein which joined the retromandibular vein at a higher level in the parotid gland on the right side of the face Choudhry found that the termination of the facial vein in the external jugular vein occurs in 5% of the individuals.
In a study conducted on 89 dissected adult cadavers, the external jugular vein receives facial vein in 9% of the cases (3).The formation of external jugular vein by union of entire
retromandibular vein and facial vein (4) and a case of facial vein continuing as external jugular vein has also been reported (5).
and Kasten bauer E.R (1995) stated that the facial nerve and its divisions were usually superficial to the
retromandibular vein. Rajesh B.