Image Based Question-66952

All are the contents of the area marked by an arrow in this image except:

A. Pharyngeal vein

B. Lingual Vein

C. Jugulodigastric lymph nodes

D. Glossopharyngeal Nerve

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Correct Answer » D Explanation

Ans:D. Glossopharyngeal Nerve,

Carotid triangle is shown in the image.

ANTERIOR TRIANGLE OF NECK
Boundaries

• Anteriorly by the median plane of the neck
• Posteriorly by sternocleidomastoid muscle
• Superiorly by base of mandible & a line joining mandible to mastoid process.
• Superficial fascia contains Platysma, cervical branch of facial nerve, anterior jugular vein & few lymph nodes.

Subdivisions of the anterior triangle

• Submental triangle
• Digastric triangle
• Carotid triangle
• Muscular triangle

Submental triangle

• Median triangle
• Unpaired triangle

Boundaries:

• On each side anterior belly of digastric
• Base is formed by the body of hyoid bone
• Apex formed by symphysis menti of the mandible.
• Floor is formed by two mylohyoid muscle & their median raphe.

Contents:

• submental lymph nodes, submental vessels
• begining of anterior jugular vein

Digastric triangle
Boundaries:

• Anteroinferiorly : anterior belly of digastric
• Posteroinferiorly : posterior belly of digastric & stylohyoid
• Base- base of mandible & a line joining the angle of mandible to the mastoid process.
• Roof-

1. Skin
2. Superficial fascia containing platysma ,cervical branch of the facial nerve & transverse cutaneous nerve of neck
3. Deep splits to enclose submandibular gland

• Floor- anteriorly by mylohyoid and posteriorly by hyoglossus

Contents:

• In the anterior part: submandibular gland facial vein, submandibular lymph node,facial artery, mylohyoid nerve and vessels
• In the posterior part: Parotid gland, external carotid artery before entering to parotid gland, styloglossus muscle, stylopharangeus muscle, glossopharangeal nerve, internal carotid artery, internal jugular vein & vagus nerve .

Carotid triangle
Boundaries:

Anterio-superiorly- posterior belly of digastric and stylohyoid

Anterio-inferiorly : superior belly of omohyoid

Posteriorly- anterior border of sternocleidomastoid.

Roof :

1. Skin,
2. Superficial fascia containing platysma,anterior cutaneous nerve of neck, cervical branch of facial nerve,Investing layer of deep cervical fascia

Floor : Thyrohyoid,hyoglossus muscle- Anteriorly

middle constrictor & inferior constrictor of pharynx -Posteriorly

Contents:

• Arteries- common carotid ,internal carotid ,external carotid arteries & branches of external carotid artery
• Veins- Internal jugular vein, common facial vein, pharyngeal vein, lingual ,superior thyroid vein.
• Nerves- Vagus,superior laryngeal,spinal accessory,hypoglossal & sympathetic chain
• Carotid sheath enveloping CCA, ECA,ICA, IJV & vagus nerve
• Lymph nodes- Jugulomohyoid & jugulodigastric group of deep cervical group of lymph nodes.

Muscular triangle
Boundaries:

1. Anterosuperiorly – posterior belly of digastric & stlohyoid.
2. Anteroinferiorly- superior belly of omohyoid
3. Posteriorly- anterior border of sternocleidomastoid.

Contents:

1. Infrahyoid ribbon muscles namely sternohyoid , omohyoid, sternothyroid & thyrohyoid
   Infrahyoid muscles are supplied by ansa cervicalis except thyrohyoid which is supplied by C1 through hypoglossal nerve