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Anterior triangle of neck

ANTERIOR TRIANGLE OF NECK

BOUNDARIES:

MEDIALLY: Anterior median plane of neck
LATERALLY: Sternocliedomastoid muscles
SUPERIORLY:Base mandible & a line joining angle of mandible to mastoid process

SUBDIVISIONS:

It encloses :

4 suprahyoid muscles
4 infrahyoid muscles

It is divided into 4 subtriangles by digastric & omohyoiid muscles:

SUBTRIANGLE

BOUNDARIES

CONTENTS

Submental

Sides	Ant. belly of digastric
Base	Body Of Hyoid
Apex	At chin
Floor	Rt. & Lt. Mylohyoid muscle & median raphe uniting them

2 or 4 submental lymph node b/w ant. bellies of digastric
Submental veins, Submental lymoh nodes

Digastric

Anteroinferior	Ant. belly of digastric
Posteroinferior	Post. belly of digastric Stylohyoid
Superior or base	Base mandible Line joining angle of mandible to mastoid process
Roof	Skin Superficial fascia: Platysma, Cervical branch of VII CN & ascending br. of transverse cutaneous Deep Fascia:Splits to enclose submandibular gland
Floor	Ant. Mylohyoid Post. Hyoglossus Middle constrictor

Ant. Part Of Triangle	Structure sup. to Mylohyoid: Superficial part of Submandibular gland & lymph node, Facial Vein, facial artery, submental artery, mylohyoid nerve & vessels. Structure Sup. to hyoglossus: Sumandibular gland, Intermediate tendon of digastric, stylohyoid, hypoglossal nerve
Post. Part Of Triangle	Superficial :Lower part of parotid gland & ECA before entering parotid Deep:(b/w ex. & in. Carotid)Styloglossus, stylopharyngeus, glossopharyngeal nerve, Pharyngeal brannch of X CN, styloid process, part of parotid gland Deepest: Internal carotid , internal jugular, vagus

Carotid

Anterosuperior	Post. Belly of digastric Stylohyoid
Anteroinferior	Sup. belly of omohyoid
Posterior	Ant. border of sternocliedomastoid
Roof	Skin Superficial fascia contain platysma, cervical branchVII, transverse cutaneous Investing layer of deep cervical fascia
Floor	Thyrohyoid muscle Hyoglossus Middle constrictor Inf. constrictor

Arteries	Common carotid artery , Carotid sinus, Carotid body Internal carotid artery External carotid artery with branches(sup. thyroid, lingual, facial,ascend. pharyngeal, facial
Veins	Pharyngeal vein Lingual vein ↓ X ↓ Common facial → Internal jugular
Nerves	Vagus→ sup. laryngeal→ext. & int. laryngeal Spinal accessory Hypoglossal→Upper root of ansa cervicalis & br. to thyrohyoid Sympathetic chain
Lymph Node	Deep cervical node Juglodigastric node Jugulo-omohyoid node
Other	Carotid sheath & it’s content

Muscular

Anterior	Ant. median line of neck from hyoid to sternum
Postersuperior	Sup. belly of omohyoid
Posteroinferior	Ant. border of sternocleidomastoid

Infrahyoid muscles arranged in 2 layers:

Superficial:Sternohyoid, Omohyoid
Deep:Sternothyroid, thyrohyoid

Ventral rami of 1, 2, 3 cervical spinal nerve

Exam Question

Anterior triangles of neck are-Submental, Digastric, Carotid, Muscular.
Submental lymph nodes drain superficial tissues beliw tge chin, central part of lower lip, adjoining gums, anterior part if floor of mouth & tip of tongue.
On both sides submental triangle is bounded by Anterior belly of diagastric.
Posterior boundary of carotid triangle is formed by anterior border of sternocleidomastoid.
Hypoglossal nerve is a content of both digastric & carotid triangles.
Structure superficial to mylohyoid in anterior digastric triangle is Mylohyoid artery & nerve
Floor of digastric triangle is formed by mylohyoid (anteriorly) & hyoglossus (posteriorly)
Infrahyoid ribbon muscles are the chief contents of muscular triangle.

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Anterior triangle of neck

Anterior triangle of neck

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