Triangles of the Neck
Description[edit | edit source]
The neck, as a geometric region, can be clinically divided using anatomical triangles. The sternocleidomastoid muscle obliquely crosses the neck to form the division between the two major neck triangles: anterior triangle and posterior triangle. Both triangles are further divided into sub-triangles: [2][3]
- Anterior Triangle
- Digastric/Submandibular Triangle
- Carotid Triangle
- Muscular Triangle
- Submental Triangle
- Posterior Triangle
- Occipital Triangle
- Subclavian/Supraclavicular
The neck is limited[2]:
- superiorly by the inferior border of the mandible
- anteriorly by midline of the neck
- inferiorly by the superior border of the clavicle
- posteriorly by the anterior margin of the trapezius muscle.
Anterior Triangle[edit | edit source]
- Superior border - inferior border of mandible
- Medial border- midline of neck
- Lateral border- anterior border of sternocleidomastoid muscle
The Anterior Triangle has an apex that extends to the manubrium of sternum. It is made up of three paired triangles: submandibular (digastric), carotid, and muscular (omotracheal/infrahyoid) triangles, and one unpaired triangle: submental triangle.
Submandibular/Digastric Triangle[edit | edit source]
- Superior - inferior border of mandible
- Anterior - anterior belly of digastric muscle
- Posterior - posterior belly of digastric muscle
- Inferior - hyoid bone
Floor: mylohyoid muscle
Contents:[2]
- Glands and lymphatics: submandibular gland and lymph nodes, lower pole of the parotid gland.
- Blood vessels: facial, lingual and submental arteries and veins
- Nerves: marginal mandibular branch of the facial nerve, nerve to the mylohyoid, hypoglossal nerve (CN XII), and the
Carotid Triangle[edit | edit source]
Borders:[2]
- Superior - stylohyoid and posterior belly of digastric muscles
- Anterior - superior belly of omohyoid muscle
- Posterior - anterior border of sternocleidomastoid muscle
Floor: hyoglossus, thyrohyoid, and inferior and middle pharyngeal constrictor muscles
Contents:[2]
- Arteries: common carotid and its bifurcation into internal and external carotid arteries, superior thyroid, lingual, facial, occipital, and ascending pharyngeal arteries
- Veins: internal jugular, superior thyroid, lingual, facial, ascending pharyngeal, and occipital veins
- Nerves: external and internal branches of the superior laryngeal nerve arising from the vagus nerve (CN X), hypoglossal nerve (CN XII).
Muscular Triangle[edit | edit source]
Borders:[2]
- Anterior- midline of neck
- Inferoposterior- anterior margin of the SCM
- Posterosuperior- superior belly of the omohyoid muscle
Contents:[2]
- Blood vessels: superior thyroid artery, anterior jugular and inferior thyroid veins
- Lymphatics: anterior cervical, infrahyoid, prelaryngeal, thyroid, pretracheal, paratracheal lymph nodes
- Muscles: thyrohyoid, sternothyroid, sternohyoid, omohyoid muscles
- Nerves: ansa cervicalis (C1-3)
- Organs: esophagus, trachea, thyroid gland, and the lower part of the larynx.
Submental Triangle[edit | edit source]
Borders:[2]
- Inferior - hyoid bone
- Lateral - anterior belly of digastric muscle
- Medial - midline of neck
Floor: mylohyoid muscle
Contents:[2]
- submental lymph nodes
- anterior jugular vein
Posterior Triangle[edit | edit source]
Occipital Triangle[edit | edit source]
Subclavian/Supraclavicular Triangle[edit | edit source]
Clinical Significance[edit | edit source]
- ↑ 5MinuteSchool. TRIANGLES OF THE NECK ANATOMY MADE EASY - EXPLAINED in 3 MINUTES!! CERVICAL TRIANGLES. Available from: https://www.youtube.com/watch?v=CUvmlf3Wxng [last accessed 05/11/2020]
- ↑ 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 Kikuta S, Iwanaga J, Kusukawa J, Tubbs RS. Triangles of the neck: a review with clinical/surgical applications. Anatomy & Cell Biology. 2019 Jun 1;52(2):120-7.
- ↑ Kohan EJ, Wirth GA. Anatomy of the neck. Clinics in plastic surgery. 2014 Jan 1;41(1):1-6.
- ↑ Stathakios J, Carron MA. Anatomy, Head and Neck, Neck Triangle. InStatPearls [Internet] 2021 Jul 31. StatPearls Publishing.
- ↑ Casale J, Varacallo M. Anatomy, Head and Neck, Submandibular Triangle. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2022. PMID: 30521254.