Triangles of the Neck: Difference between revisions

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* inferiorly by the superior border of the [[clavicle]]
* inferiorly by the superior border of the [[clavicle]]
* posteriorly by the anterior margin of the [[trapezius]] muscle.
* posteriorly by the anterior margin of the [[trapezius]] muscle.
== Anterior Triangle ==
== Anterior Triangle ==
{{#ev:youtube|YOgE2pmXfZg}} <ref>Anatomy Knowledge. The Anterior Triangle of the Neck - Boundaries x Subdivisions | Anatomy Tutorial. Available from: https://www.youtube.com/watch?v=YOgE2pmXfZg [last accessed 10/06/2020]</ref>
Borders:<ref name=":0" /><ref>Stathakios J, Carron MA. [https://www.ncbi.nlm.nih.gov/books/NBK554398/#:~:text=Anterior%20Triangle,border%20of%20the%20sternocleidomastoid%20muscle. Anatomy, Head and Neck, Neck Triangle]. InStatPearls [Internet] 2021 Jul 31. StatPearls Publishing.</ref>
Borders:<ref name=":0" /><ref>Stathakios J, Carron MA. [https://www.ncbi.nlm.nih.gov/books/NBK554398/#:~:text=Anterior%20Triangle,border%20of%20the%20sternocleidomastoid%20muscle. Anatomy, Head and Neck, Neck Triangle]. InStatPearls [Internet] 2021 Jul 31. StatPearls Publishing.</ref>


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* Anterior- midline of neck
* Anterior- midline of neck
* Inferoposterior- anterior margin of the sternocleidomastoid muscle
* Inferoposterior- anterior margin of the sternocleidomastoid muscle
* Posterosuperior- superior belly of the omohyoid muscle
* Posterosuperior- superior belly of the omohyoid muscle
Line 97: Line 100:


== Posterior Triangle ==
== Posterior Triangle ==
{{#ev:youtube|UoVIk4tvX_w}} <ref>Anatomy Knowledge. The Posterior Triangle of the Neck - Boundaries & Content - Head & Neck Anatomy. Available from: https://www.youtube.com/watch?v=UoVIk4tvX_w [last accessed 16/09/2019]</ref>
Borders:<ref name=":0" />
Borders:<ref name=":0" />



Revision as of 18:41, 28 December 2022

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Description[edit | edit source]

The neck is the anatomical region that supports the head and serves as a conduit for vital structures passing to and from the torso. 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. [1][2]

[3]

  1. Anterior Triangle
    • Digastric/Submandibular Triangle
    • Carotid Triangle
    • Muscular Triangle
    • Submental Triangle
  2. Posterior Triangle
    • Occipital Triangle
    • Subclavian/Supraclavicular


The neck is limited[1]:

  • 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]

[4]


Borders:[1][5]

  • 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]

Borders:[1][6]

  • Superior - inferior border of mandible
  • Anterior - anterior belly of digastric muscle
  • Posterior - posterior belly of digastric muscle
  • Inferior - hyoid bone

Floor: mylohyoid muscle

Contents:[1]

  • 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)

Carotid Triangle[edit | edit source]

Borders:[1]

  • 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:[1]

  • 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:[1][7]

  • Anterior- midline of neck
  • Inferoposterior- anterior margin of the sternocleidomastoid muscle
  • Posterosuperior- superior belly of the omohyoid muscle


Contents:[1]

  • 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:[1]

  • Inferior - hyoid bone
  • Lateral - anterior belly of digastric muscle
  • Medial - midline of neck

Floor: mylohyoid muscle

Contents:[1]

  • submental lymph nodes
  • anterior jugular vein

Posterior Triangle[edit | edit source]

[8]

Borders:[1]

  • Anterior - posterior margin of sternocleidomastoid muscle
  • Posterior - anterior margin of trapezius muscle
  • Inferior - middle one-third of clavicle


Two subdivisions are formed within the posterior triangle: Occipital Triangle and Subclavian/Supraclavicular Triangle

Occipital Triangle[edit | edit source]

Borders:[1]

  • Anterior - posterior margin of sternocleidomastoid muscle
  • Posterior - anterior margin of trapezius muscle
  • Inferior - inferior belly of omohyoid muscle

Floor: levator scapulae, splenius capitis, and middle and posterior scalene muscles

Contents:

  • Artery: transverse cervical artery
  • Lymphatics: accessory lymph nodes and inferior deep lateral cervical lymph nodes
  • Nerves: accessory nerve (CN XI), cutaneous and muscular branches of the cervical plexus, upper most part of brachial plexus, supraclavicular nerves

Subclavian/Supraclavicular/Omoclavicular Triangle[edit | edit source]

Borders: [1]

  • Superior - inferior belly of omohyoid muscle
  • Anterior -  posterior edge of sternocleidomastoid muscle
  • Inferior - clavicle


Contents: [1]

  • Blood vessels: subclavian artery and vein
  • Nerves: brachial plexus trunks and nerve to subclavius muscle
  • Lymphatics: supraclavicular lymph nodes

References[edit | edit source]

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 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.
  2. Kohan EJ, Wirth GA. Anatomy of the neck. Clinics in plastic surgery. 2014 Jan 1;41(1):1-6.
  3. 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]
  4. Anatomy Knowledge. The Anterior Triangle of the Neck - Boundaries x Subdivisions | Anatomy Tutorial. Available from: https://www.youtube.com/watch?v=YOgE2pmXfZg [last accessed 10/06/2020]
  5. Stathakios J, Carron MA. Anatomy, Head and Neck, Neck Triangle. InStatPearls [Internet] 2021 Jul 31. StatPearls Publishing.
  6. Casale J, Varacallo M. Anatomy, Head and Neck, Submandibular Triangle. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2022. PMID: 30521254.
  7. Standring S. Gray's anatomy: the anatomical basis of clinical practice. 41st ed. London: Elsevier Health Sciences; 2015.
  8. Anatomy Knowledge. The Posterior Triangle of the Neck - Boundaries & Content - Head & Neck Anatomy. Available from: https://www.youtube.com/watch?v=UoVIk4tvX_w [last accessed 16/09/2019]