External jugular vein

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External jugular vein
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Veins of the head and neck. (External jugular visible at center.)
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Veins
Details
Drains from Cranium, face
Source Posterior facial vein, posterior auricular vein, retromandibular vein, anterior jugular vein, transverse cervical vein, suprascapular vein
Drains to Subclavian vein
Identifiers
Latin vena jugularis externa
TA98 A12.3.05.045
TA2 4956
FMA 13110
Anatomical terminology

The external jugular vein receives the greater part of the blood from the exterior of the cranium and the deep parts of the face, being formed by the junction of the posterior division of the retromandibular vein with the posterior auricular vein.

Contents

Structure

It commences in the substance of the parotid gland, on a level with the angle of the mandible, and runs perpendicularly down the neck, in the direction of a line drawn from the angle of the mandible to the middle of the clavicle superficial to the sternocleidomastoideus. [1]

In its course it crosses the sternocleidomastoideus obliquely, and in the subclavian triangle perforates the deep fascia, and ends in the subclavian vein lateral to or in front of the scalenus anterior, piercing the roof of the posterior triangle.

It is separated from the sternocleidomastoideus by the investing layer of the deep cervical fascia, and is covered by the platysma, the superficial fascia, and the integument; it crosses the cutaneous cervical nerve, and its upper half runs parallel with the great auricular nerve.

Valves

It is provided with two pairs of valves, the lower pair being placed at its entrance into the subclavian vein, the upper in most cases about 4 cm above the clavicle. The portion of vein between the two sets of valves is often dilated, and is termed the sinus.

These valves do not prevent the regurgitation of the blood, or the passage of injection from below upward. [2]

Variation

The external jugular vein varies in size, bearing an inverse proportion to the other veins of the neck, it is occasionally double. [3]

Function

This vein receives the occipital occasionally, the posterior external jugular, and, near its termination, the transverse cervical, transverse scapular, and anterior jugular veins; in the substance of the parotid, a large branch of communication from the internal jugular joins it.

The external jugular vein drains into the subclavian vein lateral to the junction of the subclavian vein and the internal jugular vein.

Clinical significance

The external jugular is a large vein used in prehospital medicine for venous access when the Paramedic is unable to find another peripheral vein [4] It is commonly used in cardiac arrest or other situations where the patient is unresponsive due to the pain associated with the procedure. In a cardiac arrest using this vein has the advantage that the paramedic can stay at the head and intubate the patient as well. Although many EMTs and paramedics use this vein, the American Heart Association still recommends the use of the cephalic vein.

Additional images

See also

Related Research Articles

Articles related to anatomy include:

<span class="mw-page-title-main">Great auricular nerve</span> Cutaneous nerve of the head

The great auricular nerve is a cutaneous (sensory) nerve of the head. It originates from the second and third cervical (spinal) nerves (C2-C3) of the cervical plexus. It provides sensory innervation to the skin over the parotid gland and the mastoid process, parts of the outer ear, and to the parotid gland and its fascia.

<span class="mw-page-title-main">Subclavian artery</span> Major arteries of the upper thorax, below the clavicle

In human anatomy, the subclavian arteries are paired major arteries of the upper thorax, below the clavicle. They receive blood from the aortic arch. The left subclavian artery supplies blood to the left arm and the right subclavian artery supplies blood to the right arm, with some branches supplying the head and thorax. On the left side of the body, the subclavian comes directly off the aortic arch, while on the right side it arises from the relatively short brachiocephalic artery when it bifurcates into the subclavian and the right common carotid artery.

<span class="mw-page-title-main">Thoracic duct</span> Lymphatic vessel

In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. The thoracic duct usually begins from the upper aspect of the cisterna chyli, passing out of the abdomen through the aortic hiatus into first the posterior mediastinum and then the superior mediastinum, extending as high up as the root of the neck before descending to drain into the systemic (blood) circulation at the venous angle.

<span class="mw-page-title-main">External carotid artery</span> Major artery of the head and neck

The external carotid artery is a major artery of the head and neck. It arises from the common carotid artery when it splits into the external and internal carotid artery. The external carotid artery supplies blood to the face, brain and neck.

<span class="mw-page-title-main">Omohyoid muscle</span> Human neck muscle

The omohyoid muscle is a muscle in the neck. It is one of the infrahyoid muscles. It consists of two bellies separated by an intermediate tendon. Its inferior belly is attached to the scapula; its superior belly is attached to the hyoid bone. Its intermediate tendon is anchored to the clavicle and first rib by a fascial sling. The omohyoid is innervated by the ansa cervicalis of the cervical plexus. It acts to depress the hyoid bone.

<span class="mw-page-title-main">Platysma muscle</span> Human neck muscle

The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect on either side of the neck.

<span class="mw-page-title-main">Occipital artery</span>

The occipital artery is a branch of the external carotid artery that provides arterial supply to the back of the scalp, sternocleidomastoid muscles, and deep muscles of the back and neck.

<span class="mw-page-title-main">Posterior triangle of the neck</span> Region of the neck

The posterior triangle is a region of the neck.

<span class="mw-page-title-main">Transverse cervical nerve</span>

The transverse cervical nerve is a cutaneous (sensory) nerve of the cervical plexus that arises from the second and third cervical spinal nerves (C2-C3). It curves around the posterior border of the sternocleidomastoideus muscle, then pierces the fascia of the neck before dividing into two branches. It provides sensory innervation to the front of the neck.

<span class="mw-page-title-main">Retromandibular vein</span> Major face vein

The retromandibular vein is a major vein of the face. It is formed within the parotid gland by the confluence of the maxillary vein, and superficial temporal vein. It descends in the gland and splits into two branches upon emerging from the gland. Its anterior branch then joins the (anterior) facial vein forming the common facial vein, while its posterior branch joins the posterior auricular vein forming the external jugular vein.

<span class="mw-page-title-main">Deep cervical fascia</span>

The deep cervical fascia lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap.

<span class="mw-page-title-main">Submandibular triangle</span>

The submandibular triangle corresponds to the region of the neck immediately beneath the body of the mandible.

<span class="mw-page-title-main">Carotid triangle</span>

The carotid triangle is a portion of the anterior triangle of the neck.

<span class="mw-page-title-main">Subclavian triangle</span>

The subclavian triangle, the smaller division of the posterior triangle, is bounded, above, by the inferior belly of the omohyoideus; below, by the clavicle; its base is formed by the posterior border of the sternocleidomastoideus.

<span class="mw-page-title-main">Prevertebral fascia</span> Layer of deep cervical fascia that surrounds the vertebral column

The prevertebral fascia is the layer of deep cervical fascia that surrounds the vertebral column. It is the deepest layer of deep cervical fascia.

<span class="mw-page-title-main">Investing layer of deep cervical fascia</span>

The investing layer of deep cervical fascia is the most superficial part of the deep cervical fascia, and encloses the whole neck.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

The cheek constitutes the facial periphery and plays a key role in the maintenance of oral competence and mastication. It is also involved in the facial manifestation of human emotion and supports neighboring primary structures.

References

PD-icon.svgThis article incorporates text in the public domain from page 646 of the 20th edition of Gray's Anatomy (1918)

  1. [Standring, S., & Gray, H. (2016). Grays anatomy: the anatomical basis of clinical practice. Philadelphia: Elsevier. p.414]
  2. Gray's Anatomy of the Human Body
  3. Snoj, Z; Cvetko, E (Mar 2013). "A Case of Unilateral Fenestration and Duplication of the External Jugular Vein". Int. J. Morphol. 31 (1): 107–109. doi: 10.4067/S0717-95022013000100016 . Retrieved September 1, 2015.
  4. http://pehsc.org/wp-content/uploads/2015/08/EMS-Provider-Scope-of-Practice-08-28-15.pdf [ bare URL PDF ]