Anterior triangle of the neck | |
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Details | |
Identifiers | |
Latin | trigonum cervicale anterius trigonum colli anterius regio cervicalis anterior |
TA98 | A01.2.02.002 |
TA2 | 230 |
FMA | 57777 |
Anatomical terminology |
The anterior triangle is a region of the neck.
The triangle is inverted with its apex inferior to its base which is under the chin. [1]
Inferior boundary (apex) | Jugular notch in the manubrium of the sternum |
Anterior boundary | Midline of the neck from chin to the jugular notch |
Posterior boundary | The anterior margin of sternocleidomastoid |
Superior boundary (base) | The lower border of the body of the mandible, and a line extending from the angle of the mandible to the mastoid process |
Investing fascia covers the roof of the triangle while visceral fascia covers the floor.
Muscles:
2 Bellies of digastric
Stylohyoid: by the facial nerve, by a branch from that to the posterior belly of digastric.
Mylohyoid: by its own nerve, a branch of the inferior alveolar (from the mandibular division of trigeminal nerve), which arises just before the parent nerve enters the mandibular foramen, pierces the sphenomandibular ligament, and runs forward on the inferior surface of the mylohyoid, supplying it and the anterior belly of the digastric.
Geniohyoid: by a branch from the hypoglossal nerve consisting of fibres from the C1 nerve.
Sternohyoid, omohyoid, sternothyroid are supplied by ansa cervicalis.
Thyrohyoid: by a branch of hypoglossal nerve but the fibres are all 'hitch-hiking' from C1.
This space is subdivided into four smaller triangles by the digastricus above, and the superior belly of the omohyoideus.
These smaller triangles are named:
The neck is the part of the body on many vertebrates that connects the head with the torso. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In addition, the neck is highly flexible and allows the head to turn and flex in all directions. The structures of the human neck are anatomically grouped into four compartments: vertebral, visceral and two vascular compartments. Within these compartments, the neck houses the cervical vertebrae and cervical part of the spinal cord, upper parts of the respiratory and digestive tracts, endocrine glands, nerves, arteries and veins. Muscles of the neck are described separately from the compartments. They bound the neck triangles.
Articles related to anatomy include:
The hyoid bone is a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage. At rest, it lies between the base of the mandible and the third cervical vertebra.
In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.
The suprahyoid muscles are four muscles located above the hyoid bone in the neck. They are the digastric, stylohyoid, geniohyoid, and mylohyoid muscles. They are all pharyngeal muscles, with the exception of the geniohyoid muscle. The digastric is uniquely named for its two bellies. Its posterior belly rises from the mastoid process of the cranium and slopes downward and forward. The anterior belly arises from the digastric fossa on the inner surface of the mandibular body, which slopes downward and backward. The two bellies connect at the intermediate tendon. The intermediate tendon passes through a connective tissue loop attached to the hyoid bone. The mylohyoid muscles are thin, flat muscles that form a sling inferior to the tongue supporting the floor of the mouth. The geniohyoids are short, narrow muscles that contact each other in the midline. The stylohyoids are long, thin muscles that are nearly parallel with the posterior belly of the digastric 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.
The cervical plexus is a nerve plexus of the anterior rami of the first four cervical spinal nerves C1-C4. The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory innervation to parts of the head, neck, and chest.
The digastric muscle is a bilaterally paired suprahyoid muscle located under the jaw. Its posterior belly is attached to the mastoid notch of temporal bone, and its anterior belly is attached to the digastric fossa of mandible; the two bellies are united by an intermediate tendon which is held in a loop that attaches to the hyoid bone. The anterior belly is innervated via the mandibular nerve, and the posterior belly is innervated via the facial nerve. It may act to depress the mandible or elevate the hyoid bone.
The mylohyoid muscle or diaphragma oris is a paired muscle of the neck. It runs from the mandible to the hyoid bone, forming the floor of the oral cavity of the mouth. It is named after its two attachments near the molar teeth. It forms the floor of the submental triangle. It elevates the hyoid bone and the tongue, important during swallowing and speaking.
The stylohyoid muscle is one of the suprahyoid muscles. Its originates from the styloid process of the temporal bone; it inserts onto hyoid bone. It is innervated by a branch of the facial nerve. It acts draw the hyoid bone upwards and backwards.
In anatomy, the left and right common carotid arteries (carotids) are arteries that supply the head and neck with oxygenated blood; they divide in the neck to form the external and internal carotid arteries.
The sternothyroid muscle is an infrahyoid muscle of the neck. It acts to depress the hyoid bone.
The thyrohyoid muscle is a small skeletal muscle of the neck. Above, it attaches onto the greater cornu of the hyoid bone; below, it attaches onto the oblique line of the thyroid cartilage. It is innervated by fibres derived from the cervical spinal nerve 1 that run with the hypoglossal nerve to reach this muscle. The thyrohyoid muscle depresses the hyoid bone and elevates the larynx during swallowing. By controlling the position and shape of the larynx, it aids in making sound.
The superior thyroid artery arises from the external carotid artery just below the level of the greater cornu of the hyoid bone and ends in the thyroid gland.
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.
The submandibular triangle corresponds to the region of the neck immediately beneath the body of the mandible.
The carotid triangle is a portion of the anterior triangle of the neck.
The inferior carotid triangle, is bounded, in front, by the median line of the neck from the hyoid bone to the sternum; behind, by the anterior margin of the sternocleidomastoid; above, by the superior belly of the omohyoid.
The cervical spinal nerve 1 (C1) is a spinal nerve of the cervical segment. C1 carries predominantly motor fibres, but also a small meningeal branch that supplies sensation to parts of the dura around the foramen magnum.
The submandibular space is a fascial space of the head and neck. It is a potential space, and is paired on either side, located on the superficial surface of the mylohyoid muscle between the anterior and posterior bellies of the digastric muscle. The space corresponds to the anatomic region termed the submandibular triangle, part of the anterior triangle of the neck.
This article incorporates text in the public domain from page 563 of the 20th edition of Gray's Anatomy (1918)