External jugular vein | |
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Veins of the head and neck. (External jugular visible at center.) | |
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.
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.
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]
The external jugular vein varies in size, bearing an inverse proportion to the other veins of the neck, it is occasionally double. [3]
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.
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.
Articles related to anatomy include:
The great auricular nerve originates from the cervical plexus, composed of branches of spinal nerves C2 and C3. It provides sensory innervation for the skin over parotid gland and mastoid process, and both surfaces of the outer ear. Pain resulting from parotitis is caused by an impingement on the great auricular nerve.
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.
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. External carotid artery supplies blood to the face and neck.
The platysma is a superficial muscle of the human neck that overlaps the sternocleidomastoid.
In human anatomy, the superficial temporal artery is a major artery of the head. It arises from the external carotid artery when it splits into the superficial temporal artery and maxillary artery.
The occipital artery arises from the external carotid artery opposite the facial artery. Its path is below the posterior belly of digastric to the occipital region. This artery supplies blood to the back of the scalp and sternocleidomastoid muscles, and deep muscles in the back and neck.
The posterior triangle is a region of the neck.
The supraclavicular nerves arise from the third and fourth cervical nerves. They emerge beneath the posterior border of the sternocleidomastoideus, and descend in the posterior triangle of the neck beneath the platysma muscle and the deep cervical fascia. Together, they innervate skin over the shoulder. The supraclavicular nerve can be blocked during shoulder surgery.
The transverse cervical nerve arises from the second and third spinal nerves, turns around the posterior border of the sternocleidomastoideus about its middle, and, passing obliquely forward beneath the external jugular vein to the anterior border of the muscle, it perforates the deep cervical fascia, and divides beneath the Platysma into ascending and descending branches, which are distributed to the antero-lateral parts of the neck. It provides cutaneous innervation to this area.
The maxillary artery supplies deep structures of the face. It branches from the external carotid artery just deep to the neck of the mandible.
The retromandibular vein is a major vein of the face.
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 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.
The prevertebral fascia is a fascia in the neck.
The Investing layer of deep cervical fascia is the most superficial part of the deep cervical fascia, and it encloses the whole neck.
The following outline is provided as an overview of and topical guide to human anatomy:
This article incorporates text in the public domain from page 646 of the 20th edition of Gray's Anatomy (1918)
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