Anterior Triangle

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ANTERIOR TRIANGLE

It is in front of •
the
Sternomastoid
.muscle
BOUNDARIES
Anteriorly : midline of •
.the neck
Posteriorly: anterior •
border of
.sternomastoid
Superiorly: lower •
margin of the body of
.the mandible
BOUNDARIES

:Roof •
skin, superficial •
fascia (containing
platysma) and the
Investing layer of
.deep cervical fascia
SUBDIVISIONS

The anterior •
triangle is
:subdivided by
The Anterior and •
Posterior bellies of
the Digastric and
The Superior belly •
of Omohyoid into
(4) smaller
.triangles
SUBDIVISIONS

SUBM
ENTA
L

SUB
MAND CARO MUSCU
IBULA TID LAR
R
SUBMENTAL TRIANGLE
.It lies below the chin •
:Boundaries •
Anteriorly: midline of •
.the neck
Laterally: Anterior belly •
.of Digastric
BOUNDARIES

Inferiorly : body •
.of the hyoid
Floor: •
Mylohyoid
.muscle
CONTENTS

Submental •
.lymph nodes
They receive •
lymph from the
tip of the
.tongue
MYLOHYOID MUSCLE
It is a flat triangular •
sheet that supports
the floor of the
mouth and tongue
(forms the main
part of the floor of
.the mouth)
: Origin •
Mylohyoid line of •
.the mandible
MYLOHYOID

:Insertion •
The anterior fibers: •
Into a Fibrous
.Raphe
The posterior fibers: •
Into the body of
.hyoid bone
MYLOHYOID

:Nerve supply •
Nerve to •
.mylohyoid
MYLOHYOID
:Action •
If the mandible is fixed: •
Elevates the floor of the
.mouth as in deglutition
If the hyoid bone is fixed: •
Depresses the mandible
.and opens the mouth
DIGASTRIC TRIANGLE
It lies below the body •
.of the mandible
:Boundaries •
:Anteriorly •
Anterior belly of •
.Digastric
:Posteriorly •
Posterior belly of •
.digastric & Stylohyoid
DIGASTRIC TRIANGLE

:Superiorly •
Lower border of •
the body of the
.mandible
:Floor •
Mylohyoid. •
.Hyoglossus
CONTENTS
:A. Anterior part •
Submandibular) 1( •
.salivary gland
Facial artery (deep to) 2( •
.gland)
Facial vein) 3( •
Submandibular lymph) 4( •
.nodes
The vein and lymph •
nodes are superficial to
.the gland
CONTENTS

Hypoglossal) 5( •
.nerve
Nerve and) 6( •
vessels to
.mylohyoid
CONTENTS

B. posterior •
:part
Carotid. 1 •
sheath and its
.contents
parotid gland .2 •
(Lower part)
DIGASTRIC MUSCLE
:It has two bellies •
.Anterior and Posterior •
:Posterior belly •
Arises from the mastoid •
.process
Inserted into the •
.intermediate tendon
Anterior belly attached to •
the lower border of body
.of mandible
DIGASTRIC MUSCLE

Insertion : to the •
Intermediate •
.Tendon
It pierces the •
insertion of
.stylohyoid
It binds to the hyoid •
bone by a loop of
.deep fascia
NERVE SUPPLY

Posterior belly: •
Facial Nerve
:Anterior belly •
The nerve to •
.Mylohyoid
ACTION

Depression of the
.mandible
OR
Elevation of the •
.hyoid bone
STYLOHYOID MUSCLE

:Origin •
.The styloid process •
It runs along the upper •
border of the posterior
.belly of digastric
:Insertion •
Hyoid bone (between •
.body and greater horn)
STYLOHYOID MUSCLE

:Nerve supply •
.Facial nerve •
:Action •
Elevation of •
.hyoid bone
CAROTID TRIANGLE
It is behind the hyoid •
.bone
:Boundaries •
:Superiorly •
Posterior belly of •
.Digastric
:Inferiorly •
Superior belly of •
.Omohyoid
BOUNDARIES

:Posteriorly •
Anterior border of •
.sternomastoid
:Floor •
Thyrohyoid. •
.Hyoglossus
Middle & Inferior •
constrictors of the
.pharynx
CONTENTS
Carotid sheath) 1( •
Hypoglossal nerve) 2( •
and its descending
.branch
.Acessory nerve) 3( •
CONTENTS

Internal and) 4( •
External
laryngeal
.nerves
Deep) 5( •
cervical lymph
.nodes
CAROTID SHEATH
It is a •
condensation of
deep cervical
.fascia
It is attached to •
the base of the
skull superiorly
and fuses with
the pericardium
.inferiorly
CONTENTS
Common and. 1 •
internal carotid
.arteries
Internal jugular. 2 •
.vein
.Vagus nerve. 3 •
Deep cervical. 4 •
lymph nodes. They
form a chain along
the internal jugular
.vein
CAROTID SHEATH

It is crossed by •
Glossopharynge •
.al
.Hypoglossal •
Spinal part of •
.acessory
MUSCULAR TRIANGLE
It lies below the hyoid •
.bone
:Boundaries •
:Anteriorly •
.Midline of the neck •
:Superiorly •
Superior belly of •
.Omohyoid
MUSCULAR TRIANGLE
:Inferiorly •
Anterior border of •
Sternomastoid
:Floor •
Sternohyoid. •
.Sternothyroid
FLOOR

Beneath the floor •


:lie
.Thyroid gland •
.Larynx •
.Trachea •
.Esophagus •
INFRAHYOID MUSCLES
STER
NO
HYOI
D

STER
THYR OMO
NO
O HYOI
THYR
HOID D
OID
ORIGIN
Sternohyoid & •
:Sternothyroid
Posterior surface of •
.the manubrium
:Thyrohyoid •
Oblique line of thyroid •
.cartilage
ORIGIN
:Omohyoid •
:Inferior belly •
Suprascapular ligament •
.and Suprascapular notch
:Superior belly •
.Intermediate tendon •
INSERTION

Sternohyoid & •
:Sternothyroid
Hyoid bone (lower •
.border)
Oblique line of •
.thyroid cartilage
:Thyrohyoid •
Hyoid bone (lower •
.border)
INSERTION

Omohyoid •
Hyoid bone •
.(lower border)
NERVE SUPPLY
Ansa Cervicalis •
(C1,2&3)
EXCEPT •
:Thyrohyoid •
through the )C1( •
.hypoglossal nerve
ACTION

stabilization of) 1( •
the hyoid bone to
make a base for
the movements of
.the tongue
Assistance in) 2( •
the movements of
the larynx in
.swallowing

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