Muscular Triangle
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The inferior carotid triangle (or muscular triangle), is bounded, in front, by the median line of the neck from the
hyoid bone The hyoid-bone (lingual-bone or tongue-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 verte ...
to the
sternum The sternum (: sternums or sterna) or breastbone is a long flat bone located in the central part of the chest. It connects to the ribs via cartilage and forms the front of the rib cage, thus helping to protect the heart, lungs, and major bl ...
; behind, by the anterior margin of the
sternocleidomastoid The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the acces ...
; above, by the superior belly of the omohyoid. It is covered by the integument, superficial fascia,
platysma The platysma muscle or platysma is a :wikt:superficial, 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 ...
, and deep fascia, ramifying in which are some of the branches of the supraclavicular nerves. Beneath these superficial structures are the sternohyoid and sternothyroid, which, together with the anterior margin of the
sternocleidomastoid The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the acces ...
, conceal the lower part of the
common carotid artery In anatomy, the left and right common carotid arteries (carotids) () are artery, arteries that supply the head and neck with oxygenated blood; they divide in the neck to form the external carotid artery, external and internal carotid artery, inte ...
. This vessel is enclosed within its sheath, together with the
internal jugular vein The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the posteri ...
and
vagus nerve The vagus nerve, also known as the tenth cranial nerve (CN X), plays a crucial role in the autonomic nervous system, which is responsible for regulating involuntary functions within the human body. This nerve carries both sensory and motor fibe ...
; the vein lies lateral to the artery on the right side of the neck, but overlaps it below on the left side; the nerve lies between the artery and vein, on a plane posterior to both. In front of the sheath are a few descending filaments from the ansa cervicalis; behind the sheath are the inferior thyroid artery, the recurrent nerve, and the
sympathetic trunk The sympathetic trunk (sympathetic chain, gangliated cord) is a paired bundle of nerve fibers that run from the base of the skull to the coccyx. It is a major component of the sympathetic nervous system. Structure The sympathetic trunk lies just ...
; and on its medial side, the
esophagus The esophagus (American English), oesophagus (British English), or œsophagus (Œ, archaic spelling) (American and British English spelling differences#ae and oe, see spelling difference) all ; : ((o)e)(œ)sophagi or ((o)e)(œ)sophaguses), c ...
, the
trachea The trachea (: tracheae or tracheas), also known as the windpipe, is a cartilaginous tube that connects the larynx to the bronchi of the lungs, allowing the passage of air, and so is present in almost all animals' lungs. The trachea extends from ...
, the
thyroid gland The thyroid, or thyroid gland, is an endocrine gland in vertebrates. In humans, it is a butterfly-shaped gland located in the neck below the Adam's apple. It consists of two connected lobes. The lower two thirds of the lobes are connected by ...
, and the lower part of the
larynx The larynx (), commonly called the voice box, is an organ (anatomy), organ in the top of the neck involved in breathing, producing sound and protecting the trachea against food aspiration. The opening of larynx into pharynx known as the laryngeal ...
. By cutting into the upper part of this space, and slightly displacing the sternocleidomastoid, the common carotid artery may be tied below the omohyoid.


Gallery

File:Musculussternocleidomastodieus.png,
Sternocleidomastoid muscle The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and Anatomical terms of motion#Flexion and extension, flexion of the neck. ...
File:Gray386.png, Muscles of the neck. Anterior view. File:Gray512.svg, The triangles of the neck. (Anterior triangles to the left; posterior triangles to the right. Suprahyoid labeled at left.)


See also

*
Anterior triangle of the neck The anterior triangle is a region of the neck. Structure The triangle is inverted with its apex inferior to its base which is under the chin. Investing fascia covers the roof of the triangle while visceral fascia covers the floor. Anatomy M ...


References


External links

* * * () * {{Authority control Human head and neck Triangles of the neck