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 verteb ...
to the
sternum
The sternum 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 blood vessels from injury. ...
; 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 access ...
; above, by the superior belly of the
omohyoid.
It is covered by the integument, superficial fascia,
platysma
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" eff ...
, and deep fascia, ramifying in which are some of the branches of the supraclavicular nerves.
Beneath these superficial structures are the
sternohyoid
The sternohyoid muscle is a thin, narrow muscle attaching the hyoid bone to the sternum. It is one of the paired strap muscles of the infrahyoid muscles. It is supplied by the ansa cervicalis. It depresses the hyoid bone.
Structure
The sternoh ...
and
sternothyroid
The sternothyroid muscle, or sternothyroideus, is an infrahyoid muscle in the neck. It acts to depress the hyoid bone. It is below the sternohyoid muscle. It is shorter and wider than the sternohyoid.
Structure
The sternothyroid arises from the ...
, 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 access ...
, conceal the lower part of the
common carotid artery
In anatomy, the left and right common carotid arteries (carotids) (Entry "carotid"
in
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 post ...
and
vagus nerve
The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and rig ...
; 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
The ansa cervicalis (or ansa hypoglossi in older literature) is a loop of nerves that are part of the cervical plexus. It lies superficial to the internal jugular vein in the carotid triangle. Its name means "handle of the neck" in Latin.
Branc ...
; behind the sheath are the
inferior thyroid artery, the
recurrent nerve, and the
sympathetic trunk
The sympathetic trunks (sympathetic chain, gangliated cord) are a paired bundle of nerve fibers that run from the base of the skull to the coccyx. They are a major component of the sympathetic nervous system.
Structure
The sympathetic trunk lies ...
; and on its medial side, the
esophagus
The esophagus (American English) or oesophagus (British English; both ), non-technically known also as the food pipe or gullet, is an organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to the ...
, the
trachea
The trachea, 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 air-breathing animals with lungs. The trachea extends from th ...
, the
thyroid gland
The thyroid, or thyroid gland, is an endocrine gland in vertebrates. In humans it is in the neck and consists of two connected lobes. The lower two thirds of the lobes are connected by a thin band of tissue called the thyroid isthmus. The thyr ...
, and the lower part of the
larynx.
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 flexion of the neck. The sternocleidomastoid is innervated by the access ...
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
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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
Mus ...
References
External links
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Human head and neck
Triangles of the neck