Retromandibular Vein
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The retromandibular vein (temporomaxillary vein, posterior facial vein) is a major vein of the face.


Anatomy


Origin

The retromandibular vein is formed by the union of the
superficial temporal 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. Its pulse can be felt above the zygomatic arch ...
and maxillary veins.


Course

It descends in the substance of the
parotid gland The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the man ...
, superficial to the
external 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. Structure T ...
(but beneath the
facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of tas ...
), between the
ramus of the mandible In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone ...
and the
sternocleidomastoideus 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 ...
muscle. It terminates by dividing into two branches: * an ''anterior'', which passes forward and joins
anterior facial vein Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...
, to form the
common facial vein The facial vein usually unites with the anterior branch of the retromandibular vein to form the common facial vein, which crosses the external carotid artery and enters the internal jugular vein at a variable point below the hyoid bone. From ne ...
, which then drains into 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 ...
. * a ''posterior'', which is joined by the
posterior auricular vein The posterior auricular vein is a vein of the head. It begins from a plexus with the occipital vein and the superficial temporal vein, descends behind the auricle, and drains into the external jugular vein. Structure The posterior auricular v ...
and becomes the
external jugular vein 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 ...
.


Function

The retromandibular vein provides venous drainage to the superior
cranium The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone. However two parts are more prominent: the cranium and the mandible. In humans, the ...
, and significant drainage to the
ear An ear is the organ that enables hearing and, in mammals, body balance using the vestibular system. In mammals, the ear is usually described as having three parts—the outer ear, the middle ear and the inner ear. The outer ear consists of ...
.


Clinical significance

Parrot's sign is a sensation of pain when pressure is applied to the retromandibular region.


Additional images

File:Lateral head anatomy detail.jpg, Lateral head anatomy detail


References


External links

* - " Infratemporal fossa: The
Pterygoid plexus The pterygoid plexus (;Entry "pterygoid"
in
of Veins" * ()
Tufts.edu
Veins of the head and neck {{circulatory-stub