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To MBBS 2nd year
Dr. Laxman Khanal
Assistant professor, department of Anatomy, BPKIHS
Date:07-02-2017
Anterior
Triangles of
Neck
Q. Which side of SCM
muscle is in action ?
a. Right
b. Left
c. Both
Q. Identify the muscle.
SternoCleido
Mastoid
Compartments of neck region
1. Visceral
2. Vertebral
3. Neurovascular
Cut throat wounds normally escape the injury to vessels
because they become pushed back in deeper plane in
voluntary extension of neck.
Subcutaneous structures of neck
•Triangular gap between
the two heads of SCM
is called lesser
supraclavicular
fossa.
•It contains the terminal
part of the IJV, which can
be entered at this site by a
needle or catheter.
Nerve supply
Spinal accessory nerve 
Branch from C2 and C3
Function of right SCM
• Same side lateral flexion
• Opposite head rotation
Function of Bilateral SCM
Anterior triangle of neck
Division of
anterior triangle
1.Digastric triangle
2.Carotid triangle
3.Muscular triangle
4.Submental triangle
Fascial sling (investing layer)
Roof
Floor
Room
Investing layer of
deep cervical fascia
Muscles
1. Submental
2. Digastric
3. Muscular
4. Carotid
• What forms the walls?
• Who resides in the room?
+
Bones (H +M)
Midline of neck
Contents
Submental triangle
•Boundaries
•Floor
•Contents
-Submental LN 
-Submental vein
-Ant jugular vein
Triangle mostly
occupied by lymph
node.
Boundaries
Contents
-Infrahyoid muscles
1. Sternohyod and
Omohyoid
2. Sternothyroid and
Thyrodyoid
- Thyroid gland
- Trachea
- Esophagus
Muscular triangle
With no named vessels.
Attachment of infra-hyoid muscles
Omo-Hyoid/Sterno-Hyoid
Thyro-Hyoid/Sterno-Thyroid
# TOSS
• All except T are supplied by
Ansa Cervicalis (C1 to C3).
• T supplied by C1 through
hypoglossal nerve.
Ansa Cervicalis lies in carotid triangle
but supplies muscular triangle.
Suprahyoid muscles
1. Geniohyoid
2. Mylohyoid
3. Digastric
4. Stylohyoid
Location-digastric and submental  (suprahyoid
region).
Muscle of anterior neck
Suprahyoid-submental and digastric 
Infrahyoid- muscular 
Carotid triangle
Boundaries
Floor
-Middle constrictor
-Thyrohyoid membrane
-Inferior constrictor
Contents
CCA
ICA &ECA
five branches of ECA
Vagus nerve
Sup laryngeal branch
Spinal accessory nerve
Hypoglossal nerve
IJV
Common facial vein
Lingual vein
Ascending pharyngeal vein
CCA, IJV, 10 /11 /12 CN
Contents
CCA
ICA
ECA
Lower five branches
Vagus nerve
Sup laryngeal branch
Spinal accessory nerve
Hypoglossal nerve
IJV
Common facial vein
Lingual vein
Ascending pharyngeal vein
1. Carotid sheath
2. External CA
3. 11th CN
4. 12th CN
Artery- Carotid system
Vein- IJV
Nerve- 10/11/12 nerve
1. Ascending pharyngeal artery
2. Sup thyroid artery
3. Lingual artery
4. Facial artery
5. Occipital artery
6. Posterior auricular artery
7. Maxillary artery
8. Superficial temporal artery
Ext carotid artery
Sup belly of omohyoid
Post belly of digastic
SCM
1. Anterior
2. Posterior
3. Medial
4. Terminal
Carotid sinus Syndrome
NTS
Sudden rotation of head
Tight collar
IXth CNXth CN
• Decrease BP
• Bradycardia
• Vasodilation
Pressure
Sympathetic
Heart
Vessels
Rare cause of Syncope or
sudden death
Artery- Carotid system
Vein- IJV
Nerve- 10/11/12 nerve
T O S S
Digastric triangle
Boundaries
Floor
-Mylohyoid
-Hyoglosus
-Midle constrictor
Contents
Anterior part
1. Superficial to mylohyoid
2. Superficial to hyoglossus
Posterior parts
Contents
Anterior part
1. Superficial to mylohyoid
2. Superficial to hyoglossus
Posterior parts
Imp Qns
What are the strs superficial to mylohyoid ?
What are the strs superficial to hyoglossus ?
Posterior part of Digastric triangle
Lower part of parotid
ECA
ICA
IJV
Vagus nerve
Superficial to mylohyoid
1. Superficial part of submandibular gland
(facial artery and vein)
1. Submental artery
2. Mylohyoid Nerve
3. Mylohyoid vessels
Relationship
of Hyoglossus
muscle
• Deep part of SM gland
• Duct of SM gland
• SM ganglion
• Lingual nerve
• Hypoglossal nerve
• Vena comitantes
• Stylohyoid ligament
• IX th nerve
• Lingual artery
Superficial to Hyoglossus
• Deep part of submandibular gland
• Submandibular duct
• Hypoglossal and Lingual nerve
• Submandimular ganglion
• Styloglossus muscle
?????
• Anterior neck contains two groups of muscles.
1. Supra hyoid
2. Infra hyoid
• Carotid system, IJV and CN (X, XI & XII) pass
through carotid triangle.
• Ansa cervicalis lies anterior to carotid sheath
and supplies infrahyoid muscles except
Thyrohyoid.

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