CAROTID TRIANGLE
BOUNDARIES
ANTERIORLY AND BELOW
SUPERIOR BELLY OF OMOHYOID
BOUNDARIES
ANTERIORLY AND ABOVE
POSTERIOR BELLY OF DIGASTRIC AND
STYLOHYOID MUSCLE
BOUNDARIES
POSTERIORLY
STERNOCLEIDOMASTOID MUSCLE
BOUNDARIES
ROOF
FORMED BY INVESTING LAYER OF DEEP
CERVICAL FASCIA
BOUNDARIES
FLOOR
FORMED BY THYROHYOID AND HYOGLOSSUS
ANTERIORLY AND POSTERIORLY BY MIDDLE
CONSTRICTOR AND INFERIOR CONSTRICTOR OF
THE PHARYNX.
CONTENTS OF THE CAROTID
TRIANGLE
1. INTERNAL JUGULAR VEIN
2. COMMON CAROTID ARTERY
3. EXTERNAL CAROTID ARTERY
4. INTERNAL CAROTID ARTERY
5. SUPERIOR THYROID ,LINGUAL, COMMON
FACIAL VEINS
6. VAGUS NERVE
CONTENTS OF THE CAROTID
TRIANGLE
7. SPINAL ACCESSORY NERVE
8.HYPOGLOSSAL NERVE
9. CERVICAL SYMPATHETIC CHAIN
10.ANSA CERVICALIS
11.LYMPH NODES
COMMON CAROTID ARTERY
COMMON CAROTID ARTERY DIVIDES INTO
EXTERNAL AND INTERNAL CAROTID ARTERY AT
THE LEVEL OF UPPER BORDER OF THYROID
CARTILAGE (C4 LEVEL)
AT ITS TERMINATION THERE IS A BULGE CALLED
CAROTID SINUS
COMMON CAROTID ARTERY
BEHIND THE TERMINATION THERE IS A SMALL
GREYISH YELLOW BODY CALLED CAROTID BODY.
CAROTID SINUS IMPORTANCE
PHYSIOLOGICAL IMPORTANCE OF THE CAROTID
SINUS IS THAT IT CONTAINS BARORECEPTORS
WHEN THERE IS INCREASE IN BLOOD PRESSURE
THERE IS REFLEX SLOWING OF THE HEART RATE
AND PERIPHERAL VASODILATATION.
CAROTID BODY CONTAINS CHEMORECEPTORS
WHEN THE ARTERIAL OXYGEN TENSION FALLS
THERE IS REFLEX INCREASE IN RESPIRATION
COMMON CAROTID ARTERY
•
BOTH THE CAROTID SINUS AND THE CAROTID
BODY ARE SUPPLIED BY GLOSSOPHARYNGEAL
NERVE
EXTERNAL CAROTID ARTERY
EXTERNAL CAROTID ARTERY GIVES THE
FOLLOWING BRANCHES IN THE CAROTID
TRIANGLE
1.SUPERIOR THYROID
2.LINGUAL
3.FACIAL
4.ASCENDING PHARYNGEAL
5.OCCIPITAL
CAROTID TRIANGLE
•
SUPERIOR THYROID, LINGUAL,COMMON
FACIAL VEINS DRAINS INTO THE INTERNAL
JUGULAR VEIN IN THE TRIANGLE
VAGUS NERVE
•
VAGUS NERVE DESCENDS BETWEEN THE VEIN
AND ARTERY WITHIN THE CAROTID SHEATH.
•
THE VAGUS NERVE GIVES PHARYNGEAL
BRANCHES AND SUPERIOR LARYNGEAL NERVE
WHICH DIVIDES INTO INTERNAL LARYNGEAL
NERVE AND EXTERNAL LARYNGEAL NERVE.
•
SPINAL ACCESSORY NERVE RUNS BACKWARDS
CROSSING THE INTERNAL JUGULAR VEIN.
•
HYPOGLOSSAL NERVE RUNS FORWARDS
CROSSING THE INTERNAL CAROTID ,EXTERNAL
CAROTID AND THE LOOP OF THE LINGUAL
ARTERY.
•
CERVICAL SYMPATHETIC CHAIN RUNS OUTSIDE
THE CAROTID SHEATH BEHIND THE ARTERY.
ANSA CERVICALIS
•
IS A NERVE LOOP LYING ON THE CAROTID
SHEATH OVER THE INTERNAL JUGULAR VEIN
.IT IS FORMED BY THE UNION OF DESCENDENS
HYPOGLOSSI AND DESCENDENS CERVICALIS .
•
SUPERIOR ROOT ARISES FROM THE
HYPOGLOSSAL NERVE.
•
IT CONTAINS C1 FIBRES
•
INFERIOR ROOT ARISES FROM APR OF C2 AND
•
RIBBON MUSCLES OR INFRAHYOID MUSCLES
•
THE RIBBON MUSCLES ARE
•
STERNOHYOID
•
STERNOTHYROID
•
SUPERIOR BELLY OF OMOHYOID
•
INFERIOR BELLY OF OMOHYOID
LYMPH NODES
•
CAROTID TRIANGLE HAS DEEP CERVICAL
LYMPH NODES ARE RELATED TO INTERNAL
JUGULAR VEINS
CAROTID TRIANGLE
THE COMMON CAROTID ARTERY DIVIDES INTO
EXTERNAL CAROTID ARTERY AND INTERNAL
CAROTID ARTERY, AT THE UPPER BORDER OF
THYROID CARTILAGE LEVEL i.e. 4th CERVICAL
VERTEBRA LEVEL.
CAROTID ARTERY
FROM SUPERIOR THYROID ARTERY THE
SUPERIOR LARYNGEAL ARTERY COMES OUT
WHICH ALONG WITH INTERNAL LARYNGEAL
NERVE PIERCES THYROHYOID MEMBRANE.
CAROTID TRIANGLE
THE THREE STRUCTURES SEEN IN CAROTID
TRIANGLE ARE COMMON CAROTID ARTERY,
VAGUS AND INTERNAL JUGULAR VEIN.
VAGUS IS SEEN BETWEEN INTERNAL JUGULAR
VEIN AND COMMON CAROTID ARTERY.
IN DISSECTION WE FIND THAT ANSA CERVICALIS
IS VERY SUPERFICIALLY PLACED AND IS THIN
AND SUPPLIES ALL STRAP MUSCLES.
CAROTID TRIANGLE
DEEP TO STERNOHYOID MUSCLE IS
STERNOTHYROID AND THYROHYOID.
BRANCHES OF SUPERIOR THYROID
ARTERY
1. SUPERIOR LARYNGEAL ARTERY
2. STERNOMASTOID BRANCH
3. GLANDULAR BRANCH ( SUPPLIES THYROID
GLAND)
4. INFRA HYOID BRANCH
5. CRICOTHYROID BRANCH
BRANCHES OF VAGUS
1.MENINGEAL
2. PHARYNGEAL
3. SUPERIOR LARYNGEAL
4. CARDIAC BRANCHES ( IN NECK)
5. RECURRENT LARYNGEAL
THANK
YOU
FOR
YOUR
HEARING !

Carotid triangle

  • 1.
  • 2.
  • 3.
    BOUNDARIES ANTERIORLY AND ABOVE POSTERIORBELLY OF DIGASTRIC AND STYLOHYOID MUSCLE
  • 4.
  • 5.
    BOUNDARIES ROOF FORMED BY INVESTINGLAYER OF DEEP CERVICAL FASCIA
  • 6.
    BOUNDARIES FLOOR FORMED BY THYROHYOIDAND HYOGLOSSUS ANTERIORLY AND POSTERIORLY BY MIDDLE CONSTRICTOR AND INFERIOR CONSTRICTOR OF THE PHARYNX.
  • 7.
    CONTENTS OF THECAROTID TRIANGLE 1. INTERNAL JUGULAR VEIN 2. COMMON CAROTID ARTERY 3. EXTERNAL CAROTID ARTERY 4. INTERNAL CAROTID ARTERY 5. SUPERIOR THYROID ,LINGUAL, COMMON FACIAL VEINS 6. VAGUS NERVE
  • 8.
    CONTENTS OF THECAROTID TRIANGLE 7. SPINAL ACCESSORY NERVE 8.HYPOGLOSSAL NERVE 9. CERVICAL SYMPATHETIC CHAIN 10.ANSA CERVICALIS 11.LYMPH NODES
  • 9.
    COMMON CAROTID ARTERY COMMONCAROTID ARTERY DIVIDES INTO EXTERNAL AND INTERNAL CAROTID ARTERY AT THE LEVEL OF UPPER BORDER OF THYROID CARTILAGE (C4 LEVEL) AT ITS TERMINATION THERE IS A BULGE CALLED CAROTID SINUS
  • 10.
    COMMON CAROTID ARTERY BEHINDTHE TERMINATION THERE IS A SMALL GREYISH YELLOW BODY CALLED CAROTID BODY.
  • 11.
    CAROTID SINUS IMPORTANCE PHYSIOLOGICALIMPORTANCE OF THE CAROTID SINUS IS THAT IT CONTAINS BARORECEPTORS WHEN THERE IS INCREASE IN BLOOD PRESSURE THERE IS REFLEX SLOWING OF THE HEART RATE AND PERIPHERAL VASODILATATION. CAROTID BODY CONTAINS CHEMORECEPTORS WHEN THE ARTERIAL OXYGEN TENSION FALLS THERE IS REFLEX INCREASE IN RESPIRATION
  • 12.
    COMMON CAROTID ARTERY • BOTHTHE CAROTID SINUS AND THE CAROTID BODY ARE SUPPLIED BY GLOSSOPHARYNGEAL NERVE
  • 13.
    EXTERNAL CAROTID ARTERY EXTERNALCAROTID ARTERY GIVES THE FOLLOWING BRANCHES IN THE CAROTID TRIANGLE 1.SUPERIOR THYROID 2.LINGUAL 3.FACIAL 4.ASCENDING PHARYNGEAL 5.OCCIPITAL
  • 14.
    CAROTID TRIANGLE • SUPERIOR THYROID,LINGUAL,COMMON FACIAL VEINS DRAINS INTO THE INTERNAL JUGULAR VEIN IN THE TRIANGLE
  • 15.
    VAGUS NERVE • VAGUS NERVEDESCENDS BETWEEN THE VEIN AND ARTERY WITHIN THE CAROTID SHEATH. • THE VAGUS NERVE GIVES PHARYNGEAL BRANCHES AND SUPERIOR LARYNGEAL NERVE WHICH DIVIDES INTO INTERNAL LARYNGEAL NERVE AND EXTERNAL LARYNGEAL NERVE.
  • 16.
    • SPINAL ACCESSORY NERVERUNS BACKWARDS CROSSING THE INTERNAL JUGULAR VEIN. • HYPOGLOSSAL NERVE RUNS FORWARDS CROSSING THE INTERNAL CAROTID ,EXTERNAL CAROTID AND THE LOOP OF THE LINGUAL ARTERY.
  • 17.
    • CERVICAL SYMPATHETIC CHAINRUNS OUTSIDE THE CAROTID SHEATH BEHIND THE ARTERY.
  • 18.
    ANSA CERVICALIS • IS ANERVE LOOP LYING ON THE CAROTID SHEATH OVER THE INTERNAL JUGULAR VEIN .IT IS FORMED BY THE UNION OF DESCENDENS HYPOGLOSSI AND DESCENDENS CERVICALIS . • SUPERIOR ROOT ARISES FROM THE HYPOGLOSSAL NERVE. • IT CONTAINS C1 FIBRES • INFERIOR ROOT ARISES FROM APR OF C2 AND
  • 19.
    • RIBBON MUSCLES ORINFRAHYOID MUSCLES • THE RIBBON MUSCLES ARE • STERNOHYOID • STERNOTHYROID • SUPERIOR BELLY OF OMOHYOID • INFERIOR BELLY OF OMOHYOID
  • 20.
    LYMPH NODES • CAROTID TRIANGLEHAS DEEP CERVICAL LYMPH NODES ARE RELATED TO INTERNAL JUGULAR VEINS
  • 21.
    CAROTID TRIANGLE THE COMMONCAROTID ARTERY DIVIDES INTO EXTERNAL CAROTID ARTERY AND INTERNAL CAROTID ARTERY, AT THE UPPER BORDER OF THYROID CARTILAGE LEVEL i.e. 4th CERVICAL VERTEBRA LEVEL.
  • 22.
    CAROTID ARTERY FROM SUPERIORTHYROID ARTERY THE SUPERIOR LARYNGEAL ARTERY COMES OUT WHICH ALONG WITH INTERNAL LARYNGEAL NERVE PIERCES THYROHYOID MEMBRANE.
  • 23.
    CAROTID TRIANGLE THE THREESTRUCTURES SEEN IN CAROTID TRIANGLE ARE COMMON CAROTID ARTERY, VAGUS AND INTERNAL JUGULAR VEIN. VAGUS IS SEEN BETWEEN INTERNAL JUGULAR VEIN AND COMMON CAROTID ARTERY.
  • 24.
    IN DISSECTION WEFIND THAT ANSA CERVICALIS IS VERY SUPERFICIALLY PLACED AND IS THIN AND SUPPLIES ALL STRAP MUSCLES.
  • 25.
    CAROTID TRIANGLE DEEP TOSTERNOHYOID MUSCLE IS STERNOTHYROID AND THYROHYOID.
  • 26.
    BRANCHES OF SUPERIORTHYROID ARTERY 1. SUPERIOR LARYNGEAL ARTERY 2. STERNOMASTOID BRANCH 3. GLANDULAR BRANCH ( SUPPLIES THYROID GLAND) 4. INFRA HYOID BRANCH 5. CRICOTHYROID BRANCH
  • 27.
    BRANCHES OF VAGUS 1.MENINGEAL 2.PHARYNGEAL 3. SUPERIOR LARYNGEAL 4. CARDIAC BRANCHES ( IN NECK) 5. RECURRENT LARYNGEAL
  • 28.