Anterior Triangle and Submandibular Region Flashcards
what are the four divisions of the anterior triangle?
muscular
carotid
submental
digastric/submandibular
what is the border of the muscular triangle?
anterior border of the sternocleidomastoid
superior belly of the omohyoid muscle
median line
paired triangle
what is the border of the carotid triangle
posterior belly of the digastric muscle
superior belly of the omohyoid muscle
anterior border of the sternocleidomastoid
paired triangle
what is the border of the submental triangle?
two anterior bellies of the digastric muscles
hyoid bone
unpaired triangle
what are the borders of the digastric/submandibular triangle?
two bellies of the digastric muscles
lower border of the mandible
paired triangle
what are the contents of the muscular triangle?
infrahyoid muscles (strap muscles)
- sternohyoid
- omohyoid
- sternothyroid
- thyrohyoid
what do the infrahyoid muscles act on?
larynx and hyoid bone
sternohyoid =
origin = within thorax, behind manubrium (top of sternum..) insertion = hyoid bone innervation = inferior root of ansa cervicalis (descendens cervicalis), fibers C2,C3 action = depressor of larynx as a whole
origin = within thorax, behind manubrium (top of sternum..) insertion = hyoid bone innervation = inferior root of ansa cervicalis (descendens cervicalis), fibers C2,C3 action = depressor of larynx as a whole
sternohyoid
omohyoid =
origin = near the suprascapular notch insertion = hyoid bone innervation = superior root of the ansa cervicalis (descendens hypoglossi) fibers C1 [superior belly] action = depressor of larynx as a whole
two bellies with an intermediate tendon
origin = near the suprascapular notch insertion = hyoid bone innervation = superior root of the ansa cervicalis (descendens hypoglossi) fibers C1 [superior belly] action = depressor of larynx as a whole
two bellies with an intermediate tendon
omohyoid
sternothyroid =
origin = posterior manubrium below origin of sternohyoid insertion = oblique line of thyroid cartilage innervation = inferior root of the ansa cervicalis (descendens cervicalis), fibers from C2-C3 action = depressor of the larynx as a whole
origin = posterior manubrium below origin of sternohyoid insertion = oblique line of thyroid cartilage innervation = inferior root of the ansa cervicalis (descendens cervicalis), fibers from C2-C3 action = depressor of the larynx as a whole
sternothyroid
thyrohyoid =
origin = oblique line of thyroid cartilage insertion = hyoid bone innervation = C1 fibers hitchhiking on the hypoglossal nerve action = elevator of the larynx as a whole
origin = oblique line of thyroid cartilage insertion = hyoid bone innervation = C1 fibers hitchhiking on the hypoglossal nerve action = elevator of the larynx as a whole
thyrohyoid
what is contained within the carotid triangle?
bifurcation of the common carotid artery
internal carotid artery
external carotid artery and its branches
vagus nerve
internal jugular vein
describe the branching pattern of the external carotid artery
(five branches, then terminal branches)
superior thyroid artery lingual artery facial artery ascending pharyngeal artery occipital artery Terminal branches = maxillary, superficial temporal artery
which arteries off the external carotid artery have additional branches?
superior thyroid artery –> superior laryngeal branch
facial artery –> glandular branches, submental branch, tonsilar, ascending palatine
the superior laryngeal branch travels with which nerve?
internal branch of the superior laryngeal nerve, through thyrohyoid membrane
the submental branch accompanies which nerve to which muscle?
trigeminal nerve to the mylohyoid muscle
the occipital artery travels with which nerve?
greater occipital nerve (hooks over the hypoglossal nerve)
what is contained within the digastric/submandibular triangle?
suprahyoid muscles
submandibular gland
submandibular lymph nodes
facial artery and vein
digastric muscles =
origin = medial aspect of the mastoid process (posterior belly) insertion = inner surface of the mandible close to the midline (anterior belly) innervation = posterior: facial nerve; anterior: trigeminal nerve by way of nerve to mylohyoid muscle action= elevator of the larynx as a whole
intermediate tendon of this muscle goes through a connective tissue pully which is attached to the hyoid bone; usually basses between two parts of the stylohyoid muscle
2 bellies
origin = medial aspect of the mastoid process (posterior belly) insertion = inner surface of the mandible close to the midline (anterior belly) innervation = posterior: facial nerve; anterior: trigeminal nerve by way of nerve to mylohyoid muscle action= elevator of the larynx as a whole
intermediate tendon of this muscle goes through a connective tissue pully which is attached to the hyoid bone; usually basses between two parts of the stylohyoid muscle
2 bellies
digastric muscle
stylohyoid muscle =
origin = styloid process insertion = hyoid bone innervation = facial nerve action = elevator of the larynx as a whole
usually splits to pass on both sides of intermediate tendon of the digastric muscle
mylohyoid muscle =
origin = mylohyoid line of the mandible insertion = hyoid bone and a connective tissue raphe which extends from the hyoid bone to the mandible in the midline between left and right muscles innervation = trigeminal nerve (nerve to the mylohyoid muscle) action = elevator of the larynx as a whole
forms the muscular floor of the mouth
origin = styloid process insertion = hyoid bone innervation = facial nerve action = elevator of the larynx as a whole
usually splits to pass on both sides of intermediate tendon of the digastric muscle
stylohyoid muscle
origin = mylohyoid line of the mandible insertion = hyoid bone and a connective tissue raphe which extends from the hyoid bone to the mandible in the midline between left and right muscles innervation = trigeminal nerve (nerve to the mylohyoid muscle) action = elevator of the larynx as a whole
forms the muscular floor of the mouth
mylohyoid
geniohyoid muscle =
origin = inferior genial tubercle of the mandible
insertion = body of the hyoid bone
innervation = C1, C2 through the hypoglossal nerve
action =
situated above the mylohyoid muscle
origin = inferior genial tubercle of the mandible
insertion = body of the hyoid bone
innervation = C1, C2 through the hypoglossal nerve
action =
situated above the mylohyoid muscle
geniohyoid
the suprahyoid muscles include which muscles and what do they do?
digastric stylohyoid mylohyoid geniohyoid hyoglossus genioglossus
act on the jaw, mouth, tongue
the gland that fills the majority of the digastric/submandibular triangle is
submandibular gland
cranial nerve 5
trigeminal
trigeminal nerve supplies:
nerve to mylohyoid muscle
anterior belly of the digastric
cranial nerve 7
facial nerve
facial nerve supplies:
platysma muscle
stylohyoid
posterior belly of digastric
cranial nerve 9
glossopharyngeal nerve
glossopharyngeal nerve supplies
carotid sinus
cranial nerve 10
vagus nerve
vagus nerve travels with:
internal carotid artery and internal jugular nerve in the carotid shealth
the vagus nerve branches into:
superior and inferior cervical cardiac nerves
superior laryngeal nerve (external branch and internal branch)
pharyngeal nerve
recurrent (inferior) laryngeal nerve
the external branch of the superior laryngeal nerve from the vagus nerve goes to:
cricothyroid muscles
root of the tongue
the internal branch of the superior laryngeal nerve from the vagus nerve goes to:
passes through the thryohyoid membrane
- sensory to the laryngeal mucosa above true vocal folds
- important for cough reflexes
pharyngeal branch of the vagus nerve passes:
between the carotid arteries
the right recurrent laryngeal nerve loops around:
brachiocephalic trunk
the left recurrent laryngeal nerve looks around:
the aortic arch
passes through the thryohyoid membrane
- sensory to the laryngeal mucosa above true vocal folds
- important for cough reflexes
internal branch of the superior laryngeal nerve from the vagus nerve
cranial nerve 11
accessory nerve
the accessory nerve travels where and innervates which muscles?
enters deep surface of sternocleidomastoid muscle high in the neck, innervates that muscles, then crosses the posterior triangle to supply the trapezius