Submaxillary triangle
Encyclopedia
The submandibular triangle (or submaxillary or digastric triangle) corresponds to the region of the neck immediately beneath the body of the mandible.
It is covered by the integument, superficial fascia
, Platysma, and deep fascia, ramifying in which are branches of the facial nerve
and ascending filaments of the cutaneous cervical nerve.
Its floor is formed by the Mylohyoideus.
.
, while imbedded in the gland is the external maxillary artery and its glandular branches.
Beneath the gland, on the surface of the Mylohyoideus, are the submental artery
and the mylohyoid artery and nerve.
This vessel lies here in front of, and superficial to, the internal carotid, being crossed by the facial nerve
, and gives off in its course the posterior auricular
, superficial temporal, and internal maxillary branches: more deeply are the internal carotid, the internal jugular vein
, and the vagus nerve
, separated from the external carotid by the Styloglossus
and Stylopharyngeus, and the hypoglossal nerve
Boundaries and coverings
It is bounded:- above, by the lower border of the body of the mandible, and a line drawn from its angle to the mastoid processMastoid processThe mastoid process is a conical prominence projecting from the undersurface of the mastoid portion of the temporal bone. It is located just behind the external acoustic meatus, and lateral to the styloid process...
; - below, by the posterior belly of the Digastricus; in front, by the anterior belly of the Digastricus.
It is covered by the integument, superficial fascia
Superficial fascia
Superficial fascia is found in the subcutis in most regions of the body, blending with the reticular layer of the dermis. It is present on the face, over the upper portion of the sternocleidomastoid, at the nape of the neck, and overlying the sternum. It is mainly loose areolar connective tissue...
, Platysma, and deep fascia, ramifying in which are branches of the facial nerve
Facial nerve
The facial nerve is the seventh of twelve paired cranial nerves. It emerges from the brainstem between the pons and the medulla, and controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue and oral cavity...
and ascending filaments of the cutaneous cervical nerve.
Its floor is formed by the Mylohyoideus.
Divisions
It is divided into an anterior and a posterior part by the stylomandibular ligamentStylomandibular ligament
The stylomandibular ligament is a specialized band of the cervical fascia, which extends from near the apex of the styloid process of the temporal bone to the angle and posterior border of the angle of the mandible, between the Masseter and Pterygoideus internus.This ligament separates the parotid...
.
Anterior part
The anterior part contains the submandibular gland, superficial to which is the anterior facial veinAnterior facial vein
The anterior facial vein commences at the side of the root of the nose and is a direct continuation of the angular vein where it also receives a small nasal branch. It lies behind the facial artery and follows a less tortuous course...
, while imbedded in the gland is the external maxillary artery and its glandular branches.
Beneath the gland, on the surface of the Mylohyoideus, are the submental artery
Submental artery
The submental artery is a branch of the facial artery that runs on the underside of the chin.-Course:The submental artery is the largest of the cervical branches of the facial artery, given off just as that vessel leaves the submandibular gland: it runs forward upon the mylohyoid, just below the...
and the mylohyoid artery and nerve.
Posterior part
The posterior part of this triangle contains the external carotid artery, ascending deeply in the substance of the parotid glandParotid gland
The paired parotid glands are the largest of the salivary glands. They are each found wrapped around the mandibular ramus, and secrete saliva through Stensen's ducts into the oral cavity, to facilitate mastication and swallowing and to begin the digestion of starches.-Location:The parotid glands...
This vessel lies here in front of, and superficial to, the internal carotid, being crossed by the facial nerve
Facial nerve
The facial nerve is the seventh of twelve paired cranial nerves. It emerges from the brainstem between the pons and the medulla, and controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue and oral cavity...
, and gives off in its course the posterior auricular
Posterior auricular
Posterior auricular can refer to:* Posterior auricular artery* Posterior auricular muscle* Posterior auricular vein...
, superficial temporal, and internal maxillary branches: more deeply are the internal carotid, the internal jugular vein
Internal jugular vein
The two internal jugular veins collect the blood from the brain, the superficial parts of the face, and the neck.-Path:On both sides and at the base of the brain, the inferior petrosal sinus and the sigmoid sinus join to form the internal jugular vein...
, and the vagus nerve
Vagus nerve
The vagus nerve , also called pneumogastric nerve or cranial nerve X, is the tenth of twelve paired cranial nerves...
, separated from the external carotid by the Styloglossus
Styloglossus
The Styloglossus, the shortest and smallest of the three styloid muscles, arises from the anterior and lateral surfaces of the styloid process, near its apex, and from the stylomandibular ligament....
and Stylopharyngeus, and the hypoglossal nerve
Hypoglossal nerve
The hypoglossal nerve is the twelfth cranial nerve , leading to the tongue. The nerve arises from the hypoglossal nucleus and emerges from the medulla oblongata in the preolivary sulcus separating the olive and the pyramid. It then passes through the hypoglossal canal...
Summary of contents
There summarizes the important structures found in the submandibular triangle:- 1. The external and internal carotid artery
- 2. The internal jugular vein
- 3. The deep cervical lymph nodes
- 4. The 10 th cranial nerve ( Vagus Nerve )
- 5. The submandibular gland
- 6. The submandibular lymph nodes
- 7. The Facial artery and vein
- 8. The 12 th cranial nerve ( Hypoglossal Nerve )