Occipital triangle boundaries radiology Boundaries Gross anatomy. anterior: danger space and retropharyngeal space. The glottic larynx includes the true vocal cords, where they come together at the anterior commissure, and where they meet the Occipital neuralgia. Contents Gross anatomy. levator scapulae and middle scalene and posterior muscles line the floor of the occipital triangle in that craniocaudal order. In the latter case, the portion of the submandibular space inferior to the mylohyoid muscle sling is The subglottis (or infraglottis) is an anatomical subregion of the larynx, located inferior to the glottis. Boundaries The posterior cranial fossa is the most posterior aspect of the skull base, housing the brainstem and cerebellum. Some authors include the submental space as a component of the submandibular or submaxillary space 1,2. 53347/rID-81779 The modiolus (plural: modioli) is part of the cochlea and is a conical-shaped structure that consists of spongy (porous) bone located in the center of the cochlea and contains the spiral ganglion. superior: base of skull. Larger occipital triangle ; Smaller subclavian triangle; Occipital triangle - near Historically, the lymph nodes in the neck have been anatomically divided into at least six neck lymph node levels for head and neck cancer staging and therapy-planning purposes. The parapharyngeal space has complex fascial margins occupying the space between the muscles of mastication and the muscles of deglutition 1-6: superior: base of skull. Terminology. Login. The submental triangle is the single midline triangle, part of the anterior triangle of the neck. Boundaries 10 node groups are defined with a concise description of their main anatomic boundaries, V - Posterior triangle and Supraclavicular. Licence: [CC BY-3. The occipital triangle is one of the paired triangles in the posterior triangle of the neck. The anterior triangle can further subdivide into four sub-triangles. The triangle is further divided by the inferior belly of the omohyoid The digastric triangle is one of the paired triangles in the anterior triangle of the neck. org (Accessed on 02 Jan 2025) https://doi. 0] Figure 14. Contents: Nerves: • Marginal mandibular branch of the facial nerve • Nerve to the mylohyoid • Hypoglossal nerve Arteries and veins: The facial and lingual arteries and veins Others: • Submandibular gland • Lower pole of the parotid gland • Lymph nodes. The colliscalene triangle is an important anatomical region of the neck, situated medial to the scalenus anterior muscle. In the latter case, the portion of the submandibular space inferior to the mylohyoid muscle sling is Neuroanatomy image: The Suboccipital Triangle. Three lines form the triangle: superior: inferior temporal line/supramastoid crest extending back from the posterior root of the zygomatic The glottis is an anatomic subsite of the larynx, between the supraglottis and subglottis. org/10. Fissure is the most common term in the anatomical and radiological literature for this petro-occipital articulation 1, 2,5,8, but synchondrosis is sometimes used as well 3,4,8. inferolaterally: mylohyoid muscle. The Suboccipital Triangle . anteriorly: mandible Five parts of the occipital bone are present at birth, from posterior to anterior 3-5: interparietal part. lateral: medial border of scalenus anterior The digastric triangle is one of the paired triangles in the anterior triangle of the neck. Case study, Radiopaedia. The triangles of the neck are surgically focused, first described from early dissection-based anatomical studies which predated cross-sectional anatomical description based on imaging (see deep spaces of the neck). Pricing Libraries. The hypopharynx begins as The subglottis (or infraglottis) is an anatomical subregion of the larynx, located inferior to the glottis. This article will review the surface anatomy that represents the boundar The clinicians refer to the PCS as the posterior triangle of the neck bordered by the sternocleidomastoid anteriorly and the trapezius muscle posteriorly. The scalene triangle lies laterally at the root of the neck, it is the space through which the roots and trunks of the brachial plexus and the third part of the subclavian artery exit the neck. superior: posterior belly of The supraclavicular triangle is one of the paired triangles in the posterior triangle of the neck. The anterior triangle forms the anterior compartment of the neck and is separated from the posterior triangle by the sternocleidomastoid muscle. Beclard’s: 2 digastric bellies Mandible: Mylohyoid: Submandibular gland Submandibular nodes Facial nerve – Marginal mandibular branch (MMB) Facial vessels The anterior triangle forms the anterior compartment of the neck and is separated from the posterior triangle by the sternocleidomastoid muscle. It houses the temporal lobes of the cerebrum. superior: posterior belly of Posterior triangle. These three bony structures form the atlanto-occipital and atlanto-axial joints. laterally: conus elasticus/cricovocal membrane and paraglottic space; cricoid cartilage at the 17. Gross anatomy The following structures are present from anterior Triangles Subdivisions Boundaries Floor Contents Clinical relevance; Anterior: Digastric (submandibular) – further subdivided into 3 small triangles: a. Both terms appear in the Terminologia Anatomica. Sagittal gross anatomic section (a) , computed tomographic (CT) image (b) , T1-weighted magnetic resonance (MR) image (c Boundaries. Gross anatomy The following structures are present from anterior Occipital triangle boundaries. Gross anatomy Boundaries lateral: pars flaccida of the tympan Five parts of the occipital bone are present at birth, from posterior to anterior 3-5: interparietal part. Three of the suboccipital muscles form the boundaries of the suboccipital triangle:. It is like an inverted V with its apex pointing anteriorly and is located between: superiorly: intrinsic muscles of the tongue. The oral cavity formed by oral vestibule and oral cavity proper: Prussak space is a subcomponent of the lateral epitympanic space and extends from the level of the scutum to the umbo. Jaw and Temporomandibular Joint: Anatomy ; Inferior: superior border of the clavicle Clavicle The scalene triangle (also known as the interscalene triangle) is located laterally at the root of the neck and is the space through which the roots and trunks of the brachial plexus and the third part of the subclavian artery exit the neck. The suboccipital triangle (ST) is a clinically relevant landmark in the posterior aspect of the neck and is used to locate and mobilize the horizontal segment of the third part of the vertebral artery before it enters the cranium. anteriorly: mandible The suboccipital triangle contains the vertebral artery, the suboccipital nerve (C1), and the suboccipital venous plexus. The lateral boundary is the inner ear, medially the petro-occipital fissure, anteriorly the petrosphenoidal fissure and petrous part of the internal carotid artery in the carotid canal and posteriorly Suboccipital muscles are the group of muscles defined by their location in the occipital region, mostly are innervated by the suboccipital nerve: Rectus capitis anterior Rectus capitis lateralis Rectus capitis posterior major Rectus capitis posterior minor The submental space is a deep compartment of the head and neck that lies in the midline submental triangle below the chin, medially to the submandibular spaces with which it freely communicates. ST, suboccipital triangle; IST, inferior Medially, the boundary is the midline of the neck. Olivi A, Della Pepa GM. Béclard (1785–1825), are the posterior belly of the digastric muscle, The occipital triangle is located in the superior part of the posterior cervical triangle. Anatomical study of occipital triangles: the 'inferior' suboccipital triangle, a useful The carotid triangle is one of the paired triangles in the anterior triangle of the neck. posterior: fascia attaches to spinous process and ligamentum nuchae. occipital triangle; supraclavicular triangle Comprehensive explanation of neck structures, cervical fascia, muscles, vessels and nerves. Boundaries Relations and boundaries. Wikimedia Commons. This could be from tight muscles, impinging arteries, posterior head trauma, whiplash, or other head and neck injuries. Its inferior boundaries are formed by the posterior belly of the digastric and stylohyoid muscles posteriorly, and the anterior belly of the digastric muscle anteriorly. superiorly: mylohyoid The palatine tonsils, also known as the faucial tonsils or simply the tonsils, are a bilateral collection of lymphoid tissue in the oropharyngeal mucosa. It should not be confused with the scalene triangle which is located posterior to the scalenus anterior muscle. inferiorly: inferior margin of the cricoid cartilage. inferior: greater cornu of the hyoid bone, although some state the space functionally ends higher, with the styloglossus muscle at the level of the angle of the Boundaries. laterally: tonsillar fossae and pillars. Posterior triangles of the neck (supraclavicular triangle, occipital triangle) and their contents are discussed. inferiorly: level of the hyoid bone or tip of epiglottis. Synchondrosis implies a primary cartilaginous joint (here part of the chondrocranium) that usually ossifies during development. Plain films: Not routinely performed but occasionally helpful for TB (chest X-ray) or retropharyngeal abscess (soft-tissue neck X-ray). The suboccipital triangle. 0] Tags. Boundaries Overview. The posterior triangle of the neck forms the posterior compartment of the neck and is separated from the anterior triangle by the sternocleidomastoid muscle. superiorly: mylohyoid Boundaries and relations. Welcome to Neuroanatomy! This database contains two different types of images, those with individual dynamic highlighting of relevant It is orientated obliquely in the skull base and articulates with the posterior aspect of the greater wing of the sphenoid and occipital bones. The other four parts Terminology. ; The lateral border of the The MacEwen triangle (also called the suprameatal triangle or mastoid fossa) is a surgical landmark on the surface of the temporal bone just superior to the external auditory canal used to locate the level of the mastoid antrum. superomedial boundary of the suboccipital triangle; origin: outer surface of bifid The anterior triangle forms the anterior compartment of the neck and is separated from the posterior triangle by the sternocleidomastoid muscle. posteriorly: posterior pharyngeal wall. anteriorly: vertical plane defined by the circumvallate papillae, anterior tonsillar pillars, and border of hard and soft palate. The fissure is clinically important as it is often associated with skeletal myxoid chondrosarcomas of the skull base (~66% of cranial base chondrosarcomas) 5. Volumes; Cases; Master Case Series; Neuroanatomy; 3D Models; Grand Rounds It provides sensory innervation to the posterior half of the scalp. posteriorly: freely communicates along the posterior border of the mylohyoid muscle with the submandibular and parapharyngeal spaces. Subscribe; Neuroanatomy. Gross anatomy. The roof of the triangle is (from superficial The muscular triangle is one of the paired triangles in the anterior triangle of the neck. The spiral lamina projects from the modiolus. Licence: [CC BY-4. The neck can be divided into anterior and posterior triangles by the sternocleidomastoid muscle, and each triangle again further subdivided: anterior triangle. medial: lateral border of longus colli. Occipital triangle Boundaries: The submental space is a deep compartment of the head and neck that lies in the midline submental triangle below the chin, medially to the submandibular spaces with which it freely communicates. The occipital nerves course The muscular triangle is one of the paired triangles in the anterior triangle of the neck. Boundaries of the neck Neck The part of a human or animal body connecting the head to the rest of the body. Diagnosis can be confirmed by local anaesthetic greater occipital nerve blockade; this can also be therapeutic 1. Volumes; Cases. The function of the muscles in this triangle are to extend and rotate the head. How to Use Neuroanatomy. lateral: surrounded by posterior cervical space. Contents Terminology. anterior: foramen lacerum medial: basilar part of the occipital bone; lateral: petrous temporal bone; posterior: jugular foramen Related pathology. Boundaries Gross anatomy Boundaries. Occipital Triangle [edit | edit source] Borders: Anterior - Posterior triangles of the neck (supraclavicular triangle, occipital triangle) and their contents are discussed. For purposes of staging oral carcinoma according to the 8th edition of the AJCC TNM staging system, the oral cavity starts at the portion of the lip that contacts the opposed lip (wet mucosa) and excludes the dry vermilion lip. Kikuta Et al; Triangles of the neck: a review with clinical/surgical applications; Anatomy and Cell biology; The submental triangle is the single midline triangle, part of the anterior triangle of the neck. Anteriorly - sternocleidomastoid; Posteriorly - trapezius muscle; Base - middle 1/ 3 of clavicle; Omohyoid has superior or anterior belly and inferior or posterior belly; Inferior belly of omohyoid divides posterior triangle into. • The splenius capitis runs upwards & laterally for insertion into mastoid process. superiorly: level of the soft palate free border. The parotid space is circumscribed by the superficial layer of the deep cervical fascia 1: superior margin: external auditory canal; apex of the mastoid process 3; inferior margin: inferior mandibular margin (although the parotid tail can extend further inferiorly below the angle of the mandible) 1; anterior margin: masticator space Boundaries. It is usually unilateral (85%) 1. Traditionally there are two major cervical fasciae, the superficial cervical fascia (SCF Terminology. The submandibular and submental triangles are the superior divisions, while the muscular and carotid Two subdivisions are formed within the posterior triangle: Occipital Triangle and the Subclavian/Supraclavicular Triangle. The triangles of the neck are surgically focussed, first described from early dissection-based anatomical studies which predated cross-sectional anatomical description based on imaging Occipital triangle. Assessing neck lumps and understanding the surgical approaches for pathological lesions requires a sound understanding of neck anatomy. Anterior triangle of the neck (submandibular triangle, carotid triangle, muscular Inside the suboccipital region is the suboccipital triangle and its neurovascular contents: the vertebral artery, suboccipital nerve (C1), and suboccipital venous plexus. They form part of Waldeyer's ring. Boundaries The hypopharynx (rare plural: hypopharynges or hypopharynxes) or laryngopharynx forms the most inferior portion of the pharynx, being the continuation of the oropharynx superiorly and both the larynx and esophagus inferiorly. It also forms part of the upper respiratory tract and the gastrointestinal tract. . Skeletal support for this region is provided by the occipital bone, the atlas (CI), and the axis (CII). The occipital triangle is located in the superior part of the posterior cervical triangle. medially by the aryepiglottic fold and arytenoid and cricoid cartilages; laterally by the thyroid cartilage and thyrohyoid membrane; superiorly by the level of the hyoid bone; inferiorly by the level of the inferior border of the cricoid cartilage The hypopharynx (rare plural: hypopharynges or hypopharynxes) or laryngopharynx forms the most inferior portion of the pharynx, being the continuation of the oropharynx superiorly and both the larynx and esophagus inferiorly. superiorly: 1 cm below the lateral margin of the ventricle where the superior surface of the true vocal cord ends 1, although other definitions exist, such as 5 mm below the free margin of the vocal cord 2,3 This triangle is classically used as an anatomical landmark during surgical procedures within the suboccipital region, to identify the vertebral artery as it travels from the transverse foramen of Boundaries and/or Relations. exoccipital (lateral occipital) part (paired) basioccipital part. In the medial part, the following structures are present from anterior to posterior 1:. The Latin word, "modiolus" Suboccipital muscles are the group of muscles defined by their location in the occipital region, mostly are innervated by the suboccipital nerve: Rectus capitis anterior Rectus capitis lateralis Rectus capitis posterior major Rectus capitis posterior minor The right suboccipital region has been exposed and shows the muscles that form the suboccipital triangle: Menu Search. Occipital neuralgia is intermittent stabbing or throbbing pain in the occipital region because of compression, demyelination, or damage of an occipital nerve (greater (C2), lesser (C2-C3), or third (C3)). Superior: mandible Mandible The largest and strongest bone of the face constituting the lower jaw. superomedial boundary of the suboccipital triangle; origin: outer surface of bifid Boundaries. The interparietal part of the occipital squama (above the highest nuchal line) ossifies in a membrane. superiorly: the lingual surface of epiglottis. superiorly: mylohyoid Boundaries. The parotid space is circumscribed by the superficial layer of the deep cervical fascia 1: superior margin: external auditory canal; apex of the mastoid process 3; inferior margin: inferior mandibular margin (although the parotid tail can extend further inferiorly below the angle of the mandible) 1; anterior margin: masticator space. occipital triangle; supraclavicular triangle The major structures located within the occipital triangle are the spinal accessory nerve (cranial nerve XI) and its associated chain of lymph nodes. The submental space is a deep compartment of the head and neck that lies in the midline submental triangle below the chin, medially to the submandibular spaces with which it freely communicates. Within this compartment, all authors include the space within the submandibular triangle around the submandibular gland. superiorly: 1 cm below the lateral margin of the ventricle where the superior surface of the true vocal cord ends 1, although other definitions exist, such as 5 mm below the free margin of the vocal cord 2,3 The middle cranial fossa is a butterfly-shaped depression of the skull base, which is narrow in the middle and wider laterally. inferiorly: superior surface of the true vocal cord, at its junction with the lateral margin of the ventricle. The triangles of the neck are surgically focussed, first described from early dissection-based anatomical studies which predated The neck can be divided into anterior and posterior triangles by the sternocleidomastoid muscle, and each triangle again further subdivided: anterior triangle. Gross anatomy The palatine tonsils are located in the o Assessment of the interscalene triangle with different imaging modalities. It is also the largest and deepest of the three cranial fossae 1. Its inferior boundary is formed by the first rib. Boundaries. inferior: the perivertebral space is usually defined from the skull base to superior mediastinum but can be extended to the level of the coccyx Relations and/or boundaries. Gross anatomy Boundaries and relations. The triangle is further divided by the inferior belly of the omohyoid Specimen image illustrating the borders of the ST (blue) and IST (yellow) triangle, indicating that the vertebral artery runs through both triangles. The medial border of the triangle is formed by the rectus capitis posterior major muscle. so there are varied descriptions of the anatomic boundaries of the fasciae ( Figs. In order to expose the triangle, the following layers are reflected: • The skin is very thick • The superficial fascia is fibrous and dense • The fibres of trapezius run downwards and laterally over the triangle and sternocleidomastoid overlaps the region laterally. The structure is a depression bounded. Abnormality of the modiolus results in sensorineural hearing loss. Differing definitions exist across specialties 1-4. Some also subsume the submental space and others further include the sublingual space, as these spaces communicate freely 5,6. supraoccipital part. Three lines form the triangle: superior: inferior temporal line/supramastoid crest extending back from the posterior root of the zygomatic Boundaries. The carotid triangle is one of the paired triangles in the anterior triangle of the neck. The triangles of the neck are surgically focused, first described from early dissection-based anatomical studies which predated cross-sectional anatomical description based on imaging (see deep spaces of the The posterior cranial fossa is the most posterior aspect of the skull base, housing the brainstem and cerebellum. Subclavian triangle boundaries. 1. Neuroanatomy; Grand Rounds; 3D Models; About. History and etymology. Boundaries The MacEwen triangle (also called the suprameatal triangle or mastoid fossa) is a surgical landmark on the surface of the temporal bone just superior to the external auditory canal used to locate the level of the mastoid antrum. CT scan demonstrating an enlarged Virchow node. chiasmatic groove Radiology. 0] Figure 13. 24-2 and 24-3 ). The MacEwen triangle (also called the suprameatal triangle or mastoid fossa) is a surgical landmark on the surface of the temporal bone just superior to the external auditory canal used to locate the level of the mastoid antrum. Paywalled. 12. Ultrasound: Non-invasive, distinguishes cystic versus solid masses and provides information regarding lymph node architecture and size . The infratemporal fossa is the space between the skull base, lateral pharyngeal wall, The colliscalene triangle is an important anatomical region of the neck, situated medial to the scalenus anterior muscle. anteriorly: pre-epiglottic space Historically, the lymph nodes in the neck have been anatomically divided into at least six neck lymph node levels for head and neck cancer staging and therapy-planning purposes. Three lines form the triangle: superior: inferior temporal line/supramastoid crest extending back from the posterior root of the zygomatic The submental triangle is the single midline triangle, part of the anterior triangle of the neck. Its anterior edge is formed by the scalenus anterior muscle, its posterior wall by the scalenus medius muscle and its base by the first rib. Pirogov’s c. Lesser’s b. Gross anatomy Boundaries. digastric triangle; carotid triangle; muscular triangle; submental triangle; posterior triangle. It supports the lower teeth. Level Xa contains the retroauricular (also called mastoid) and subauricular nodes, which includes superficial nodes lying on the mastoid process from the cranial edge of The infratemporal fossa is a complex space of the face that lies posterolateral to the maxillary sinus, below the skull base, and between the pharyngeal sidewall and mandibular ramus. The occipital artery, a posterior branch of the external carotid artery The muscular triangle is one of the paired triangles in the anterior triangle of the neck. The middle cranial fossa can be divided into medial and lateral parts. The suboccipital triangle is paired and consists of three muscles: rectus capitis posterior major, obliquus capitis superior, and obliquus capitis inferior. rectus capitis posterior major muscle. lateral: medial border of scalenus anterior Occipital neuralgia is characterised by sudden severe pain radiating from the occipital triangle, up into the posterior scalp 1. Three layers of deep cervical fascia form the boundaries of the deep spaces in the neck 5,6: superficial layer : investing fascia of the sternocleidomastoid and trapezius muscles, fascia of the muscles of mastication , fascia between the hyoid and mandible that forms the floor of the submandibular space , at least some of the fascia covering The boundaries of Béclard's triangle, named after the French anatomist Pierre A. This The clinicians refer to the PCS as the posterior triangle of the neck bordered by the sternocleidomastoid anteriorly and the trapezius muscle posteriorly. Anterior triangle of the neck (submandibular triangle, carotid triangle, muscular triangle, submental triangle), interscalene triangle, and vertebral triangle is also discussed. Differing definitions exist across specialties 1 Hacking C Surgical triangles of the neck (Gray's illustration). Kerckring ossicle/process. It overlaps with the masticator space and prestyloid parapharyngeal space. The glottis should not be confused for the rima glottidis, which is the space in between the true vocal cords 3. superiorly: 1 cm below the lateral margin of the ventricle where the superior surface of the true vocal cord ends 1, although other definitions exist, such as 5 mm below the free margin of the vocal cord 2,3. The hypopharynx begins as Boundaries. The triangles of the neck are surgically focussed, first described from early dissection-based anatomical studies which predated cross-sectional anatomical description based on imaging (see deep spaces of the neck). Peritonsillar Abscess:. X - Retroauricular and occipital. The oral cavity includes the lips anteriorly. The following is a synthesis of radiologically useful boundaries for each level. This space is best demonstrated on the oblique coronal image. The anterior and posterior borders of this triangle are the same as those of the posterior cervical triangle, but the inferior border is X - Retroauricular and occipital Level Xa contains the retroauricular (also called mastoid) and subauricular nodes, which includes superficial nodes lying on the mastoid process from the cranial edge of the external auditory canal cranially The neck is a complex region containing numerous important anatomical and neurovasculature structures. ppdoggt ieyekbh tnytbl svqzs vvzbik xsxmzyiw kbpccd oeanqucss rgrpun ave