submandibular region (anatomy of the neck)

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SUBMANDIBULAR REGION (Page 70) Dr.Sherif Fahmy

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Page 1: Submandibular Region (Anatomy of the Neck)

SUBMANDIBULAR REGION

(Page 70)Dr.Sherif Fahmy

Page 2: Submandibular Region (Anatomy of the Neck)

Sterno-mastoid m.

Superior belly of omohyoid m.

Digastric m. Lower

border of body of mandible

Midline of neck

Page 3: Submandibular Region (Anatomy of the Neck)

Muscles of Submandibular (Suprahyoid) Region

1- Digastric muscle.2- Stylohyoid muscle.3- Myelohyoid muscle.4- Hyoglossus muscle.5- Geniohyoid muscle.6- Genioglossus muscle.

Page 4: Submandibular Region (Anatomy of the Neck)

Superficial part of submandibular gland

Anterior belly of digastric m.

Dr. Sherif Fahmy

Posterior belly of digastric m.

Page 5: Submandibular Region (Anatomy of the Neck)

Anterior belly of digastric m.

Myelohyoid nerveSubmental

artery

Myelohyoid m.

Dr. Sherif Fahmy

Posterior belly of digastric m.

Stylohyoid m.

Hyoglossus m.

Dr.Sherif Fahmy

Page 6: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.

Lingual n.Submandibular ganglion

Deep part of submandibular gland Hypoglossal

nerve

Posterior belly of digastric m.

Submandibular duct

Dr. Sherif FahmyMyelohyoid n

Submental vs

Anterior belly of digastric m

Hyoglossus m.

Page 7: Submandibular Region (Anatomy of the Neck)

Geniohyoid m.

Hyoglossus m.

Genio-glossus m.

Stylo-glossus m.

Lingual nerve

Hypoglossal nerve

Deep part of submandibular gland

Submandibular duct

Myelohyoid m. (cut)

Dr. Sherif Fahmy

Page 8: Submandibular Region (Anatomy of the Neck)

Styloid process

Stylohyoid ligamnent

Glossopharyngeal n.

Middle constrictor m.

First part of lingual artery

3rd part of lingual artery

Geniohyoid m.

Genioglossus m.

Sublingual gl.

Dr. Sherif Fahmy

Page 9: Submandibular Region (Anatomy of the Neck)
Page 10: Submandibular Region (Anatomy of the Neck)

Digastric Muscle(Page 70)

Dr.Sherif Fahmy

Page 11: Submandibular Region (Anatomy of the Neck)

Mastoid process

Styloid process

Posterior belly of digastric m.

Stylohyoid m.

Anterior belly of digastric m.Hyoid bone

Fibrous loop

Digastric fossa

Mandible

Intermediet tendon

Page 12: Submandibular Region (Anatomy of the Neck)

Relations of Digastric Muscle

Dr.Sherif Fahmy

Page 13: Submandibular Region (Anatomy of the Neck)

A- Anterior Belly

Dr.Sherif Fahmy

Page 14: Submandibular Region (Anatomy of the Neck)

Superficial part of submandibular gland

Anterior belly of digastric m.

Superficial Relations of Anterior belly Digastric muscle

Dr. Sherif Fahmy

Dr.Sherif Fahmy

Page 15: Submandibular Region (Anatomy of the Neck)

Anterior belly of digastric m.

Myelohyoid nerveSubmental

artery

Myelohyoid m.

Deep Relations of Anterior belly Digastric Muscle

Dr. Sherif FahmyDr.Sherif Fahmy

Page 16: Submandibular Region (Anatomy of the Neck)

B- Posterior Belly

Dr.Sherif Fahmy

Page 17: Submandibular Region (Anatomy of the Neck)

Superficial part of submandibular gland

Posterior belly of digastric m.

Parotid gland

Superficial Relations of Posterior Belly Digastric muscle

Mastoid process

Angle of mandible

Dr. Sherif Fahmy

Dr.Sherif Fahmy

Page 18: Submandibular Region (Anatomy of the Neck)

Posterior belly of digastric m.

Internal carotid art.

External carotid art.

Facial art.

Occipital art.

I.J.V.

Hypoglossal n.Vagus n.

Spinal accessory n.

Deep relations of posterior belly of digastric m.

Dr. Sherif Fahmy

Dr.Sherif Fahmy

Page 19: Submandibular Region (Anatomy of the Neck)

Relations to Borders of Posterior Belly of

Digastric m.

Dr.Sherif Fahmy

Page 20: Submandibular Region (Anatomy of the Neck)

Stylohyoid m

Dr. Sherif FahmyDr.Sherif Fahmy

Page 21: Submandibular Region (Anatomy of the Neck)

Posterior belly of digastric m.

Posterior auricular art.

Occipital art.

Dr.Sherif Fahmy

Page 22: Submandibular Region (Anatomy of the Neck)

Myelohyoid Muscle (Diaphragma Oris)

(Page 74)

Dr.Sherif Fahmy

Page 23: Submandibular Region (Anatomy of the Neck)

Myelohyoid muscle

Myelohyoid line

Median raphe

Body of hyoid bone

Dr. Sherif Fahmy

Page 24: Submandibular Region (Anatomy of the Neck)

Relations of Myelohyoid M.

Dr.Sherif Fahmy

Page 25: Submandibular Region (Anatomy of the Neck)

Anterior belly of digastric m.

Myelohyoid m.

myelohyoidnerve

Submental artery

Beginning of anterior jugular vein

Superficial Submental lymph nodes

Dr. Sherif FahmyDr.Sherif Fahmy

Page 26: Submandibular Region (Anatomy of the Neck)

Superficial part of submandibular gland

Dr. Sherif Fahmy

Page 27: Submandibular Region (Anatomy of the Neck)

Geniohyoid m.

Hyoglossus m.

Genio-glossus m.

Stylo-glossus m.

Lingual nerve

Hypoglossal nerve

Deep part of submandibular gland

Submandibular duct

Myelohyoid m. (cut)Deep

Dr. Sherif Fahmy

Page 28: Submandibular Region (Anatomy of the Neck)

Submental Triangle(Page 40)

Dr.Sherif Fahmy

Page 29: Submandibular Region (Anatomy of the Neck)

Anterior belly of digastric m.

Myelohyoid m.

Submental artery

Beginning of anterior jugular vein

Body of hyoid bone

Submental lymph nodes

Dr. Sherif Fahmy

Page 30: Submandibular Region (Anatomy of the Neck)

Hyoglossus Muscle(Page 78)

Dr.Sherif Fahmy

Page 31: Submandibular Region (Anatomy of the Neck)

Greater horn of hyoid m.

tongue

Hyoglossus m.

Dr. Sherif Fahmy

Page 32: Submandibular Region (Anatomy of the Neck)

Relations of Hyoglossus M.

Dr.Sherif Fahmy

Page 33: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.Lingual n.Submandibular

ganglion

Deep part of submandibular gland Hypoglossal

nerve

Posterior belly of digastric m.

Superficial Relations of Hyoglossus Muscle

Submandibular duct

Dr. Sherif Fahmy

Page 34: Submandibular Region (Anatomy of the Neck)

Styloid process

Styloglossus m.

Lingual nerve

Submandibular ganglion

Deep part of submandibular gland

Hypoglossal n.

Dr. Sherif Fahmy

Page 35: Submandibular Region (Anatomy of the Neck)

Styloid process

Stylohyoid ligamnent

Glossopharyngeal n.

Middle constrictor m.

First part of lingual artery

3rd part of lingual artery

Geniohyoid m.

Genioglossus m.

Deep, anterior and posterior relations

Sublingual gl.

Dr. Sherif Fahmy

Page 36: Submandibular Region (Anatomy of the Neck)

Stylohyoid Muscle(Page 76)

Dr.Sherif Fahmy

Page 37: Submandibular Region (Anatomy of the Neck)

Dr. Sherif Fahmy

Page 38: Submandibular Region (Anatomy of the Neck)

Geniohyoid Muscle(Page 70)

Dr.Sherif Fahmy

Page 39: Submandibular Region (Anatomy of the Neck)

Geniohyoid m.

Genial tubercles

Body of hyoid bone

Dr. Sherif Fahmy

Page 40: Submandibular Region (Anatomy of the Neck)

Genioglossus Muscle(Page 78)

Dr.Sherif Fahmy

Page 41: Submandibular Region (Anatomy of the Neck)

Hypoglossal nerve

Genioglossus m.

Dr. Sherif Fahmy

Page 42: Submandibular Region (Anatomy of the Neck)

Submandibular Salivary Gland

Page 82Dr.Sherif Fahmy

Page 43: Submandibular Region (Anatomy of the Neck)

Parts, site and extensions• Parts: superficial & deep to myelohyoid

muscle.• Site: Upper part is deep to mandible

(submandibular fossa) while the lower part in digastric triangle.

• Extensions:Anterior: mental foramen.Posterior: Angle of mandible.Superior: myelohyoid line.Inferior: intermediate tendon of digastric muscle.

Dr.Sherif Fahmy

Page 44: Submandibular Region (Anatomy of the Neck)

Superficial part of submandibular gland

Posterior belly of digastric m.

Anterior belly of digastric m.

Parotid gland

Dr. Sherif Fahmy

Page 45: Submandibular Region (Anatomy of the Neck)

Relations of the superficial part

Dr.Sherif Fahmy

Page 46: Submandibular Region (Anatomy of the Neck)

Lateral surface

Inferolateral surface

Medial pterygoid m.

Facial artery

Facial veinCervical branch of facial nerve

Submandibular lymph nodes

Body of mandible

Lateral & inferolateral relations

Dr. Sherif Fahmy

Page 47: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.Lingual n.Submandibular ganglion

Deep part of submandibular gland

Hypoglossal n.

Posterior belly of digastric m. Dr. Sherif Fahmy

Page 48: Submandibular Region (Anatomy of the Neck)

Relations of deep part and course of

the duct

Dr.Sherif Fahmy

Page 49: Submandibular Region (Anatomy of the Neck)

Hyoglossus m.

Myelohyoid m.

Lingual n.

Hypoglossal n.

Submandibular duct

Deep part of submandibular gland

Styloglossus m.

Sublingual gland

Dr. Sherif Fahmy

Page 50: Submandibular Region (Anatomy of the Neck)

Frenulum of tongue Sublingual fold

Opening of submandibular duct

Dr.Sherif Fahmy

Page 51: Submandibular Region (Anatomy of the Neck)

Nerve supply:1- Sensory2- Sympathetic.3- Parasympathetic.Blood supply.By facial vessels.

Dr.Sherif Fahmy

Page 52: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.

Lingual n.

Submandibular ganglion

Dr. Sherif Fahmy

Page 53: Submandibular Region (Anatomy of the Neck)

Applied Anatomy

• Formation of a stone in its duct is common because its secretion is muco-serous and more viscid.

• In this case the gland swell during chewing.

Dr.Sherif Fahmy

Page 54: Submandibular Region (Anatomy of the Neck)

DIGASTRIC TRIANGLE (Page 36)

Dr.Sherif Fahmy

Page 55: Submandibular Region (Anatomy of the Neck)

Boundaries

Dr.Sherif Fahmy

Page 56: Submandibular Region (Anatomy of the Neck)

Digastric m. Lower

border of body of mandible

Dr. Sherif Fahmy

Page 57: Submandibular Region (Anatomy of the Neck)

Posterior belly of digastric m.

Stylohyoid m.

Anterior belly of digastric m.

Mandible

Dr. Sherif Fahmy

Page 58: Submandibular Region (Anatomy of the Neck)

Floor of Digastric Triangle

Dr.Sherif Fahmy

Page 59: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.

Hyoglossus m.

Dr. Sherif Fahmy

Page 60: Submandibular Region (Anatomy of the Neck)

ContentsDr.Sherif Fahmy

Page 61: Submandibular Region (Anatomy of the Neck)

Lateral surface

Inferolateral surface

Medial pterygoid m.

Facial artery

Facial veinCervical branch of facial nerve

Submandibular lymph nodes

Body of mandible

Lateral & inferolateral relations

Dr. Sherif Fahmy

Page 62: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.Lingual n.Submandibular ganglion

Deep part of submandibular gland

Hypoglossal n.

Posterior belly of digastric m.

Dr. Sherif Fahmy

Page 63: Submandibular Region (Anatomy of the Neck)

Sublingual Salivary Gland

Dr.Sherif Fahmy

Page 64: Submandibular Region (Anatomy of the Neck)

Sublingual salivary gland

Submandibular salivary gland

Parotid gland

Dr.Sherif Fahmy

Page 65: Submandibular Region (Anatomy of the Neck)

Myelohyoid m.

Lingual n.

Submandibular duct

Deep part of submandibular gland

Sublingual gland

Dr. Sherif Fahmy

Page 66: Submandibular Region (Anatomy of the Neck)

Dr. Sherif Fahmy

Page 67: Submandibular Region (Anatomy of the Neck)

Submandibular Ganglion(Page 88)

Dr.Sherif Fahmy

Page 68: Submandibular Region (Anatomy of the Neck)

Dr.Sherif Fahmy