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The external jugular vein commences in the substance of the parotid gland, on a level with the angle of the mandible, and runs perpendicularly down the neck, in the direction of a line drawn from the angle of the mandible to the middle of the clavicle superficial to the sternocleidomastoid muscle.
The internal jugular veins join with the subclavian veins more medially to form the brachiocephalic veins. Finally, the left and right brachiocephalic veins join to form the superior vena cava, which delivers deoxygenated blood to the right atrium of the heart. [2] The jugular vein has tributaries consisting of petrosal sinus, facial, lingual ...
The carotid sheath is a condensation of the deep cervical fascia [1]: 578 enveloping multiple vital neurovascular structures of the neck, [2] including the common and internal carotid arteries, the internal jugular vein, the vagus nerve (CN X), and ansa cervicalis. [1]: 578 [2] The carotid sheath helps protects the structures contained therein. [2]
The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the posterior compartment of the jugular foramen, at the base of the skull.
The head and neck are emptied of blood by the subclavian vein and jugular vein. Right side of neck dissection showing the brachiocephalic, right common carotid artery and its branches. The brachiocephalic artery or trunk is the first and largest artery that branches to form the right common carotid artery and the right subclavian artery.
The anterior jugular vein varies considerably in size, bearing usually an inverse proportion to the external jugular. [1] Most frequently, there are two anterior jugulars, a right and left. [1] [4] However, there is sometimes only one. [1] A duplicate anterior jugular vein may be present on one side, which may cross over the midline.
The posterior external jugular vein begins in the occipital region and returns the blood from the skin and superficial muscles in the upper and back part of the neck, lying between the splenius and trapezius. It runs down the back part of the neck, and opens into the external jugular vein just below the middle of its course.
The first sign of a malignancy, especially an intra-abdominal one, may be an enlarged Virchow's node, a lymph node in the left supraclavicular area, in the vicinity where the thoracic duct empties into the left brachiocephalic vein, right between where the left subclavian vein and left internal jugular join (i.e., the left Pirogoff angle).