612 



THE VEINS 



The Anterior Superficial Vein of the Scalp and Face 



The anterior vein descends near the middle line, over the frontal bone, to 

 the inner angle of the orbit; continues its course by the side of the nose to the 

 cheek, which it crosses obliquely, to the anterior edge of the masseter muscle, and 

 thence passes through the digastric triangle to the upper border of the hyoid bone, 

 where it terminates in the internal jugular vein. In this course it is reinforced 

 by numerous collateral veins, and gradually increases in size. It has, moreover, 

 numerous connnunications with the deep veins. 



Fig. 385.- 



-The Superficial Veins and Lymphatics of the Scalp, Face, and Neck. 



(Walshaiu.) 



Frontal vein 



SiipraorhilaJ vein 

 Coinmunicatiiin uil/i 

 ophthalmic rein 

 Transverse nasal vein 



Angular vein 

 Lateral nasal veinx 



Transverse facial 



vein 

 Superior labial or 



coronary vein 



A n terior pterygoid 



or deep facial vein 



Inferior coronary 



vein 



Facial vein 



Inferior labial vein 



Submental vein 

 lAngual vein 



Superior thyroid 



vein 



Middle thyroid 

 vein 



Sterno-mastoid 



Anterior jtigular 

 vein 

 Communication 

 between anterior 

 jugular veins 



Platysma 



Anterior temporal vein 



Posterior temporal vein 



Deep temporal vein 

 Parotid lymphatic glands 

 Common temporal vein 

 Internal maxillary vein 

 Occipital vein 

 - Temporo-maxillary vein 

 Posterior auricular vein 



, Occipital lymphatic glands 



y 'Sterno-mastoid lymphatic 



glands 



Conimnnication betireen 



facial and external 



jugular veins 



Submaxillary lymphatic 



glands 

 Internal jugular vein 

 Posterior external Jtigular 



vein 

 External jugular vein 



Superficial cervical chain 

 of glands 



- Transverse 



cervical vein 



Suprascapular 



Jugulo-cephalic 

 vein 



This long continuous trunk vein is variously named according to the region in 

 which it lies. Thus, as it descends over the frontal bone it is known as the frontal 

 vein ; as it lies by the side of the nose it is called the angular vein ; whilst in the 

 remainder of its course over the face and neck it is spoken of as the facial vein. 



CI) The frontal vein begins about the level of the coronal suture in a venous 

 plexus which communicates with the anterior division of the tem})oral vein. Soon 

 forming a single trunk, it passes vertically downwards over the frontal l)one, a short 

 distance from the middle line and parallel to its fellow of the op])Osite side, to the 

 inner can thus of the eyelids, where it takes the name of the angular vein (fig. 385). 



Tributaries. — In its course it receives numerous tributaries from the forehead, 



