Carotid triangle Carotid triangle The carotid triangle (or superior carotid triangle) is a portion of the anterior triangle of the neck. It is bounded: It is (covered) by the integument, superficial fascia, Platysma and deep fascia; Its floor is formed by parts of the -1 Thyrohyoid membrane, -2Hyoglossus, and the -3Constrictores pharyngis medius and inferior. The external and internal carotids lie side by side, the external being the more anterior of the two. The following branches of the external carotid are also met with in this space: The veins met with are: ...all of which end in the internal jugular vein Superficial
Carotid endarterectomy carotid arteries are carefully identified, controlled with vessel loops, and clamped. The lumen of the internal carotid artery is opened, and the atheromatous plaque substance removed. The artery is closed using suture and a patch to increase the size of the lumen. Hemostasis is achieved, and the overlying layers closed with suture. The skin can be closed with suture which may be visible or invisible (absorbable). Many surgeons place a temporary shunt to ensure blood supply to the brain during the procedure. The procedure may be performed under general or local anaesthesia. The latter allows for direct monitoring of neurological