Hyoid bone
The hyoid is a "horseshoe-shaped" bone that serves as a structural anchor in the mid-neck. It is the only bone in the human body that does not directly articulate with another bone (other than sesamoids). It is a place of convergence of multiple small neck muscles that permit the pharyngeal phase of swallowing. The location of structures in the neck are often described in terms of relation to the hyoid (i.e. suprahyoid neck; infrahyoid neck).
On this page:
Summary
-
location: midline structure located between the mandible and the thyroid cartilage and anterior to the epiglottis at the level of C3
- the level of the hyoid separates lymph node levels II from III in the lateral neck and levels Ia and VI in the anterior neck
- articulations: none
- blood supply: branches of the external carotid artery
- relations: numerous muscles insert on the hyoid, detailed below
Gross anatomy
The hyoid bone is located in the mid-neck, above the thyroid cartilage, anterior to the pharynx. It is divided into three parts:
- body
- greater horn (one on each side, symmetric)
- lesser horn (one on each side, symmetric)
Attachments
Multiple small neck muscles insert onto different parts of the hyoid 4:
- body
- suprahyoid muscles
- mylohyoid muscle
- geniohyoid muscle
- digastric muscles (indirectly)
- stylohyoid muscle (indirectly)
- genioglossus muscle inferior fibers (indirectly)
- infrahyoid (strap) muscles
- suprahyoid muscles
- body and greater horn
- greater horn
Several ligaments attach to the hyoid:
- lesser horn
- body
- body and greater horn
- thyrohyoid membrane, including median thyrohyoid ligament
Blood supply
Branches of the external carotid artery, predominantly the infrahyoid branch of the superior thyroid artery, and branches of the lingual artery.
Relations
The position of the hyoid defines a few lymph node levels of the neck:
- anteriorly: hyoid separates levels Ia (above) from VI (below)
- laterally: hyoid separates level II from level III
Radiographic features
The hyoid is the ossified horseshoe-shaped structure just superior to the thyroid cartilage.
Related pathology
- hyoid bone fracture
- movement of the hyoid (hyoid elevation) is an indication of the strength of the pharyngeal muscles during a modified barium swallow study.
Related Radiopaedia articles
Anatomy: Head and neck
- skeleton of the head and neck
-
cranial vault
- scalp (mnemonic)
- fontanelle
-
sutures
- calvarial
- facial
- frontozygomatic suture
- frontomaxillary suture
- frontolacrimal suture
- frontonasal suture
- temporozygomatic suture
- zygomaticomaxillary suture
- parietotemporal suture (parietomastoid suture)
- occipitotemporal suture (occipitomastoid suture)
- sphenofrontal suture
- sphenozygomatic suture
- spheno-occipital suture (not a true suture)
- lacrimomaxillary suture
- nasomaxillary suture
- internasal suture
- basal/internal
- skull landmarks
- frontal bone
- temporal bone
- parietal bone
- occipital bone
- skull base (foramina)
-
facial bones
- midline single bones
- paired bilateral bones
- cervical spine
- hyoid bone
- laryngeal cartilages
-
cranial vault
- muscles of the head and neck
- muscles of the tongue (mnemonic)
- muscles of mastication
-
muscles of facial expression
- occipitalis muscle
- circumorbital and palpebral muscles
- nasal muscles
- buccolabial muscles
- elevators, retractors and evertors of the upper lip
- levator labii superioris alaeque nasalis muscle
- levator labii superioris muscle
- zygomaticus major muscle
- zygomaticus minor muscle
- malaris muscle
- levator anguli oris muscle
- risorius muscle
- depressors, retractors and evertors of the lower lip
- depressor labii inferioris muscle
- depressor anguli oris muscle
- mentalis muscle
- compound sphincter
- orbicularis oris muscle
- incisivus superior muscle
- incisivus inferior muscle
- muscle of mastication:
- elevators, retractors and evertors of the upper lip
- muscles of the middle ear
- orbital muscles
- muscles of the soft palate
- pharyngeal muscles
- suprahyoid muscles
- infrahyoid muscles
- intrinsic muscles of the larynx
- muscles of the neck
- accessory muscles of the neck
- deep cervical fascia
-
deep spaces of the neck
- anterior cervical space
- buccal space
- carotid space
- danger space
- deep cervical fascia
- infratemporal fossa
- masticator space
- parapharyngeal space
- stylomandibular tunnel
- parotid space
- pharyngeal (superficial) mucosal space
- perivertebral space
- posterior cervical space
- pterygopalatine fossa
- retropharyngeal space
- suprasternal space (of Burns)
- visceral space
- surgical triangles of the neck
- orbit
- ear
- paranasal sinuses
- nose
- oral cavity
- pharynx
- larynx
- viscera of the neck
- blood supply of the head and neck
-
arterial supply
-
common carotid artery
- carotid body
- carotid bifurcation
- subclavian artery
- variants
-
common carotid artery
- venous drainage
-
arterial supply
- innervation of the head and neck
-
cranial nerves
- olfactory nerve (CN I)
- optic nerve (CN II)
- oculomotor nerve (CN III)
- trochlear nerve (CN IV)
-
trigeminal nerve (CN V) (mnemonic)
- trigeminal ganglion
- ophthalmic division
- maxillary division
- mandibular division
- abducens nerve (CN VI)
- facial nerve (CN VII)
-
vestibulocochlear nerve (CN VIII)
- vestibular ganglion (Scarpa's ganglion)
- glossopharyngeal nerve (CN IX)
-
vagus nerve (CN X)
- superior laryngeal nerve
- recurrent laryngeal nerve (inferior laryngeal nerve)
- (spinal) accessory nerve (CN XI)
- hypoglossal nerve (CN XII)
- parasympathetic ganglia of the head and neck
- greater occipital nerve
- third occipital nerve
-
cervical plexus
- muscular branches
- longus capitis
- longus colli
- scalenes
- geniohyoid
- thyrohyoid
-
ansa cervicalis
- omohyoid (superior and inferior bellies separately)
- sternothyroid
- sternohyoid
- phrenic nerve
- contribution to the accessory nerve (CN XI)
- cutaneous branches
- muscular branches
- brachial plexus
- pharyngeal plexus
-
cranial nerves
- lymphatic drainage of the head and neck
- embryological development of the head and neck
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