The external jugular vein plays a critical role in the circulatory system by facilitating the return of deoxygenated blood from the head and neck to the heart. It is crucial for maintaining proper blood flow and pressure in these regions, making it integral for overall bodily function. The vein helps to regulate blood volume in the thoracic cavity, influencing cardiac output and ensuring the efficient removal of metabolic waste from the notoriously active tissues of the head, such as the brain and facial muscles. By transporting blood that is low in oxygen back toward the heart, the external jugular vein also participates in the larger process of oxygen redistribution throughout the body, wherein the heart replenishes oxygen levels through respiration in the lungs.
The external jugular vein is located on the lateral aspect of the neck. It begins near the angle of the mandible, where it is formed by the union of several smaller veins, such as the posterior auricular vein and the retromandibular vein, which drain areas behind the ear and the jaw, respectively. As it descends, the external jugular vein runs superficially, lying just beneath the skin and in front of the sternocleidomastoid muscle. It crosses over this muscle and travels down the neck, eventually draining into the subclavian vein, which connects the upper extremities to the heart.