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46 Cards in this Set

  • Front
  • Back
o Tectorial membrane
superior continuation of posterior longitudinal ligament
o Cruciate ligament of the atlas
cross-shaped ligament that wraps behind dens of axis bone
Cruciform ligament is in between
Atlas (C1) and C2
Alar ligaments are behind
Cruciform ligament
Cruciform ligament fibers
Superior Longitudinal
Inferior longitudinal
Transverse ligament of atlas is at what facet
articular facet of dens
o Alar ligament: attach to the
dens of axis bone
o Atlanto-occipital joint-between
between occipital condyle of occipital bone and atlas; for nodding motion
 Anterior to retropharyngeal space
• Anterior part of investing layer (incl. SCM)
• Infrahyoid fascia
• Carotid sheath
• visceral fascia contents
 Posterior to retropharyngeal space
• Prevertebral fascia contents
• Posterior part of investing layer (incl. trapezius
• Sympathetic trunk, anterior to
cervical vertebra
o Internal carotid n comes off
superior extension of sympathetic trunk, goes into the cranial vault
o Superior cervical sympathetic ganglion-near
base of neck
o Inferior cervical sympathetic ganglion/stellate ganglion-near
subclavian a/v
o Rectus capitis lateralis m
occipital bone to transverse process of atlas
o Rectus capitis anterior m
occipital bone to anterior arch of atlas
o Longus capitis m
Base of occipital bone to anterior tubercle of cervical vertebrae, “truly prevertebral muscle within prevertebral fascia”
o Longus colli m
extends on anterior vertebra from CV2 to ~TV3 “truly prevertebral muscle within prevertebral fascia”
o Buccopharyngeal fascia-adventitia, continuous with
buccinator m
o Muscular layer of the pharynx
outer circular, inner longitudinal
o Inferior pharyngeal constrictor m attachment
 Anterior attachment: oblique line of thyroid cartilage + cricoid cartilage
 Posterior attachment: pharyngeal raphe
o Middle pharyngeal constrictor m attachment
 Anterior attachment: greater horn of hyoid bone + inferior stylohyoid ligament
 Posterior attachment: pharyngeal raphe
o Superior pharyngeal constrictor m attachment
 Anterior attachment: pterygomandibular raphe
 Posterior attachment: pharyngeal tubercle of occipital bone
o Stylopharyngeus m passes between
superior and middle pharyngeal constrictor m.m.
 This is the only skeletal muscle innervated by CN IX.
o Palatoglossus m
 This is the only “glossus” muscle NOT innervated by
CN XII.
o Glossopharyngeal (CN IX): fibers
GVE, SVE, GSA, GVA, SVA
To innervate pharyngeal mucosa (GVA) the glossopharyngeal passes between
internal/external carotid
Glossopharyngeal is afferent to the tongue and pharyngeal mucosa, but efferent to
stylopharyngeus and parotid gland
o Vagus (CN X): fibers
SVE, GVE, GSA, SVA, and GVA
Vagus branch the superior laryngeal nerve innervates
the larynx and runs with the superior laryngeal artery
Superior laryngeal artery gives branches to
palate, pharynx and larynx
SVE of vagus to
Muscles of soft palate, all larynx muscles, and pharyngeal muscles via the pharyngeal plexus
GVA of vagus to
mucosa of the larynx, mucosa of inferior pharynx
 SVA:of the vagus to
palate, uvula and carry sensory of taste from the roof of the tongue and the taste buds on the epiglottis
Spinal accesory fibers
GSE
what nerves join spinal accesory at posterior cervical region?
C2-C4
o Hypoglossal (CN XII) fibers
GSE
After the hypoglossal exits the hypoglossal canal it its joined by
by a branch of the cervical plexus conveying general somatic motor fibers from C1 and C2 spinal nerves and general somatic motor fibers from the spinal ganglion of C2 (these spinal nerves hitch a ride with CN 12 to reach the hyoid muscles)
Hypoglossal passes
lateral to the internal and external carotids
Hypoglossal innervates
styloglossus, hyoglossus, genioglossus and intrinsic muscles of the tongue
o Superior cervical sympathetic ganglion & Sympathetic Trunk characterisitcs
Vasomotor
 Posterior and medial to the carotid sheath
 Internal carotid nerve: passes from the superior end of the cervical ganglion to the internal carotid artery
Pharyngeal Plexus includes innervation from
CN 9, 10 & 11. CN 10 and 11 provide motor innervation and CN 9 provides sensation/sensory to the pharynx
o Nasopharynx ends at
Choana
 Pharyngotympanic (Auditory/Eustachian) tube-connect to
middle ear
 Pharyngeal tonsil: at
pharyngeal recess
o Oropharynx-posterior to oral cavity~epiglottis contains
 Palatoglossal fold/palatoglossus m
 Palatopharyngeal fold/palatopharyngeus m
 Palatine tonsil: between palatoglossal and palatopharyngeal folds
 Fauces