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203 Cards in this Set

  • Front
  • Back
Great Saphenous V
location:
begins at the medial side of the dorsal venous arch of the foot, ascends on the medial side of the leg and thigh, terminates or flows into femoral vein
Great Saphenous V
Tributaries (3)
external pudendal V
Superficial Circumflex Iliac V
Superficial Epigastric V
External Pudendal V
drains penis and scrotum in male
vulva and lower vagina in female
and lower half of anal canal
Superficial Circumflex Iliac V
drains the lateral thigh
Superficial Epigastric V
drains the anterior abdominal wall inferior to the umbilicus
Nodes located behind the knee
popliteal nodes
inguinal nodes
division
superior horizontal
inferior vertical
superior nodes drain
the three tributaries of the femoral vein
abdomen, lateral thigh, external genitalia
inferior nodes drain
remaining superficial tissue of the lower extremity
fascia lata is a dense layer of connective tissue that makes ____________, these divide the thigh into ______ compartment (___, ____, _____), the majority of its fibers run horizontally, but the fibers that run vertically are called _____, The aponeuroses of the _______ and _______ contribute to the ITB.
intermuscular septa, 3 compartment, medial, anterior, posterior, illiotibial tract, gluteus maximus and tensor fascia lata
What is in the Anterior Compartment of the Thigh? (8)
Rectus Femoris, Vastus Lateralis/Intermedius/Medialis
Femoral Artery and its branches
Femoral V and its tributaries
Deep Inguinal Lymph Nodes
The Femoral Sheath is funnel shaped and divided into three compartments and contain:
Lateral: femoral A
Middle: femoral V
Medial/femoral canal: lymph nodes & lymphatic vessels
The femoral canal is continuous with abdominal cavity via:
femoral ring or superior opening of the femoral canal.
Femoral Hernia
protrusion of the abdominal viscera (i.e. small intestines) through femoral ring.
3 times more common in women
Femoral A:
continuation of?
Supplies what compartment?
What four branches?
external iliac A
Anterior Compartment of thigh
External Pudendal A
Superficial Circumflex Iliac A
Superficial Epigastric A
Profunda Femoris A
External Pudendal A
-supplies
penis and scrotum in the male
vulva and lower vagina in female
lower half of anal canal
Superficial Circumflex Iliac A
supplies lateral thigh
Superficial Epigastric A
- supplies
anterior abdominal wall inferior to the umbilicus
Profunda Femoris
- two circumflex branches supply
- four perforating arteries supply
two circumflex (lateral/medial): hip joint and gluteal region

perforating A: posterior and medial compartment of thigh
Femoral Triangle
base:
inguinal ligament
Femoral Triangle
lateral side:
medial border of sartorius M
Femoral Triangle
medial side:
lateral border of the adductor longus
Femoral Triangle
Contents:
femoral A
femoral V
Femoral N.
lymphaatcs
femoral sheath
Medial Compartment:
Contents:
Blood Supply:
Gracilis, Pectineus, Adductor Longus/Brevis/Magnus, Obturator Externus

-Obturator and Profunda A
Adductor Canal - triangular-shaped inter-muscular tunnel
3 walls:
lateral : vastus medialis
Medial: adductor longus and adductor magnus
roof: Sartorius
Adductor Canal:
Contents:
Femoral A. & V.
Saphenous A
Saphenous N
Nerve to Vastus Medialis
Hip Joint
type
ball and socket
Hip Joint
stability allow it to..
carry and balance the trunk
Hip Joint
Articulating Parts
Head of the Femur
Acetabulum of the os Coxae
Hip Joint
Acetabulum 2 Characteristics
articular surface with acetabular notch
acetabular fossa filled with fat
Hip Joint
Articulating parts are covered with
hyaline cartilage
Socket is deepened by fibrocartilagnous
labrum which accommodates 1/2 of the head of the femur
Hip Joint
Where is the capsule attached
anterior?
posterior?
to the bony brim of the acetabulum and to the neck of the femur
anterior: attached to the base of the whole neck of femur
posterior: line of attachment runs across the middle of the neck of the femur
Hip Joint
Synovial Membrane covers
intracapsular neck of the femur, inner side of capsule, the labrum, ligament of head of the femur, and fat pad of acetabular fossa
Hip Joint
Ligaments: Internal 2 External 3
1)Internal: transverse acetabular ligament
2)ligament of the head of the femur
-----------------------------------------------
1)Iliofemoral Ligament (most important/strongest)
2)Ischiofemoral Ligament
3)Pubofemoral Ligament
Hip Joint
Nerve Supply (3)
sensory branches of gluteal, obturator, and femoral nerves
Hip Joint
Vasculature (5)
Medial and Lateral Femoral Circumflex A
Inferior Gluteal A
First perforating A of Profunda Femoris
Obturator A
Hip Joint
Movement
Flexion, Extension, Abduction, Adduction, Rotation, Circumduction
Hip Joint
Flexor Muscles (4)
Iliopsoas, Rectus Femoris, Sartorius, Tensor Fasciae Latae
Hip Joint
Extensors (4)
Gluteus Maximus, Hamstring (bicep femoris, semimembranousus, semitendonousis)
Hip Joint
Abductors (3)
Gluteus Medius, Gluteus Minimus, Tensor Fasciae Lata
Hip Joint
Adductors (5)
Adductor Longus, Brevis, Magnus; Pectineus & Gracilis
Hip Joint
Medial Rotators
Tensor Fascia Latae, Gluteus Minimus, Glut Medius, Pectineus, Adductor Longus/Brevis/Magnus
Hip Joint
Lateral Rotaters (7)
Obturator Internus/ Externus, superior & inferior gemelli, quadratus femoris, piriformis, sartorius
Knee Joint
Bones
Distal Femur (medial and lateral condyles)
Proximal Tibia (Medial and Lateral Condyles)
Patella (Sesamoid Bone)
Knee Joint
Type
Movement
Modified Hinge Joint
Flexion and Extension, some medial & lateral Rotation & Gliding
Knee Joint
Articular Discs
Menisci
-cover the periphery of the tibial articular surface

Outer surface is thicker!
Medial Meniscus
Location:
Attachment: Medial / Peripherally

C-Shaped
sets atop medial tibial condyle

attached medially to the interarticular area by two horns
Peripherally attached to synovial membrane, fibrous capsule and medial collateral ligament of the knee
Lateral Meniscus
Location:
Attachement: Medial / Peripherally

Round Shaped
sets atop the lateral tibial condyle

medially to the interarticular area
synovial membrane, popliteus M, capsule of knee joint
What separates the Lateral Meniscus from the Lateral Collateral Ligament?
Popliteus M.
Menisci function
adapt the articular surfaces of femoral condyles
lubricate articular surfaces
Knee Joint
Fibrous Capsule Attachement
posteriorly it is attached above to the margins of the femoral condyles and margin of the interocndylar fossa. below it is attached to the posterior margins of the tibial condyles and the intracondylar area.
Knee Joint
Capsule Strengthened Posteriorly (3)
1)Posterior by oblique popliteal ligament (extension of semimembranosus tendon)

2) Popliteus M, which emerges within the capsule and interrupts attachent of the capsule to the tibia

3)Gastroc Muscle
Knee Joint
Capsule Strengthened Anteriorly
reinforced by the patella and exensions of the vasti muscles by ligamentum patellae.
Knee Joint
Capsule Strengthened Medially (5)
Semitendinosus, Semimembranosus, Sartorius, & Gracilis

Medial Collateral Ligament
Knee Joint
Capsule Strengthened Laterally (3)
iliotibial tract, biceps femoris tendon, lateral collateral ligament
Knee Joint
Medial Collateral Ligament
Attachment:
medial femoral epicondyle and shaft of the tibia
medial meniscus
Knee Joint
Lateral Collateral Ligament
Attachment:
lateral femoral epicondyle and head of the fibula
Knee Joint
Function of Collateral Ligaments:
resist abnormal side-to-side movements
Knee Joint
Cruciate Ligament
Function:
Location:
hold the femur and tibia together

located in the middle of the joint, but located outside the synovial membrane
Knee Joint
Anterior Cruciate Ligament
Attachments
attached to anterior part of the intercondylar area of the tibia, It runs up back and laterall (UBL) to attach to medial surface of the lateral femoral condyle
Knee Joint
ACL Function
prevents backward displacement of the femur and prevent hyperextension of the leg
Knee Joint
Posterior Cruciate Ligament
Attachments
posterior intercondylar area of the tibia, runs up forward and medially (UFM) and attaches to the lateral surface of the lateral femoral condyle
Knee Joint
PCL Function
*Stronger/Shorter/Less Oblique
forward displacement of the femur
Knee Joint
Vasculature/Collateral Circulation
femoral, profunda femoris, popliteal, & anterior tibial A
Knee Joint
Movements
flexion, extension & rotation
Knee Joint

Flexion is produced by ____________ and limited by __________.
hamstring muscles and bulk of soft tissue
Knee Joint

Extension is produced by ________.
Limited by (3)
quadriceps femoris
1)tension of ACL
2)Medial & Lateral Collateral Ligaments
3)Oblique Popliteal Ligament
"Screw Home Movement" or "Locking"
medial rotation of the femur on the tibia at the end of extension
Brought on by Popliteus Muscle
lateral rotation of the femur on the tibia occurs at the beginning of flexion
Which Meniscus is more frequently torn?
Medial Meniscus
b/c it is more fixed to adjacent structures and thus less to adapt to sudden changes in position
Most commonly torn Cruciate Ligament?
ACL
resulting in abnormal anterior-posterior movement of the femur on the tibia
Ankle Joint
type
movements
hinge
dorsiflexion and plantarflexion
Eversion and Inversion occur where?
Intertarsal Joints
Ankle Joint
Bony Parts:
Superior (3)
Inferior (1)
Superior:
1)lower surface of tibia
2)lateral surface of medial malleolus
3)medial surface of lateral malleolus
Inferior
1)superior/medial/lateral surfaces of talus
Ankle Joint
Medial (deltoid) Ligament
Location:
stretches from medial malleolus to body of talus, sustentaculum tali, neck of talus, spring ligament and tuberosity of navicular bone from posterior to anterior
Ankle Joint
Lateral Ligament
stretches from the lateral malleolus to talus and calcaneus
Ankle Joint
Musculotendinous Relations: Anterior
tibialis anterior, extensor digitorum longus, extensor hallucis longus & Peroneus tertius tendons
Ankle Joint
Musculotendinous Relations: Posterior
tendocalcaneus tendon
Ankle Joint
Musculotendinous Relations: Medial
tibialis posterior, flexor digitorum, and flexor hallucis long tendon
Ankle Joint
Musculotendinous Relations: Lateral
Peroneus Longus/Brevis
Ankle Joint
Nerve Supply (3)
saphenous branch of femoral, tibial and deep peroneal nerves
Ankle Joint
Blood Supply (2)
peroneal and posterior tibial arteries
3 Common Injuries to Ankle Joint
Postural Strain - most frequent (tenderness in lateral and medial ligaments)

Sprains- fibers of ligaments are ruptured but ligament intact

Fractures- accompany severe sprain and usually involve the medial and lateral malleoli
Cutaneous Innervation of the Gluteal Region (3)
lateral cutaneous branch of T12
iliohypogastric (L1)
3 Cluneal Nerves
Superior Cluneal Nerves
Branches:
dorsal primary rami of L1-L3
Middle Cluneal Nerves
Branches:
dorsal primary rami of S1-S3
Inferior Cluneal Nerves
Branches:
posterior femoral cutaneous
superficial fascia in buttock is relatively thick with superficial layer of fat but is continuous with (4)
superficial fascia of back, abdomen, perineum, and thigh
Deep fascia is attached ______
It covers (2)
and is traced laterally or inferiorly to become continuous
above to the crest of the ilium and the sacrum
covers the gluteus maximus and gluteus medius
with the fascia lata of the thigh
Gluteal Muscles Movements (4)
extension, abduction, medial/ lateral rotation
Gluteal region is nourished by branches of
internal iliac A
Superior Gluteal A.
- Exits:
-Lies between:
-Sends superficial branch
-superficial branch splits
pelvis via the greater sciatic foramen to enter buttock

piriformis and below gluteus medius, above minimus

-into overlying gluteus maximus
-into two branches that supplies the glut med/min and tensor fascia lata
Inferior Gluteal A
-supplies (5)
sends unnamed branch to the
gluteus maximus, obturator internus, gemelli, quadratus femoris, and superior part of hamstrings

-cruciate anastomosis
What are the muscles in the posterior thigh supplied by?
-blood
-four perforating branches of the profunda femoris A
-inferior gluteal A
Femoral A turns into
Popliteal A
What innervates the posterior thigh?
sciatic N
The tibia and fibula are connected by?
interosseous membrane
Which vein has the same diameter as coronary arteries and can be removed for bypass surgeries?
saphenous V
What does the saphenous V tribute into
Femoral V
Where is the femoral V located?
femoral triangle
lesser saphenous V
Location:
Tributary to?
-ascends posteriorly to the lateral malleolus and continues on the back of leg

-popliteal V
Cutaneous Innervation of the Leg (5)
posterior femoral cutaneous
saphenous
superficial peroneal
lateral/medial sural cutaneous
Crural Fascia (deep investing fascia of leg)
attaches:
Two intermuscular septa...
-anterior and medial borders of the tibia
-(anterior/posterior) extend from crural fascia to fibula
Anterior Compartment of Leg
Muscles?
Innervated?
Blood Supply?
-Tibialis Anterior, Extensor Digitorum Longus, Extensor Hallucis Longus, Peroneus Tertius
-deep peroneal nerve / terminal branch of common peroneal

-anterior tibial A (terminal branch of popliteal A)
Lateral Compartment of Leg
Muscles?
Innervated?
Blood Supply?
-peroneus brevis/longus

-superifical peroneal N

-fibular circumflex arteries (branches of peroneal A)
Posterior Compartment of Leg
Muscles? Superficial/Deep
Innervation?
Blood Supply?
-Superficial: Gastroc, Soleus, Plantaris
-Deep: Popliteus, Flexor Hallucis Longus, Flexor Digitorum Longus, Tibialis Posterior

-Tibial N
-Posterior Tibial A and its branch Peroneal A
What makes up the Cruciate Anastomosis? (4)
Inferior Gluteal A
Medial Femoral Circumflex A
Lateral Femoral Circumflex A
First perforating branch of profundus Femoris A
How many bones are in the foot?
26
How many tarsal bones?
Name them...
7
talus, calcaneus, navicular, cuboid, and three cunieforms
How many metatarsal bones?
5
Phalanges of the foot?
14 - all the toes have distal, middle, and proximal
except big toe and it has proximal and distal
The weight of the body rest on what bone?
talus
Talocural Joint
Movements:
dorsiflexion, plantarflexion
What kind of joint is in the tarsal and metatarsal areas?
gliding joint
What kind of joints are in the metatarsal-phalangeal and interphalangeal areas?
condyloid
Subtalar and Mid-tarsal joints create what movement
eversion and inversion
What is the deep fascia that covers musculature in the foot?
plantar aponeurosis
Tear in the plantar aponeurosis
plantar fascitis
The innervation of the foot (2)
medial and lateral plantar nerves, branches of the tibial nerve.
Medial Plantar Innervates (4)
Cutaneous Branch
Abductor Hallucis, Flexor Digitorum brevis, Flexor Hallucis Brevis, and first lumbricle

-Big toe, 2, 3, and tibial side of 4
Lateral Plantar Innervates (6)
Cutaneous Branch
Abductor Digiti Minimi, Quadratus Plantae, Flexor Digiti Minimi Brevis, Adductor Hallucis, Lateral 3 lumbricales, interossei muscles.

-Lateral side of 4 toe and 5 toe.
What is the principal artery of the sole of the foot?

What is it a continuation of?
Lateral Plantar A

Posterior Tibial A
What is the continuation of the Anterior Tibial A?

Travels?

Supplies?
Dorsalis Pedis A

opening in the interosseus membrane of the leg

dorsum of the foot
Plantar A arises from
plantar metatarsal arteries
What are the two arches of the foot?
longitudinal and transverse W
What is the longitudinal arch made up of?

Forms?
all tarsal and metatarsal bones

medial and lateral arch
/Which arch is more prominent in the longitudinal arch?

Short posterior Pillar is formed by?

Long Anterior Pillar formed by?
medial arch

-calcaneus and body of the talus

-navicular, cuneiforms, and three medialmetatarsals
The talus is the keystone and is supported by (4)
-tendons of the deep muscles of the back of leg
-small muscles in the sole of the foot
-plantar aponeurosis
-plantar ligaments of all the joints, especially the plantar calcaneo-navicular ligament & long/short plantar ligs
Transverse is made up of?

what supports it?
cuboid, cuneiform bones, bases of the metatarsals

-peroneus longus and tibialis posterior tendons
What divides the neck into anterior and posterior cervical triangles?
Sternocleidomastoid
Posterior Cervical Triangle
BASE:
middle of the clavicle
Posterior Cervical Triangle
POSTERIOR BORDER:
trapezius m
Posterior Cervical Triangle
ANTERIOR BORDER:
Sternocleidomastoid M
Posterior Cervical Triangle
ROOF:
skin, superficial fascia (containing platysma), and investing fascia with spinal accessory (XI) embedded therein
Posterior Cervical Triangle
FLOOR: (5)
These muscles are covered by prevertebral fascia.
1)splenius capitis
2)Levator Scapulae
3)Posterior Scalene
4)Middle Scalene
5)Anterior Scalene
What triangle is located within the Posterior Cervical Triangle?
interscalene triangle
What goes through the interscalene triangle?
roots of brachial plexus
subclavian A
Spinal Accessory N (CN XI) has dual origin (two roots) what are they?
Cranial Root: accessory to the vagus N because it provides part of its motor component.

Spinal Root: joined by fibers from the ventral primary ramus of C2, supplies sternomastoid, and joined by fibers from ventral rami of C3 & C4 and supplies Trapezius
The Omohyoid Muscle defines two subdivisions within the posterior cervical triangle what are they?
-occipital triangle (superior to the omohyoid)

-supraclavicular triangle (inferior to the omohyoid)
Ansa Cervicalis N comes from ???
functions as?
C2-C3
motor part of the cervical plexus
External Jugular Vein location?

Tributary?

What are its tributaries? (5)
lies superficial to the sternomastoid

Tributary to the subclavian V

retromandibular, posterior auricular, transverse cervical, suprascapular, anterior juglar v
Axillary V becomes? where?
becomes the subclavian V as it crosses the first rib
Subclavian V passes anterior to what? (2)

What does it join?
anterior to first rib and the anterior scalene muscles

joins the internal jugular vein
What does the union of the subclavian and internal jugular V form?
brachiocephalic V
The right subclavian A is a branch off?
brachiocephalic trunk
The L Subclavian A branches off of what?
Aortic Arch
Both subclavian arteries pass where?
posterior to the anterior scalene
What are the first branches of the subclavian A? (4)
location?
vertebral and internal thoracic arteries, thyrocervical and costocervical trunks

-lies medial to the anterior scalene
Where is the second part of the subclavian A location?
passes posterior to the anterior scalene.
Where is the third part of the subclavian A?
lies on the upper surface of the first rib, producing a groove on the bone
The occipital Artery is a branch off of?

Where does it run/go?
external carotid A

-runs deep to the sternomastoid M, eventually crossing the upper portion of the posterior cervical triangle on its way to the scalp in occipital region.
The brachial plexus (roots and trunks) emerge between?

What does the brachial plexus pass laterally to?
anterior and middle scalene muscles

-axilla
What nerve is a cutaneous branch of the cervical plexus that ascends to the skin of scalp posterior to the external ear?
Lesser Occipital Nerve (C2 & C3)
The great auricular nerve (C2 & C3) supplies what area?

-gives branches to (3)
supplies the skin (auricular) external ear.

-also gives branches to the skin of the mastoid, parotid and masseteric regions.
The transverse cervical N (C2 & C3) innervates what?
the skin of the anterior cervical triangle (runs across the neck)
The three supraclavicular N (C3 & C4) innervate what? (4)
skin of the supraclavicular triangle, and the pectoral, deltoid, and acromial regions
The lymph from the occipital scalp and back of the neck empty into what
jugular lymph trunk
Anterior Cervical Triangle
SUPERIOR:
lower border of the body of the mandible
Anterior Cervical Triangle
POSTERIOR:
anterior border of the sternomastoid m
Anterior Cervical Triangle
ANTERIOR:
midline extending from the chin to the sternal notch in the manubrium
Submandibular Triangle (3)
body of the mandible, digastric muscle (anterior & posterior)
Carotid Triangle (3)
sternomastoid, posterior belly of digastric, and superior belly of omohyoid
Muscular Triangle (3)
superior belly of omohyoid, lower anterior margin of sternomastoid, midline of the neck
submental triangle
anterior bellies of both right and left digastric muscles and the body of the hyoid
What is the muscle of facial expression?

Where is it found?
platysma

subcutaneous tissue just deep to the skin
Anterior Jugular Veins
run?
drain into?
where?
course deep to the sternomastoid M & above clavicle

drain into external jugular V

in posterior cervical triangle
What are the cutaneous nerves the anterior cervical triangle?
transverse cervical & great auricular
and a motor nerve of the facial nerve
investing fascia surrounds

continues to cover

attached to (3)
sternomastoid m

anterior cervical triangle and fuses with the ipsilateral side
-mandible, clavicle, and manbrium
The infrahyoid muscles (strap muscles) important for
swallowing and stabilizing the hyoid bone
Innervation to infrahyoid muscles?
ansa cervicalis except the thyrohyoid
what is the only bone that does not articulate with another bone?

how many muscles attached to it?
hyoid bone

10
Contents of the Submandibular Triangle: (4)
-Superficial lobe of submandibular salivary gland
-facial artery and vein
-hypoglossal N (CNXII)
-lingual A
hypoglassal N supplies
motor fibers to muscles of tongue
lingual A supplies
tongue; branch of external carotid
Where is the bifurcation of the common carotid A?
hyoid bone
Internal Carotid A: (no branches in cervical or facial regi)
-what does it supply
-located
-contains
brain in the cranial cavity

-lateral and posteriorly

-baroreceptors
Baroreceptors (nerve endings)
-function
-connected to cardiovascular regulating center by?
measure blood pressure

-glossopharyngeal nerve (XI)
The carotid body contains?
chemoreceptors
chemoreceptors measure

-connected to cardiovascular regulating center by
arterial oxygen content

-in the brain stem by the glossopharyngeal nerve
branches of the external carotid artery supply?

how many branches?
extracranial portions of the face and upper cervical region

-9
superior thyroid, lingual, ascending pharyngeal, facial, occipital, posterior auricular
superior thyroid supplies?
thyroid and parathyroid glands
-two branches that supply the larynx
lingual a supplies
tongue
ascending pharyngeal a supplies
lateral pharyngeal wall (throat)
facial a supplies
lips, nose, and medial angles of eyes
occipital a supplies
scalp in the occipital region
posterior auricular artery supplies

its branch stylomastoid branch supplies
external auditory canal

-facial nerve in the stylomastoid canal
Internal juglar V
carries blood from?
exits?
tributary to?
brain
exits the skull through the jugular foramen
becomes tributary to brachiocephallic v
Vagus N
exits?
supplies?
parasympathetic fibers supply?
-jugular foramen and descends into carotid sheath

-skeletal muscles of the palate, pharynx, and larynx

-glands in esophagus, larynx, and trachea
spinal accessory nerve innervates
trapezius and sternomastoid
hypoglassal nerve innervates
muscles of the tongue
ansa cervicalis innervates
geniohyoid and three of the infrahyoid muscles
Anterior Jugular V
tributes to?
External jugular V
What connects anterior jugular vein and common facial v
communicating vein
Thyroid Gland has how many hemispheres?
-connected
-blood supply (2)
-veins (3)
-2
-connected by isthmus which crosses the midline anterior to the 2nd and 3rd tracheal rings
-superior /inferior thyroid A
-superior, middle, inferior thyroid veins
How many parathyroid glands are there?

what do they secrete
-4

-parathormone which regulates calcium metabolism
Parotid Gland (largest in humans)
-location
-covers
-lies in what space
-lies just beneath the skin in the front of the ear

-temporomandibular joint (TMJ)

-lies in the parotid bed
Parotid Bed
Posterior-
Medial-
Anterior-
-mastoid process
-styloid process
-medial pterygoid and masseter muscles
Contents of Parotid Bed (5)
parotid gland
external carotid artery and branches
external jugular vein and its tributaries
parts of the facial nerve
parts of trigeminal nerve
parotid arterial supply (3)
branches of the posterior auricular, superficial temporal, and transverse facial A
parotid venous drainage
tributaries of retromandibular vein
Parotid lymphatic drainage (2)
goes to cervical lymph nodes
1)superficial cervical lymph nodes
2)deep cervical lymph nodes
Innervation of the Parotid Region (2)
great auricular nerve
auriculotemporal nerve