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72 Cards in this Set
- Front
- Back
2 fascias that make up the visceral layer of deep cervical fascia
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pretracheal fascia (anterior)
buccopharyngeal fascia (posteriorly) |
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fascia that surrounds the vertebral column and associated muscles
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prevertebral layer
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dervied from all three layers of deep fascia to surround neurovascualr bundle of the neck
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carotid sheath
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fascia that envelops the sternocleidomastoid m. and circles the whole neck
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outer investing layer of the deep cervical fascia
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suprahyoid muscles
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digastric
stylohyoid mylohyoid geniohyoid |
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infrahyoid muscles
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omohyoid
sternohyoid sternothyroid thyrohyoid |
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muscles innervated by the ansa cervicalis
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sternohyoid
sternothyroid two bellies of omohyoid |
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boundaries of the carotid triangle
superior medial lateral |
superior: posterior belly of digastric m.
medial: superior belly of omohyoid muscle lateral: sternocleidomastoid m. |
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8 branches off the external carotid artery
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- ascending pharyngeal a.
- superior thyroid a. - lingual a. - facial a. - occipital a. - posterior auricular a. - maxillary a. - superficial temporal a. |
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contents of carotid triangle
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common carotid
internal jugular vein vagus nerve external carotid artery (5 branches can be seen) hypoglossal nerve (XII) deep cervical lymph nodes ansa cervicalis |
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boundaries of submandibular triangle
superior anterior floor (anterior) posterior |
sup: inferior border of mandible
ant: anterior belly of digastric muscle floor: mylohyoid muscle posterior: posterior belly of digastric muscle |
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contents of submandibular triangle
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submandibular gland
facial artery and vein lymph nodes hypoglossal nerve (CN XII) nerve to mylohyoid muscle |
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surface anatomy of neck
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trapezius muscle
laryngeal prominence thyroid notch hyoid bone jugular notch sternocleidomastoid muscle supraclavicular fossa |
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boundaries of submental triangle
lateral lateral inferior floor |
lateral: both anterior bellies of digastric muscle
inferior: hyoid bone floor: mylohyoid muscle |
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contents of submental triangle
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submental lymph nodes
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boundaries of muscular triangle
superior medial lateral |
superior: superior belly of omohyoid m.
medial: midline of neck lateral: sternocleidomastoid m. |
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contents of muscular triangle
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infrahyoid muscles (sternohyoid, sternothyroid, thyrohyoid, omohyoid muscle)
viscera of neck - thryoid gland - parathyroid - trachea - recurrent laryngeal nerve |
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boundaries of the posterior triangle of neck
anterior posterior base roof floor |
anterior: sternocleidomastoid
posterior: trapezius muscle Base: clavicle roof: outer investing layer of deep cervical fascia floor: muscles and fascia that covers them (paravertebral fascia, splenius capitis, levator scauplae, anterior, middle, posterior scalene mm.) |
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two triangles of the posterior triangle of the neck
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occipital triangle
supraclavicular triangle |
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triangles of the anterior triangle of the neck
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- carotid triangle
- submandibular - submental - muscular |
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boundaries of the occipital triangle
anterior posterior inferior |
anterior: sternocleidomastoid muscle
posterior: trapezius m. inferior: inferior belly of omohyoid m. |
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boundaries of the supraclavicular triangle
anterior inferior superior |
anterior: sternocleidomastoid muscle
inferior: clavicle superior: inferior belly of omohyoid m. |
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where the internal jugular vein begins
what lie along its course? |
jugular foramen
deep cervical lymph nodes |
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1st branch of the vagus nerve and what 2 branches it gives off
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superior laryngeal nerve
internal laryngeal nerve external laryngeal n. |
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sensory to part of laryngeal mucous membrane
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internal laryngeal nerve (perforates thyrohyoid membrane to enter larynx)
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accompanies the internal laryngeal nerve into the thyrohyoid membrane
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superior laryngeal artery from superior thyroid artery
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what the external laryngeal nerve innervates
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small motor innervation to cricothyroid m. of larynx
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largest endocrine gland in the body
helps regulate metabolism and growth |
thyroid gland
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location of thyroid
deep to what muscles? |
lower anterior neck opposite C5-C7, deep to sternothyroid and sternohyoid muscles
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made up of two lateral lobes connected by an __________
happens 50% of the time |
thyroid
isthmus connection pyrimidal lobe extends superiorly from the isthmus |
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blood supply and innervation of thyroid
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BS
- superior thyroid artery from external carotid - inferior thyroid artery from thyrocervical trunk of subclavian - (sometimes) thyroid ima artery (direct branch from aorta) inn: branches from cervical sympathetic trunk |
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function of parathryoid
what is its blood supply? |
calcium metabolism
inferior thyroid artery |
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groove in which recurrent laryngeal nerve ascends to the larynx
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tracheoesophageal groove
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2 groups of the cervical plexus
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superficial sensory branches (C2-C4) from middle of the posterior border of sternocleidomastoid m
deep (motor) branches found in anterior triangle |
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nerves of the superficial branches of the cervical plexus
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lesser occipital n.
great auricular n. transverse cervical n. supraclavicular nerves |
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nerves of the deep branches of the cervical plexus
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- ansa cervicalis
- C1 branches to thyrohyoid and geniohyoid |
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broad category of disorders that exhibit flexion, extension, or twisting of muscles of the neck beyond their normal position
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torticollis
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outermost layer of fascia in neck
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outer investing layer of deep cervical fascia
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boundaries of the superior thoracic inlet
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manubrium, first ribs, body of first thoracic vertebra
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structures that pass through the superior thoracic inlet to the neck
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great vessels, left recurrent laryngeal nerve, thoracic duct, sympathetic trunks
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structures that pass down from the neck into the thorax through the inlet
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phrenic nerves
vagus nerves internal thoracic arteries |
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passes from neck into upper limb through apex of axilla
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brachial plexus, axillary artery, axillary vein
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branches of the 1st part of the subclavian artery (medial to scalenus anterior m)
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- vertebral artery
- internal thoracic artery - thyrocervical trunk (has 4 branches) |
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branches of the second part of the subclavian artery (posterior to scalenus anterior m.)
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costocervical
- supreme intercostal artery - deep cervical artery |
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branches of the 3rd part of the subclavian artery (lateral to scalenus anterior)
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dorsal scapular artery
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branches of the thyrocervical trunk
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- inferior thyroid artery
- transverse cervical artery - suprascapular artery - ascending cervical artery (sometimes off the inferior thyroid artery) |
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3 components of superior cervical ganglion
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- create plexi on internal and external carotid arteries
- pharyngeal plexus - cardiac branches |
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innervated by the middle cervical ganglion
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- cardiac branches
- thyroid and parathyroid glands |
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2 innervations from the inferior cervical ganglion
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cardiac branches
vertebral plexus |
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the thoracic duct drains lymph form all but what region of the body?
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upper right quadrant
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branches off high in the neck from vagus X
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superior laryngeal nerve
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where branches of the external carotid supply in the head
lingual facial ascending pharyngeal occipital |
tongue
superficial face pharynx most posterior scalp |
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drains the upper right quadrant of lymph
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right thoracic duct
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travels on anterior surface of anterior scalene m.
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phrenic nerve
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the cervical sympathetic trunk contains what kind of nerve fibers?
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postganglionic sympathetic fibers
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origin of suprascapular and dorsal scapular nerves
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suprascapular: upper trunk
dorsal scapular: C5 root |
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cranial nerve that originates from the cervical portion of the spinal cord
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spinal accessory nerve XI
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cranial portion of CNXI travels with CN ____ to form motor innervation of pharyngeal/palate muscles
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CNX
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contents of posterior triangle
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- subclavian v. and a.
-transverse cervical artery - suprascapular artery - CN XI - trunks of brachial plexus (suprascapular n) - cervical plexus - phrenic nerve** |
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the superior cervical ganglion is adjacent to these vertebrae
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C2 and C3
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middle cervical ganglion is lateral to this vertebrae
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C6
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inferior cervical ganglion is later to this vertebrae
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C7
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are there sympathetic neurons within the cervical spinal cord?
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NO- all from T1-L2 lateral horns
therefore no lateral horns in cervical spinal cord |
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VPRs for neck sensation
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C2-C4
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autonomic ganglion for CN III
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ciliary ganglion
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autonomic ganglia for CN VII
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pterogopalatine and submandibular
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autonomic ganglia for CN IX
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otic ganglion
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autonomic ganglia for CN X
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none- passes to thorax and abdomen and synapses in ganglion within lung, heart, stomach, GI etc.
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internal thoracic artery terminates as these 2 arteries
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musculophrenic artery
superior epigastric artery |
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transports up the neck
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- thoracic duct
- internal carotid artery - external carotid artery (most branches from neck --> head) - cervical sympathetic trunk |
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transports down the neck to body
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- vagus X
- phrenic n. - cervical sympathetic trunk - internal jugular vein - trachea - esophagus |
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transports from neck to upper shoulder
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- transverse cervical a.
- suprascapular a. - suprascapular and dorsal scapular nerve - spinal accessory nerve |