24.11 Anat: Anatomy of the neck Flashcards

1
Q

What are the 4 compartments of the neck?

A

Superficial fascia (with platysma)
Visceral
Vascular (carotid sheath)
Vertebral

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2
Q

What veins drain the superficial structures of the neck?

A

EJV, AJV

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3
Q

What are the 4 layers of fascia in the neck?

A

Prevertebral fascia
Buccopharyngeal fascia
Pretracheal fascia
Investing fascia (deep)

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4
Q

What muscles does the investing layer of fascia enclose?

A

Anteriorly: SCM
Posteriorly: Trapezius

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5
Q

What structures does the visceral compartment contain?

A

Thyroid, parathyroid, thymus, trachea and oesophagus

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6
Q

Where does the pretracheal fascia extend to/from?

What does this mean when swallowing?

A

From the hyoid bone then down to blend with the pericardium

Moves up and down when swallowing

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7
Q

What is the clinical significance of these compartments with regards to infection?

A

The spaces in between the compartments communicate with the mediastinum and can allow infection to pass spread through these spaces.

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8
Q

What are the anterior vertebral/strap muscles? What layers do they lie in?

A

Suprahyoid and infrahyoid

Lie between investing/pretracheal fascia

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9
Q

What do the strap muscles do?

A

Steady/move hyoid bone and larynx

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10
Q

What are the strap muscles innervated by?

A

Anterior rami of cervical nerves

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11
Q

At what level does does the common carotid artery run to? What happens to it?

A

CCA: to C3/C4 (upper border of thyroid cartilage)

Then splits into external/internal carotid

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12
Q

What does the ICA contain?

A

Carotid sinus (baroreceptors), carotid body (chemoreceptors)

No branches in neck

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13
Q

Where do branches from the ECA head? What are they?

A

3 in front (superior thyroid, lingual, facial)
2 from behind (posterior auricular, occipital artery)
1 deep (ascending pharyngeal)

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14
Q

Where is the thyroid gland located?

A

Between upper border of thyroid cartilage above, 6th tracheal ring below

(isthmus: between 2nd/3rd tracheal rings)

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15
Q

What is the thyroid gland enclosed by?

A

Pretracheal fascia

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16
Q

What do we have to worry about in thyrocricoidectomies?

A

Damaging the recurrent laryngeal nerves

17
Q

What arteries supply the thyroid?

A

Paired superior thryoid (ECA)
Paired inferior thryoid (SCA)

10% have single thyroid IMA along isthmus

18
Q

What veins drain the thyroid?

A

Superior, middle, inferior

19
Q

How does the thyroid develop? What marks its origin? What marks its descent?

A

Outgrowth from larynx, descends downwards (foramen caecum marks origin)

Thyroglossal duct marks descent but usually vanishes

20
Q

How many segments do deep muscles of the neck/back usually pass across?

A

5-7 (pre/post vertebral muscles pass almost vertically across)

21
Q

What could be damaged if there is palsy when shoulder shrugging?

A

Accessory nerve, palsy on affected side

22
Q

What is the cervical plexus formed by?

A

Nerve loops from ventral rami of C1-C4

23
Q

What is the motor strap muscle innervation?

A

Ansa cervicalis

24
Q

What node drains the palatine tonsils?

A

Jugulodigastric node

25
Q

What node can become enlarged with tumours in lower limb/left half of thorax etc.?

A

Supraclavicular ‘final sentinal’ node