Anterior Neck Flashcards
What is Fascia?
Grossly visible connective tissue or sheaths deep to the skin.
What are the different layers of fascia?
Epidermis > Dermis > Superficial Fascia > Deep Fascia
What are 2 terms synonymous with Superficial Fascia?
Subcutaneous tissue and Hypodermis
What muscle is contained within the hypodermis of the anterior neck?
Platysma m.
What nerve innervates the platysma m?
Facial n. (CN VII) - cervical br.
What movements is the platysma responsible for?
Facial expression, but mainly neck tension. It also has some role in “weak” lower lip and mandible depression.
What system is the platysma m. a part of?
the Superficial-Musculo-Aponeurotic-System (SMAS)
What are the 3 main Deep Cervical Fascia layers?
Investing Middle Deep
What is the “Investing” division of Deep Cervical Fascia responsible for?
It is the most superficial part of the Deep Cervical Fascia layers and covers the entire neck beneath the superficial fascia layers. (“deep to the skin and superficial cervical fascia”)
What are the two divisions of the Middle Deep Cervical Fascia layer?
Muscular - Covers the infrahyoid mm. and is placed more toward the front. (anterior) Visceral - Invests the majority of the organs (viscera) of the neck. (thyroid gland, trachea, esophagus)
What is the name for the subdivision of the visceral layer of the DCF?
Buccopharyngeal Fascia Surround muscles of Cheek and Pharynx
What are the 2 divisions of the Deep layer of the DCF?
Alar Fascia Prevertebral Fascia
What is the space between the Buccopharyngeal fascia and the Prevertebral Fascia?
The Retropharyngeal space
Where is the “danger space” located, and why is it referred to as such?
It is the space between the alar fascia and the preverterbral space. It is a potential space for infection to spread from the pharynx to the mediastinum (heart, trachea…).
What are the boundaries of the anterior cervical triangle?
Medial: Midline Lateral: Anterior border of the sternocleidomastoid mm. Superior: Base of the mandible
What are the 4 subdivided triangles within the anterior cervical triangle?
Submandibular triangle Submental Triangle Carotid Triangle Muscular Triangle
What are the boundaries of the Submandibular Triangle?
Inferior: Anterior and posterior of digastric m. Superior: Mandible
What is contained within the Submandibular Triangle?
the Submandibular Gland and facial a. and v.
What are the boundaries of the Submental Triangle?
Medial: Midline Lateral: Anterior belly of digastric m. Inferior: Hyoid bone
What are the boundaries of the Carotid triangle?
Superior: Posterior belly of digastric m. Lateral: Sternocleidomastoid m. Medial: Superior belly of omohyoid m.
What are the boundaries of the Muscular Triangle?
Medial: midline Inferolateral: SCM Superolateral: Superior belly of omohyoid m.
What is contained in the Carotid Triangle?
the Carotid sheath
What is contained in the Muscular Triangle?
the infrahyoid mm., the thyroid gland, and the larynx
What are the two major superficial veins of the neck?
Anterior jugular vein (AJV) External jugular vein (EJV) - Typically the most obvious superficial vein in neck
The EJV Drains into the______.
subclavian v.
How is the EJV formed?
The external jugular vein is formed when the posterior division of the retromandibular v. joins with the posterior auricular v.
How is the AJV formed?
By the junction of the superficial submandibular vv.
The AJV drains into the _________ or the __________ often after nestling under the __________.
EJV subclavian v. SCM
What characteristic does the AJV have that is not common in many veins?
it is valveless
Where is the superior attachment of the SCM?
Mastoid process and superior nuchal line (pic of mastoid process)
What is the inferior attachment of the SCM?
Sternal attachment (manubrium)
Clavicular attachment (medial third of clavicle)