Anterior Neck And Visceral Organs Flashcards
Neck boundaries
Superior: inferior border of the mandible and C1
Inferior: transverse plane from manubrium to C7 spinous process, laterally to acromium
*weakest part of the body
Hyoid parts
Body, greater, and lesser horn
Thyroid cartilage
Shape: half ring
Landmarks:
1. Sup/inf notch
2. Oblique line
3. Sup/inf horn
4. Lamina: 90~120°
5. Laryngeal prominence (Adam’s Apple)
Cricoid cartilage
Shape: ring
- posterior wall is higher than the anterior wall
Landmarks:
- superior facet for the arytenoid
- inferior facet for the thyroid cartilage inferior horn
Arytenoid
Shape: pyramid
Apex and vocal process
Base articulates with superior facet on cricoid
Corniculate
Hat for arytenoid cartilage
Cuneiform
Found in the fold of epiglottis
Epiglottis
Elastic cartilage “leaf-like” structure
Depression: swallowing reflex
Elevation: breathing and speaking
Larynx
Function: speaking
Assembly:
- inferior articular facets of the thyroid attach to cricoid cartilage
- arytenoid articulates with cricoid
Facial compartments
Superficial fascia: platysma
Investing fascia
Visceral fascia
Carotid sheath
Vertebral fascia
Facial function
Protects structures and contains infection
Allows free motion of the neck during swallowing and turning
Fascia fusion
Neighboring fascia merge to form ligaments
M
Cervical plexus
All ventral rami of the spinal nerves
C1 to geniohyoid and there hyoid muscles through hypoglossal nerve (cn 12)
Anna cervicalis
Motor
Cervical plexus: cutaneous division
Lesser occipital nerve(C2)
Greater auricular nerve (C2-C3)
Transverse cervical nerve (C2-C3)
Supraclavicular nerve (C3 - C4)
Nerve point: cervical plexus
Exiting ~ 1/3 - 1/2
Subclavian artery branches
Thyrocervical trunk → inferior thyroid artery
Costocervical trunk → posterior intercostal arteries 1 and 2
External carotid artery branches: posterior
Ascending
External carotid artery branches: anterior
Superior
Terminal
Anterior neck veins
*Huge variations, not symmetric along the neck
1. Superficial vein → Internal jugular vein
2. External jugular vein →
Lymph drainage
25% to the r subclavian vein and Internal jugular vein “angle”
75% to the L subclavian vein and Internal jugular vein “angle”
Platysma muscle
P: inferior mandible border skin and subcutaneous tissue of the face
D: pectoralis major