Anterior Triangle, Neck Flashcards

1
Q

identify

A

jugular foramen

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2
Q

What is this? What muscle attaches here?

A

mastoid notch

  • digastric m.
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3
Q

8

A

digastric fossa

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4
Q

10

A

Mylohyoid line

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5
Q

13

A

genial tubercles of mandible

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6
Q

a, b , c

A

Hyoid bone

a: greater horn
b. lesser horn
c. body

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7
Q

identify

A

cricoid

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8
Q

identify

A

digastric muscle

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9
Q

What muscle is the arrow pointing to

A

stylohyoid muscle

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10
Q

identify

A

Mylohyoid muscle

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11
Q

identify

A

Geniohyoid muscle

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12
Q

Origin and insertion of digastric muscle

A

O: Posterior belly: mastoid notch; Anterior belly: Digastric fossa

I: intermediate tendon (near the lesser horn of the hyoid)

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13
Q

Innervation stylohyoid muscle

A

facial nerve (CN VII)

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14
Q

Innervation Mylohyoid

A

Mandibular nerve (CN V3)

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15
Q

Innervation of digastric muscle

A

Anterior belly: Mandibular nerve V3

Posterior belly: Facial nerve (CN VII)

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16
Q

Innervation of geniohyoid muscle

A

C1 anterior ramus

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17
Q
A

Omohyoid muscle

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18
Q
A

Sternohyoid muscle

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19
Q
A

Sternothyroid

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20
Q
A

Thyrohyoid

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21
Q

Name the 4 infrahyoid “strap” muscles.

A
  • Sternohyoid
  • Omohyoid
  • Sternothyroid
  • Thyrohyoid
22
Q

Innervation and action of infrahyoid muscles

A

N: C1-C4 anterior rami

A: depress/stabilize the hyoid

23
Q

what runs in the carotid sheath

A
  • Common carotid artery
  • Vagus nerve
  • Internal jugular vein
  • Deep cervical lymph nodes

* carotid arteries are medial to internal jugular veins

24
Q

What is #7

A

Internal carotid artery

  • No branches in the neck
25
Q

Name the branches of the external carotid artery

A
  • Superior thyroid
  • Acending pharyngeal
  • Lingual
  • Facial
  • Occipital
  • posterior auricular
  • maxillary
  • Superficial temporal
26
Q

Identify

A

Superior thyroid artery

  • Branch off external carotid artery
27
Q

Identify

A

Lingual artery

  • Coming off of external carotid artery
28
Q

Identify blood vessel. What foramen does it run through?

A
  • Internal jugular vein
  • Jugular foramen

* drains with subclavial vein to form brachiocephalic veins

* runs in carotid sheath

29
Q

The mandibular nerve is a branch from what CN?

A
  • CN V Trigeminal nerve
  • Mandibular nerve is known as CN V3
30
Q

The nerve to mylohyoid is a branch off of what nerve? What muscles does this nerve innervate?

A

Madibular nerve (CN V3)

  • Innervates Mylohyoid and Anterior digastric muscles
31
Q

The glossopharyngeal nerve (CN IX) runs into what structure at the split of the common carotid artery?

A

Carotid sinus and carotid body

32
Q

What nerve is this? What feature helps you decide this?

A

Hypoglossal nerve (CN XII)

  • Nerve passes under mylohyoid belly on its way to the tongue
33
Q

Identify. What nerve does this fiber hitchhike on?

A

Superior root of ansa cervicalis

  • off hypoglossal nerve (CN XII)
34
Q

The hypoglossal nerve carries fibers from C1 anterior ramus. What 3 nerves hitchhike?

A
  • superior root and ansa cervicalis
  • geniohyoid
  • nerve to thyrohyoid

* TAG

35
Q

Transverse cervical nerve.

  • Where is it from?
  • What does it innervate?
A
  • C2-C3
  • Sensory to skin of anterior triangle
36
Q

Ansa Cervicalis

  • Where does it come from?
  • What does it innervate?
A
  1. C1-C3; hypoglossal nerve
  2. motor to infrahyoid muscles
37
Q

Where does the ansa cervicalis lie in relation to the carotid sheath

A

superficial to sheath

38
Q

What 3 ganglion are in the cervical sympathetic chain that can be seen in the anterior triangle of the neck?

A
  • superior cervical ganglion (C1-C4)
  • Middle cervical ganglion (C5-C6)
  • Inferior cervical ganglion (C7-C8) - Stellate ganglion (C7-T1)
39
Q

Identify this salivary gland

A

submandibular gland

40
Q

What are the 2 side parts and middle part of the thyroid called? What vertebral level does the thyroid lie at?

A
  • 2 Lobes
  • Isthmus
  • c7-vertebral level
41
Q

50% of people have what protrusion off of their thyroid gland?

A

Pyramidal lobe

42
Q

Arterial and venous supply to thyroid

A
  • Artery: Superior thyroid; inferior thyroid
  • Veins: Superior thyroid; middle thyroid; inferior thyroid
43
Q

10% of people get additonal blood supply to the thyroid gland via what artery? Where does it come from?

A
  • Thyroid ima artery
  • Direct branch of the aortic arch or surrounding great vessels
44
Q

Where are the parathyroid glands located?

A

Posterior surface of thyroid gland

* blood supply and innervation similar to thyroid gland

45
Q

What lies in the superficial fascia of the neck?

A
  • Cutaneous nerves
  • Blood and lymph vessels
  • Platysma muscle
46
Q

What structures lies in the superficial layer of the deep cervical fascia?

A

Trapezius and sternocleidomastoid muscles

47
Q

What structures lie in the middle layer of the deep cervical fascia?

A

Muscular fascia

  • infrahyoid muscles

Pretracheal fascia

  • thyroid gland
  • trachea
  • Esophagus

Buccopharyngeal fascia

48
Q

What structures lie in the deep layer of the deep cervical fascia?

A

prevertebral fascia

  • vertebral column
  • vertebral muscles
  • brachial plexus

Alar fascia

49
Q

Identify the deep fascia of the neck

A

a: Superficial (investing) layer

middle layers

b: muscular layer
c: pretracheal layer

deep layer

d: prevertebral layer

50
Q

Where does the retropharyngeal space lie? What is its purpose?

A
  • between buccopharyngeal and prevertebral fascia
  • Allows pharynx movement during swallowing
51
Q

What fascia seperates the the “true retropharyngeal space” and the “danger space”?

A

Alar fascia

  • Anterior: space stops at superior mediastinum (fuses with buccopharyngeal fascia) “True retropharyngeal space”
  • Posterior: space opens into mediastinum “danger space * area for possible infection