Anterior triangle of the neck Flashcards
what divides the anterior from the posterior triangle
sternocleidomastoid (SCM) - anterior boundary of posterior triangle and vice versa
what is the cranial boundary of the anterior cervical region
mandible
what is the caudal border of the anterior triangle
sternum, jugular notch
what is the lateral border of the anterior cervical region
SMC
what are the 4 divisions of the anterior triangle
submental
submandibular
cartoid
muscular/omotracheal
what is found in the submental division of the anterior triangle
submental lymph nodes (drain the anterior part of tongue)
submental arteries and veins
mylohyoid nerve
beginning of anterior jugular vein?
what is the in submandibular division of the anterior triangle
lingual nerve, submandibular ganglion
submandibular salivary gland, lymph nodes
facial artery and vein
lingual artery and vein
hypoglassal nerve
what is in the carotid division of the anterior triangle
inside carotid sheath:
-common carotid artery (medially), continues as internal carotid artery from c4 upward)
-internal jugular vein (laterally)
-superior toot of deep ansa cervicalis
-vagus nerve
outside carotid sheath:
-branches of external carotid artery: superior thyroid (runs caudally to omotracheal triangle, lingual (runs cranially to submandibular triangle), facial (runs cranially to submandibular triangle)
-arch of hypoglossal nerve, sympathetic trunk and superior cervial ganglion, accessory nerve
- veins: facial, retromandibular, lingual, superior thyroid
-lateral group of deep cervial lymph nodes
what is the muscular division of the anterior triangle
sternohyoid and sternothyroid form the floor beneath which lies the thyroid gland, layrnx, trachea and oesophagus
what are the divisions of the fascial layers of the neck
superficial cervical fascia - lies close to skin
deep fascia (investing layer, pretracheal layer, prevertebral layer, alar fascia and carotid sheath)
what is the first structure that is revealed when you remove the skin of the neck
platysma
what are the attachments of platysma
from fascia above pectoralis major and clavicle to the lateral neck and onto mandible
what is the innervation of platysma
facial nerve CN VII
platysma forms a thin layer than covers what surfaces of the neck
anterior and lateral
what is the function of platysma
considered a muscle of facial expression even though it functions to tighten the skin of the neck
all the muscles of facial expression are innervated by what
facial nerve CN VII
how does platysma vary
varies in its exact attachment areas on the face and neck
what superficial vein of the neck crosses the anterior surface of sternocleidomastoid
external jugular vein
some individuals have what superficial vein of the neck
anterior jugular vein in the midline, may be absent
what usually joins with the external jugular vein
posterior division of the retromandibular vein
the posterior division of the retromandibular vein usually joints the external jugualr vein which carries blood where
down the neck into the subclavian vein
what vein is found posterior to sternocleidomastoid
internal jugular vein
the internal jugular vein is part of what triangle of the neck
anterior triangle
the external jugular vein is in what triangle of the neck
posterior triangle
what vein joins with the anterior division of the retromandibular vein
facial vein
the facial vein joins with the anterior division of the retromandibular vein and this usually drains where
internal jugular vein
where does the internal jugular vein lie in the neck
deeper in the neck within the carotid sheath
the internal jugular vein drains where
subclavian vein to form brachiocephalic vein
the anterior jugular veins can drain where
external or internal veins depending on the individual
what other venous structure may be seen in the neck
communicating vein between the facial and anterior jugular veins
the cervical plexus forms from what
anterior rami of C1-C4
the cervical plexus is joined into loops that lie anterior to what
levator scapulae and scalenus medius
what fascial layer covers the cervical plexus
covered by pre-vertebral layer of deep cervical fascia
what innervation does the cervical plexus carry
somatic motor and sensory (plus sympathetic)
what are the sensory branches of the cervical plexus
lesser occipital
greater auricular
transverse cervical
supraclavicular
what is the general direction of the lesser occipital sensory branch
behind the ear
what is the general direction of the greater auricular sensory branch
infront of the ear
what is the general direction of the transverse cervical branch
under the chin
what is the general direction of the supraclavicular sensory branch
down the neck/over clavicle
what is the name of the loop of nerves created by the cervical plexus
the ansa cervicalis
what fibres does the ansa cervicalis contain
C1 to C3
the ansa cervicalis sits where
anterior surface of the carotid sheath
what are the motor nerves coming from the cervical plexus
ansa cervicalis
to sternohyoid, sternothyroid and omohyoid
to thyrohyoid
to glenohyoid
to trapezius C3, 4 (proprioception)
to levator scapulae C3 4
to SCM C2 3 (proprioception)
Phrenic (C3 4 5)
what is meant by the term suprahyoid
between the hyoid bone and the skull or mandible
what is meant by the term infrahyoid
between the hyoid bone and the sternum or thyroid cartilage
the hyoid bone lies between what
mandible and larynx
what is the function of the supra-hyoid muscles
raise hyoid bone
mylohyoid and digastric also depress mandible
what are the suprahyoid muscles
mylohyoid digastric (anterior and posterior belly)
geniohyoid
stylohyoid