Blood vessels of head and neck Flashcards
What is the blood supply to the head?
- internal carotid x2
- external carotid x2
- verteral arteries x2
Where do the internal carotid arteries supply?
- brain and eyes
Where do the external carotid arteries supply?
- extracranial structures (scalp, face)
Where do the vertebral arteries supply?
- brain
What is the origin of the internal and external carotid arteries?
- bification of the common carotid artery
What are the collateral branches of the aortic arch?
- brachiocephalic trunk
- left common carotid artery
- left subclavian artery
What does the brachiocephalic trunk terminally divide into?
- right common carotid artery
- right subclavian artery
At what point does the brachiocephalic trunk terminally divide?
- right sternoclavicular joint
What percentage of people have a normal aortic bification?
- 64.9%
What is the main aortic bificiation variation and what percent of population have this?
- left common carotid and left subclavian artery share common origin of the aortic arch
- 27.1%
Where do the subclavian arteries terminate?
- terminates at external margin of 1st rib
What do the subclavian arteries become continuous with?
- becomes continuous with axillary arteries (don’t end just change name)
What are the major collateral branches of the subclavian artery?
- vertebral (goes up)
- internal thoracic/mammaries (give rise to intercostal arteries)
What are the 4 main parts of the vertebral artery (include vertebral level)?
- cervical part (until C6)
- Vertebral part (C6-C1)
- Suboccipital part (C1 - foramen magnum)
- Intracranial part (once it crosses foramen magnum)
What is the course of the common carotid arteries?
- ascends posterolateral to trachea and larynx
Is there any collateral branches of the common carotid arteries?
- no
What s the termination of the common carotid arteries?
- terminally divides into external and internal carotid arteries at superior boarder of thyroid cartilage
- C3/4
What is the major differences between the internal and external carotid arteries?
- the internal carotid artery has a wider diameter and is located posterolateral to external carotid artery
What is the carotid sinus?
- is a dilation of the most proximal part of internal carotid artery
- contains baroreceptors (for pressure) in walls
What do the collateral branches of the external carotid arteries supply?
- thyroid gland
- all parts of head except brain and eyes
What are the terminal branches of the external carotid arteries?
- maxillary artery –> middle meningeal artery is a collateral branch of this
What is the origin of the middle meningeal arteries?
- collateral branch of maxillary artery of external carotid artery