Deep structures of neck Flashcards
anterior vertebral muscles lie:
directly posterior to retropharyngeal space and medial to neurovascular plane
what are the anterior prevertebral muscles?
longus colli and capitis, rectus capitis anterior, and anterior scalene
lateral vertebral muscles lie:
posterior to the neurovascular plane and form the floor of the posterior triangle
what are the lateral prevertebral muscles?
rectus capitis lateralis, splenius capitis, levator scapulae, middle and posterior scalene
attachments of longus capitis
basilar part of occipital bone to transverse processes of C3-6
innervation of longus capitis
C1-C3 spinal nerves
attachments of longus colli
anterior tubercle of C1, bodies of C1-3, transverse processes of C3-C6 to bodies of C5-T3 and transverse processes of C3-C5
innervation of longus colli
C2-C6 spinal nerves
attachments of rectus capitis anterior
basilar part of occipital bone to lateral mass of C1
innervation of rectus capitis anterior
C1 and C2 spinal nerves
attachments of rectus capitis lateralis
basilar part of occipital bone to transverse process of C1
innervation of rectus capitis lateralis
C1 and C2 spinal nerves
root of the neck is the junctional area between the:
thorax and neck located on the cervical side of the superior thoracic aperture
superior thoracic aperture is at:
manubrium, rib 1, and T1 vertebra
part 1 of subclavian artery includes:
vertebral, internal thoracic, and thyrocervical arteries
branches of thyrocervical arteries:
inferior thyroid, ascending cervical, suprascapular, and transverse cervical
part 2 of the subclavian artery includes:
costocervical trunk
branches of the costocervical trunk:
superior intercostal and deep cervical
part 3 of the subclavian artery includes:
dorsal scapular artery
parts of the subclavian artery are in relation to:
the anterior scalene muscle
anterior jugular vein descends neck and drains into:
external jugular or subclavian veins
right and left jugular veins unite in midline to form:
jugular venous arch
internal jugular vein unties with:
subclavian vein to form brachiocephalic vein (venous angle)
thoracic duct terminates in junction between:
left IJV and left subclavian veins
near junction, the thoracic duct is joined by:
left jugular trunk, left subclavian trunk, and left bronchomediastinal trunk
left jugular trunk drains:
left side of head and neck
left subclavian trunk drains:
left upper limb
left bronchomediastinal trunk drains:
left half of thoracic structures
5 groups of superficial LNs form a ring around the head:
occipital, mastoid, pre-auricular and parotid, submandibular, and submental nodes
superficial cervical lymph nodes are found along:
EJV on superficial surface of SCM
superficial cervical LNs primarily drain:
posterior and posterolateral regions of the scalp through occipital and mastoid LNs
deep cervical LNs are found along the:
IJV
deep cervical LNs are divided into upper and lower groups by the:
intermediate tendon of omohyoid
jugulodigastric deep cervical LNs:
most superior, located where posterior belly of digastric crosses IJV; receives lymphatic drainage from tonsils and tonsillar region
jugulo-omohyoid deep cervical nodes:
located just inferior to intermediate of omohyoid; receives lymphatic drainage from the tongue
nerves in the root of the neck:
phrenic, vagus, and sympathetic trunks
vagus nerve branches in the neck:
pharyngeal, superior laryngeal, right recurrent laryngeal, left recurrent laryngeal, and cervical cardiac branches
postsynaptic neurons from ganglia send fibers to the cervical spinal nerves via:
gray rami communicantes
3 layers of cervical viscera from superficial to deep:
endocrine, respiratory, and alimentary levels
endocrine layer of cervical viscera consists of:
thyroid and parathyroid
respiratory layer of cervical viscera consists of:
larynx and trachea
alimentary layer of cervical viscera consists of:
pharynx and esophagus
thyroid gland lies deep to:
sternohyoid and sternothyroid muscles
accessory thyroid tissue may appear:
anywhere along the course of the thyroid gland as it relocates during development
thyroid gland receives arterial supply from:
superior thyroid and inferior thyroid arteries
superior thyroid artery supplies the:
anterosuperior aspect of the thyroid
inferior thyroid artery supplies the:
posterior aspect of the thyroid including inferior pole
thyroid ima artery
a small, unpaired thyroid ima artery arises from the brachiocephalic trunk in approximately 10% of people
superior thyroid veins drain:
superior poles
middle thyroid veins drain:
middle of lobes
inferior thyroid veins drain:
inferior poles
superior and middle thyroid veins drain into:
IJV
inferior thyroid vein drains into:
brachiocephalic vein
thyroid gland lymphatics drain initially into:
prelaryngeal, pretracheal, and paratracheal LNs
prelaryngeal LNs drain into:
superior deep cervical LNs
pretracheal and paratracheal LNs drain to:
inferior deep cervical LNs
injury to recurrent laryngeal nerve causes:
hoarseness
arterial supply to parathyroid glands is mostly from:
inferior thyroid glands