Fascia Of The Neck Flashcards

1
Q

Deep fascia of the neck

A

A. Investing layer
B. Pretracheal layer
C. Prevertebral layer
D. Carotid sheath

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2
Q

Thin layer of subcutaneous tissue

A

Superficial Cervical Fascia

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3
Q

The Superficial Cervical Fascia contains

A

1- Cutaneous nerves
2- Blood vessels and lymphatics
3- Superficial lymph nodes and fat
4- Platysma muscle

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4
Q

The attachment of deep fascia to hyoid bone prevents formation of

A

Dewlap

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5
Q

Fxns of the deep cervical fascia

A

1- Surrounds viscera and vessels forming cleavage planes between them during surgery
2- Limits spread of abscess
3- Provides slippery surface for movement of neck viscera, e.g. during swallowing.

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6
Q

surrounds all structures in the neck

A

Investing layer

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7
Q

encloses the viscera of the neck

A

Pretracheal layer

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8
Q

surrounds the vertebral column and the deep muscles associated with the back

A

Prevertebral layer

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9
Q

receive a contribution from the other 3 fascial layers and surround the 2 major neurovascular bundles on either side of the neck

A

Carotid sheaths

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10
Q

Surrounds the entire neck deep to the superficial fascia

A

Investing layer

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11
Q

The investing layer splits to envelope 2 muscles:

A

SCM

Trapezius

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12
Q

The investing layer splits to envelope 2 salivary glands:

A

Submandibular

Parotid

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13
Q

Deep to the parotid gland, the investing layer thickens to form the

A

stylomandibular ligament

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14
Q

The investing layer splits above two bones

A

manubrium sterni

middle 1/3 of clavicle

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15
Q

the investing layer splits above manubrium sterni to form the suprasternal space that contains

A
  • inferior end of anterior jugular veins
  • jugular venous arch
  • lymph nodes and fat
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16
Q

the investing layer splits above middle 1/3 of clavicle where the posterior layer surrounds the—–

A

inferior belly of omohyoid muscle

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17
Q

Below the clavicle, the investing layer is represented by the ——

A

clavi-pectoral fascia

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18
Q

Posteriorly, the investing layer is continuous with the ——

A

Iigamentum nuchae

19
Q

Lies anterior to the trachea

A

Pretracheal Layer

20
Q

The pretracheal layer consists of 2 parts:

A

1- thin muscular layer enclosing the infrahyoid muscles

2- visceral layer enclosing - thyroid gland, trachea, esophagus

21
Q

Superior attachment of the pretracheal layer

A

Hyoid bone
Thyroid cartilage
Cricoid cartilage

22
Q

Inferior attachment of the pretracheal layer

A

AOTA

23
Q

Lateral attachment of the pretracheal fascia

A

Blends with the carotid sheath

24
Q

Posteriorly the pretracheal layer is referred to as

A

Retrovisceral

25
Q

Tubular layer around the vertebral column and associated muscles

A

Prevertebral layer

26
Q

Superior attachment of the prevertebral layer

A

Base of skull

27
Q

Inferioir attachment of the prevertebral layer

A

body of T3 vertebra

28
Q

The prevertebral fascia extends laterally as the ———— around the axillary vessels and brachial plexus

A

Axillary sheath

29
Q

The prevertebral fascia is continuous inferiorly with the

A

anterior longitudinal ligament

30
Q

These are embedded in the prevertebral layer

A

Sympathetic trunks

31
Q

The prevertebral layer begins from

A

cervical spinous processes

ligamentum nuchae

32
Q

The prevertebral layer divides into two layers/laminae as it passes what structure

A

behind the esophagus and in front of the vertebral column

33
Q

The carotid sheath contains

A
1- common and internal carotid arteries 
2- internal jugular vein (IJV) 
3- vagus nerve 
4- carotid sinus nerve – a branch from glossopharyngeal nerve 
5- carotid sympathetic plexus 
6- deep cervical lymph nodes
34
Q

Superior attachment of the carotid sheath

A

base of skull around carotid foramen

35
Q

Inferior attachment of the carotid sheath

A

AOTA

36
Q

The carotid sheath blends anteriorly wt the

A

Investing layer

37
Q

The carotid sheath blendsially with the

A

Pretracheal layer

38
Q

The carotid sheath blends post with the

A

Prevertebral layer

39
Q

largest fascial compartment; includes the other three, and consists of the area surrounded by the investing layer

A

1st

40
Q

The 2nd fascial compartment consists of

A

the vertebral column, the deep muscles associated with this structure, and is the area contained within the prevertebral layer

41
Q

The 3rd/ visceral compartment contains the

A

pharynx, the trachea, the esophagus, and the thyroid gland, which are surrounded by the pretracheal layer

42
Q

The 4th comp/ carotid sheath consists of

A

neurovascular structures that pass from the base of the skull to the thoracic cavity, and the sheath enclosing these structures receives contributions from the other cervical fascias

43
Q

Classification of the fascia of the neck

A

Superficial

Deep