Fascias of the neck Flashcards

1
Q

What are the 4 fascias of the neck

A

superficial cervical fascia

deep cervical fascia

pharyngobasilar fascia

buccopharyngeal fascia

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2
Q

Where is the superficial cervical fascia?

A

between dermis and deep fascia

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3
Q

What muscle is contained within the superficial cervical fascia?

A

platysma

attachment: lower border of mandible –> superficial fascia of skin of the neck overlying the clavicle
function: wrinkles the anterior nuccal skin
innervation: facial n. (cervical branch)
blood supply: facial, submental, suprascapular a.

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4
Q

What are the 4 parts of the deep cervical fascia?

A

superficial (investing) layer (lamina)

carotid sheath

prevertebral fascia

pretracheal (fisceral) fascia (lamina)

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5
Q

Where does the superficial (investing) layer (lamina) extend?

A

mastoid and mandible –> clavicle and acromion

ligamentum nuchae and spinous processes –> midline

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6
Q

What muscles and gland are surrounded by the superficial (investing) layer (lamina)?

A

trapezius

sternocleidomastoid
attachment: lateral aspect of mastoid process and superior nuchal line –> manubrium and medial 1/3rd of clavicle
function: flexion of head and neck, contralateral rotation of head
innervation: accessory n.
blood supply: occipital, posteiror auricular, superior thyroid and suprascapular a.

inferior portion of parotid gland

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7
Q

What fascia is the superficial (investing) layer (lamina) continuous with?

A

parotid fascia

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8
Q

What vessels and nerves are surrounded by the carotid sheath?

A

common carotid a., internal carotid a., internal jugular v., vagus n.

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9
Q

Where does the prevertebral fascia extend?

A

lateral and anterior to levator scapulae, longus colli and capitis, and scalene muscles
base of skull –> mediastinum

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10
Q

What does the prevertebral fascia form the floor of?

A

posterior triangle

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11
Q

What is the prevertebral fascia continuos with?

A

axillary sheath

anterior longitudinal ligament

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12
Q

The prevertebral fascia defines the posterior boundary of the ___________

A

retropharyngeal space

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13
Q

The pharyngobasilar fascia forms the internal epimysium of what muscle?

A

constrictor muscles (all have in common):
attachment: _____ –> median pharyngeal raphe
function: swallowing
innervation: pharyngeal plexus (X)
blood supply: ascending pharyngeal a.

inferior constrictor
attachment: cricoid and thyroid cartilages –>
innervation: recurrent laryngeal n., external laryngeal n.
blood supply: inferior thyroid a.

middle constrictor
attachment: greater and lesser cornu of hyoid and stylohyoid ligament –>
blood supply: tonsilar a.

superior constrictor
attachment: pterygoid hamulus and pterygomandibular raphe –>
blood supply: tonsilar a.

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14
Q

Where does the pharyngobasilar fascia extend?

A

base of skull (pharyngeal tubercle) –> pterygomandibular raphe and pharyngeal raphe

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15
Q

The buccopharyngeal fascia forms the external epimysium of what muscle?

A

constrictor muscles (all have in common):
attachment: _____ –> median pharyngeal raphe
function: swallowing
innervation: pharyngeal plexus (X)
blood supply: ascending pharyngeal a.

inferior constrictor
attachment: cricoid and thyroid cartilages –>
innervation: recurrent laryngeal n., external laryngeal n.
blood supply: inferior thyroid a.

middle constrictor
attachment: greater and lesser cornu of hyoid and stylohyoid ligament –>
blood supply: tonsilar a.

superior constrictor
attachment: pterygoid hamulus and pterygomandibular raphe –>
blood supply: tonsilar a.

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16
Q

The buccopharyngeal fascia is continuous with what?

A

Pretracheal fascia