Head Flashcards
What is the origin of the left and right common carotid arteries
Right common carotid - bifurcation of the brachiocephalic trunk
Left common carotid - direct branch from the arch of the aorta
How do the common carotids ascend and what branches do they give off in the neck
Ascends lateral to the trachea and the oesophagus
No branches given off in the neck
At what level do the carotids bifurcate and within which structure
At the superior margin of the thyroid cartilage (C4)
Branch within the carotid triangle
What is found within the common carotid vessels at the point of bifurcation
Carotid sinus
Function - detecting and regulating BP
In summary - what does the external carotid artery supply
Areas of the head and neck external to the cranium
What are the 6 branches given off from the external carotid artery
Superior thyroid artery
Lingual artery
Facial artery
Ascending pharyngeal artery
Occipital artery
Posterior auricular artery
What are the terminal branches of the external carotid artery
Superficial temporal artery
Maxillary artery
What are considered the major branches of the external carotid artery
Facial
Maxillary
Superficial temporal
Which branches of the external carotid artery supply the scalp
Posterior auricular
Occipital
Superficial temporal
The middle meningeal arteyr is a branch of which artery
Maxillary artery
(origin external carotid artery)
Where does the internal carotid artery enter the cranium
via the carotid canal in the petrous temporal bone
Where do the vertebral arteries arise for and at what level
From the subclavian artery
Medial to the anterior scalene
The vertebral arteries combine to form which major arteries
Basilar artery
What are the branches of the thyrocervical trunk
Inferior thyroid artery
Transverse cervical artery
Suprascapular artery
The thryocervical trunk is a branch of which artery
Subclavian
The ascending cervical artery arises from what vessels
Inferior thyroid artery
What are the 3 anatomical divisions of the venous drainage of the head and neck
Venous drainage of the brain and meninges
Venous drainage of the scalp and face
Venous drainage of the neck
Describe in summary the venous drainage of the scalp and face
Drained by veins synonymous with the arteries of the face and scalp which empty into the internal and external jugular veins
Describe in summary the venous drainage of the neck
Carried out by anterior jugular veins
What forms the external jugular vein
Posterior auricular vein
Retromandibular vein
Where does the external jugular vein form
Immediately posterior to the angle of the mandible
Inferior to the outer ear
Where does the external jugular vein terminate
Beneath the clavicle by draining into the subclavian vein
Where does the internal jugular vein begin and as a continuation of what structure
In the cranial cavity
As a continuation of the sigmoid sinus
Where in the neck does the internal jugular vein travel
Within the carotid sheath
Deep to the sternocleidomastoid muscle
Lateral to the common carotid artery
Where does the internal jugular vein terminate
At the base of the neck, posteriorly to the sternal end of the clavicle by combining with the subclavian vein to form the brachiocephalic vein
Which veins drain into the external jugular vein
Posterior external jugular
Transverse cervical
Suprascapular veins
Which veins drain into the internal jugular vein
Facial
Lingual
Occipital
Superior and middle thyroid
What is found within the cavernous sinus
Internal carotid artery
Abducens nerve (CN VI)
Oculomotor nerve (CN III)
Trochlear nerve (CN IV)
Ophthalmic nerve (CN V1)
Maxillary nerve (CN V2)
Where does the left jugular lymphatic trunk drain into
The left subclavian vein
After it has combined with the thoracic duct
Where does the right jugular lymphatic trunk drain into
Right subclavian vein
(before this it forms the right lymphatic duct at the root of the neck)
What are the superficial lymph node groups of the head
Occipital
Mastoid
Pre-auricular
Parotid
Submental
Submandibular
Facial
Superficial cervical
Where are the deep cervical LN found
Within the carotid sheath
What is Virchow’s node and what is its clinical significance
Left supraclavicular lymph node
Receives lymph drainage from the abdominal cavity - an enlarged virchows node is Trosier’s sign - suggestive of gastric cancer
What is Trosier’s sign
Enlarged left supraclavicular lymph node
What forms the TMJ
The articulation of the mandible and the temporal bone of the cranium
What is unique about the TMJ
The articulating surfaces are separated by an articular disc and so are never in contact with each other
What ligaments support the TMJ
Lateral ligament
Sphenomandibular ligament
Stylomandibular ligament
What movements are facilitated by the TMJ
Protrusion and retraction
Elevation and retraction
What is the neuromuscular supply of the TMJ
Arterial supply - superficial temporal branch of the external carotid
Innervated by - auriculotemporal and massteric branches of the mandibular nerve (CN V3)
The concha of the auricle of the ear continues into the skull as which structure
External acoustic meatus
What is an auricular haematoma
A collection of blood between the cartilage of the ear and the overlying perichondrium