Lecture 2: Organisation of the Neck and Posterior Triangle Flashcards
What is the superior boundary of the neck?
Base of skull
Inferior border of mandible
What is the inferior border of the neck?
Top of sternum
Clavicle
Acromion (anterior)
C7 (posterior)
What are the 3 neck compartments?
Visceral compartment
Vascular compartment
Vertebral compartment
What does the visceral compartment contain?
Parts of digestive and respiratory system
Endocrine glands
What does the vascular compartment contain?
Blood Vessels
CNX (vagus nerve)
What does the vertebral compartment contain?
Cervical vertebrae
Spinal cord
Muscles
Cervical nerves
What are the 3 functions of fascia?
Enclose compartments
Containment and protection
Lubrication (allow structures to slip over each other)
What is the superficial fascia and what does it contain?
Outermost fascia consisting of fatty connective tissue. Connects to mandible and facial muscles. Contains cutaneous nerves, blood vessels, lymphatics and the PLATYSMA muscle.
What is the deep fascia and what does it contain?
Consists of 3 layers - investing, pretracheal and prevertebral layers. Which gives protection and support to contents. Splits into superficial and deep layers to enclose trapezius and SCM.
Name 3 anatomical structures that pierce the investing layer
External and anterior jugular veins.
Nerves including cervical plexus.
What are the 4 superior attachments of the investing layer?
Superior nuchal line of occipital bone.
Mastoid process of temporal bone
Zygomatic arches
Inferior border of mandible
What are the 4 inferior attachments of the investing layer?
Spine of scapula
Acromion
Clavicle
Manubrium
What is the anterior attachment of the investing layer?
Hyoid bone
Posteriorly, the investing layer is continuous with which 2 structures?
Ligamentum nuchae
Periosteum of C7 spinous process.
What feature of the carotid sheath makes it a potential pathway for the spread of infection?
It runs from the foramen of the carotid canal to the aortic arch. It therefore connects the cranial cavity with the mediastinum.