Lecture 21 - Neck Flashcards
Hyoid Bone
- “floating” bone, anchored by muscles
- aids in swallowing and tongue movements
What are the three ligaments of the neck?
- Anterior longitudinal ligament
- Ligamenta flava
- Nuchal ligament
Extrinsic Muscles of the Neck
trapezius, splenius, longissimus, semispinalis, levator scapulae, scalenes
Intrinsic Muscles of the Neck
suboccipital muscles, sternocleidomastoid, longus capitus, longus colli, hyoid muscles
Suboccipital Triangle
- rectus capitus posterior major
- rectus capitus posterior minor
- oblique capitus superior
- obilque capitus inferior
Attachments: occipital bone, C1-C2
Actions: extension, lateral flexion of the neck
Innervation: suboccipital nerve
Sternocleidomastoid
Attachments: clavicle, manubrium, mastoid process
Action: flexion, lateral flexion, rotation of the neck
Innervation: CN XI
Longus capitis
Attachments: transverse processes, anterior occipital bone
Action: flexion and rotation of the head
(top arrow)
Longus colli
Attachments: transverse processes, arch of the atlas
Action: flexion and lateral flexion of the neck
(bottom arrow)
Suprahyoids
-digastric, mylohyoid, stylohyoid, geniohyoid
Action: depress and retract mandible, elevate and protract hyoid
Infrahyoids
-omohyoid, sternohyoid, thyrohyoid, sternothyroid
Action: depress/stabilize hyoid, move larynx
Arteries of the neck
brachiocephalic → common carotid → carotid sinus → external and internal carotid
Veins of the head and neck
emissary veins → sagittal, transverse and sigmoid sinuses → internal jugular (collects deoxygenated blood and discarded CSF from the brain)
outside of head → external jugular
Emissary Veins
- connect internal sinuses to external veins of scalp
- important for heat regulation in the brain
Cavernous Sinus
- drains facial veins into the cranial venous system
- surrounds pituitary gland
- deoxygenated blood wraps around artery perforation, colling venous blood (heat exchange)
Why is choking a uniquely human problem?
Changes in human face shape lead to descent of the larynx, so the epiglottis is no longer in contact with the soft palate
-this creates a retro-oropharyngeal space where food can get trapped
*not in babies