Major blood vessels of the head and neck Flashcards

1
Q

Where does the arterial supply to the head and neck arise from

A

Right and left common carotid arteries and vertebral arteries

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2
Q

Where does the righ common carotid artery originate from

A

Brachiocephalic artery behind the right SCM joint

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3
Q

Where does the does the left common carotid arise from

A

Arch of the aorta

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4
Q

What is the carotid sheath

A

A fascial envelope enclosing the common carotid artery internal jugular vein and vagus nerve

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5
Q

What is the position of the neurovascular bundle in the carotid sheath

A

The sheath is thin over the vein, thick over the artery. The artery lies medically and the vein is lateral and nerve behind

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6
Q

Where is th sympathetic chain in relation to the carotid sheath

A

Outside the sheath, medially ad behind it

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7
Q

Where does the common carotid bifurcate

A

At the level of the upper border of he thyroid cartilage (C4) and divide into internal and external carotid arteries

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8
Q

Why is the internal carotid more bulbous

A

Carotid sinus

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9
Q

How can you distinguish between the internal and external carotid

A

Lack of branches on internal and enters the skull through the carotid canal

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10
Q

Branches of the external carotid

Some anatomists like freaking out poor medical students

A
Superior thyroid
Ascending pharyngeal
Lingual
Facial 
Occipital 
Posterior auricular 
Maxillary
Superficial temporal
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11
Q

What are the terminal branches of the external carotid

A

Maxillary and superficial temporal arteries

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12
Q

What supplies the Meningies and skull bones

A

Middle meningeal artery

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13
Q

What supplies the tissues of the scalp

A

branches from the internal carotid artery(supra-orbital and supratrochlear) and the external carotid (superficial temporal, posterior auricular and occipital)

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14
Q

Temporal arterititis

A

A form of vasculitis involving small and medium size vessels

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15
Q

What vein drains the structures in the scalp, face and neck

A

Facial vein which joins the IJV

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16
Q

Superior border of carotid triangle

A

Posterior belly of digastric muscle

17
Q

Medial/ inferior border of carotid triangle

A

Superior belly of omohyoid muscle

18
Q

What forms the lateral border of the carotid triangle

A

Medial border of SCM

19
Q

Why is the carotid triangle important

A

Common carotid bifurcates here

This is a common site for atherosclerosis which can rupture and cause an embolus

20
Q

What is the scalp made up of

A
Skin
Connective tissue 
Aponeurosis 
Loose Areolar tissue 
Periosteum
21
Q

Where do vessels lie in the scalp

A

Subcutaneous connective tissue layers

22
Q

what relates to the ant fontanelle

A

bregma

23
Q

what relates to the post fontanellle

A

lamda

24
Q

where is the bregma

A

point of intersection between coronal suture and saggital suture

25
Q

where is the lamda

A

point of intersection between sagittal suture and lambdoid suture

26
Q

what is the route of the ICA extra-cranially to intracranially

A

continues up the neck within the carotid sheath and enters the cranial cavity through a small bony canal within the petrous part of the temporal bone