neck Flashcards
what muscle separates the anterior and posterior triangles of the neck
sternocleidomastoid
boundaries of the anterior triangle:
anterior border
posterior border
base
midline of neck
anterior border of sternocleidomastoid
mandible
name the divisions of the anterior triangle
submandibular
submental
carotid
muscular
what is within the submandibular division of the anterior triangle
submandibular salivary gland lymph nodes facial artery and vein carotid sheath hypoglossal nerve
what is within the submental division of the anterior triangle
submental lymph nodes
beginning of the anterior jugular vein
what is within the carotid division of the anterior triangle
carotid sheath branches of external carotid artery internal jugular vein hypoglossal nerve accessory nerve vagus nerve
what is within the muscular division of the anterior triangle
sternohyoid + sternothyroid form floor
beneath thyroid gland, larynx, trachea and oesophagus
what are the different layers of fascia in the anterior neck
pre-tracheal layer (visceral) - covers trachea
pre-tracheal layer (muscular) - covers muscles surrounding the trachea
pre-vertebral layer
carotid sheath
what is the layer of fascia extending above the pectoral is major and clavicle to lateral neck onto the mandible
platysma
what innervates the platysma
facial nerve (CN VII)
location of the external jugular vein
anterior to the SCM in the posterior triangle
location of the internal jugular vein
posterior to the SCM in the anterior triangle
if the anterior jugular vein is present where is it located
midline
muscles of the anterior triangle of the neck
supra hyoid and infra hyoid muscles
role of supra hyoid muscles
raise hyoid bone and depress mandible
name the supra hyoid muscles (chin area)
mylohyoid
anterior and posterior digastric belly
stylohyoid
geniohyoid
name the infra hyoid muscles (neck area) and classify superficial and deep
superficial:
superior and inferior omohyoid belly
sternohyoid
deep:
thyrohyoid
sternothyroid
what nerves supply the supra hyoid muscles
mylohyoid + anterior digastric belly - mandibular division of trigeminal (CN V3)
stylohyoid + posterior digastric belly - facial nerve (CN VII)
geniohyoid - C1 (via hypoglossal CN XII)
role of the infra hyoid muscles
depress hyoid body
what nerves supply the infra hyoid muscles
ansa cervicalis(C1-C3) thyrohyoid - C1 (via hypoglossal CN XII)
root value of the cervical plexus and type of innervation
anterior rami C1-C4
somatic motor and sensory (plus sympathetic)
position of the cervical plexus
joined into loops anterior to levator scapulae and scalenus medius
covered by pre-vertebral layer of deep cervical fascia
what does internal carotid supply
brain
contents of carotid sheath
internal jugular vein
common carotid artery
vagus nerve
what branches off the external carotid artery
superior thyroid artery
lingual artery
facial artery
branches of the subclavian artery
internal thoracic
vertebral artery
thyrocervical trunk
what branches off the thyrocervical trunk
supra scapular
transverse cervical
inferior thyroid
what cranial nerve is the vagus
CN X
location of the recurrent laryngeal branches (internal and external) of the vagus and what they supply
left around arch of aorta
right around subclavian
muscles of the larynx
vagus nerve supplies
parasympathetic innervation to thorax and abdomen
type of gland and role of thyroid gland
endocrine
regulates metabolic rate
features of the thyroid gland
2 lobes
isthmus
capsule
location of thyroid gland
lamina of thyroid cartilage down to 6th tracheal ring
isthmus over tracheal ring 2 or 3
arterial supply to the thyroid gland
inferior thyroid artery from the thyrocervical trunk on the subclavian
superior thyroid from the external carotid
nerve supply to the thyroid gland
recurrent laryngeal nerve of the vagus
venous drainage of the thyroid gland
superior thyroid and middle thyroid to the internal jugular and inferior thyroid to left brachiocephalic vein
location of submandibular gland
inferior to mylohyoid
part in floor of mouth (superior to mylohyoid)
features of submandibular gland
one duct opening between first and secondlower incisor
nerve supply to the submandibular gland
facial nerve (CN VII)
where does the thoracic duct drain into
near the origin of the internal jugular vein from the subclavian vein
boundaries of the posterior triangle
anterior
posterior
base
posterior sternocleidomastoid
anterior trapezius
clavicle
contents of the posterior triangle
external jugular vein
roots of the brachial plexus
accessory nerve (CN XI)
cervical and supraclavicular nodes
superficial nerves that emerge from the posterior triangle
lesser occipital (C2) greater auricular C2-C3) lateral supraclavicular (C3-C4) medial supraclavicular (C3-C4) transverse cervical (C2-C3) intermediate supraclavicular (C3-C4)
veins that can be seen in the posterior triangle
superficial cervical
external jugular vein
cutaneous innervation to the head/lateral neck:
neck posterior to anterior
behind ear to below nose
top oh head posterior to anterior
posterior rami (C3-C5)
supraclavicular (C3-C4)
transverse cutaneous of neck (C2-C3)
lesser occipital
greater auricular
buccal mental
infra-orbital
greater occipital
supra-trochlear and supra-orbital
what branches off the external jugular vein
posterior auricular
retromandibular
what branches of the internal jugular vein
middle and superior thyroid
lingual
facial vein
pharyngeal plexus
what arteries cross the posterior triangle
thyrocervical trunk (at very anterior edge)
with branches -
transverse cervical
suprascapular artery (runs with nerve)
what nerve crosses obliquely over the anterior scalene muscle
phrenic nerve
what travels between the anterior and middle scalene muscles
brachial plexus
attachments of the sternocleidomastoid
mastoid process and superior nuchal line to
clavicular head - clavicle
sternal head - sternum
innervation of the sternocleidomastoid and trapezius:
motor
pain and proriception
spinal accessory nerve (CN XI) cervical plexus (C2-C3)
actions of the sternocleidomastoid
lateral flexion and rotation
extension at atlanto-occipital joints
flexion of cervical vertebra (from supine)
attachments of the trapezius
superior nuchal line to scapular spine and to T12
actions of the trapezius:
ascending bit
transverse bit
descending bit
depress scapula
retract scapula
elevate scapula and rotate glenoid cavity
floor of the posterior triangle
omohyoid
splenius wapitis
levator scapula
scalenes
action and innervation of the splenius capitis
extend and rotate the neck
dorsal rami middle cervical
attachment of the levator scapulae
transverse process of atlas and axis and 3rd-4th cervical vertebrae to medial scapular border (superior angle and medial end of scapular spine)
innervation and action of elevator scapulae
direct C3-C5 via dorsal scapular nerve
scalenes innervation and action:
middle
anterior
posterior
C3-C7 C4-C7 C5-C7 flex neck (bilateral) tilt head (unilateral) elevate upper ribs
attachment of the scalenes
transverse process of: C2-C7 (anterior) C3-C6 (middle) C4-C6 (posterior) to: rib 1 behind subclavian artery (middle) rib 1's scalene tubercle (anterior) rib 2 (posterior)
order of posterior triangle neck muscles from superior to inferior
trapezius splenius wapitis levator scapulae anterior scalene middle scalene posterior scalene omohyoid
superficial and intermediate muscles of the sub occipital region and innervation
splenius cervicis
splenius capitis
semispinalis capitis
longissimus capitis
posterior rami C1-C6
attachment of splenius capitis
ligamentum nuchae and C7-T3 spinous process to occipital bone (superior nuchal) and mastoid process
attachments of splenius cervicis
T3-T6 spinous processes to C1-C2 transverse processes