neck and superfical face Flashcards
hyoid bone
- anterior neck at level of c3
- between the mandible and thyoid cartilage
- doesnt articulate with bone
- helps to prop open the airways
thyroid cartilage
- at C4-C5 level
- beween the hyoid and cricoid cartiladge
cricoid cartilage
at the level of c6
platysma
- muscle of facial expression
- arises from subcutaneous tissue cvering the deltion and pectoralis major
- and insertion into the inferior border of the mandible
carotid sheath
tubular fascial investment that extends from the cranial base to the root of the neck contains: -common and internal carotid arteries -internal jugaluar vein -vagus nerve
retopharyngeal space
- premits ovemt of the pharynx, esophagus, larynx and trachea
- largest and most clinicaling important inter fascial space (due to spread of infection)
- closed by the carotid sheath
anterior cervical region of the neck boundaries
anterior: median line of neck
posterior: anterior border of sternocleudiomastoid
superior: inferior border of mandible
inferior: superior sternum
roof: platysma
floor: pharynx, larynx, thyroid gland
the four triangle of the anterior cervical region
submandibular (digastric
- submental
- carotid
- muscular
submental triangle
-inferior to chin
-unpaired
boundaries:
-apex: mandicular symphysis
-base: hyoid bone
-left and right anterior belies of digastric
-floor: two myohyoid muscles
-contains: small veins that unite to form the anterior jugular vein
submandibular triangle
-paired boundaries: -inferior border of mandible and the anterior and posterior bellies of digastric -floor: myohyoid and hypoglossus muscles contains: -mostly submandibular gland -hypoglossal nerve -myohyoid nerve -parts of the facial artery and vein
carotid triangle
boundaries: -superior belly of omohyoid, posterior belly of digastric and anterior border of sternocleuidomastoid contains: -common cartoid artery and branches -internal jugular -vagus nerve -external carotid artery and branches
muscular triangles
boundaries:
-superior belly of omohyoid
-anterior border of SCM
-median plane of the neck
contains:
-infrahyoid muscles and viscera (thyroid and parathyroid)
hyoid muscles function
steady and move the hyoid and larynx
suprahyoid muscles
-above hyoid
-supporting hyoid and porviding a base from which the tongue function and in elevating the hyoid and larynx with swallowing and tone production
-muscles included:
mylohyoid
geniohyoid
stylohyoid
diagastric
fibrous sling
- alongs the intermediate tendon to slide anteriorly and posteriorly as it connects this tendon the bone
- digastric and omohyoid muscles both have this
mylohyoid origin
myohyoid line of mandible
mylohyoid insertion
body of ramus
mylohyoid innervaton and action
- nerve to mylohyoid (branch from inferior alveolar nerve, from CN V3)
- elevted hyoid, floor of mouth and tongue during swallowing and speaking
geniohyoid origin
inferior mental spine of the mandible
geniohyoid insertion
body of hyoid
geniohyoid innervation and action
- C1 via hypoglossal nerve
- widens phrynx, shortens floor of mouth
stylohyoid origin
styoid process of temporal bone
stylohyoid insertion
body of hyoid
stylohyoid innervation and action
- facial nerve
- elevates and retracts the hyoid
digastric origin
anterior belly: diagastic fossa of mandible
posterior belly: mastoid notch of temporal bone
digastric insertion
both: intermediate tendon to body and greater horn of hyoid
digastric innervation
anterior belly: nerve to myohyoid
posterior belly: diagastric branch of facial nerve
infrahyoid muscles
-anchor the scapula, hyoid, sternum, clavicle and depresses the hyoid and larynx during swallowing and speaking
-strap muscles
muscles include:
sternohyoid, omohyoid
sternothyoid, thyrohoid
digastric action
- depresses mandible against resistance when working with the muscles below
- elevates and steadies hyoid during swallowing and speaking
sternohyoid origin
manubrium of sternum
sternohyoid insertion
body of hyoid