Neck G48 Flashcards
Organizing the neck into UNITS
Boundaries defined by fascia
Organizing the neck into TRIANGLES
Boundaries defined by muscles and bones
Layers of cervical fascia
Superficial cervical fascia and deep cervical fascia
Functions of fascia
fascial planes determine direction of infection and form natural cleavage planes that give slipperiness for structures to move passed another, limit spread of abscesses
Superficial Cervical Fascia
Between dermis and investing layer of deep cervical fascia, contains: cutaneous nerves, blood and lymph vessels, superficial lymph nodes, FAT, and platysma m. anterolaterally
Deep Cervical Fascia layers
Investing layer, pretracheal layer, prevertebral layer, and carotid sheath
Investing layer of deep cervical fascia
Most superficial, surrounds entire neck, ENCLOSES TRAPEZIUS, STERNOCLEIDOMASTOID, PAROTID and SUBMANDIBULAR GLANDS
Muscular unit is surrounded by
investing layer of deep cervical fascia
Stylomandibular ligament
thickened modification of the investing deep cervical fascia
Pretracheal layer of deep cervical fascia
Anterior portion of neck, thin, ENCLOSES THYROID GLAND, TRACHEA, and ESOPHAGUS (INFRAHYOID M.)
Visceral unit is surrounded by…
pretracheal layer of deep cervical fascia
What layer forms the fascial slings for the digastric and omohyoid muscles?
pretracheal fascia
Prevertebral layer of deep cervical fascia
tubular sheath for the vertebral column and associated muscles, sympathetic trunks are embedded in this layer
Sympathetic trunks are embedded in what fascial layer of the neck
prevertebral layer of deep cervical fascia
Vertebral unit is surrounded by
prevertebral layer of deep cervical fascia
Carotid sheath of deep cervical fascia
tubular from base of skull to root of neck, containing: common and internal carotid arteries, internal jugular vein, vagus n, deep cervical lymph nodes, carotid sinus n, sympathetic fibers
Carotid unit is surrounded by
carotid sheath of deep cervical fascia
Which fascial layer is a potential pathway for spread of infection because it allows communication with the mediastinum and cranial cavity?
Carotid sheath
What muscle divides each side of the neck into two large triangles?
sternocleidomastoid
Anterior boundary of the posterior triangle
Sternocleidomastoid
Posterior boundary of the posterior triangle
Trapezius muscle
Inferior boundary of the posterior triangle
middle 1/3 of the clavicle
Apex of the posterior triangle
behind the ear at the level of the superior nuchal line of occipital bone
Roof of the posterior triangle
investing fascia, platysma, and skin
Floor of the posterior triangle
Prevertebral fascia and Splenius Capitis, Levator Scapulae, Middle scalene, Anterior scalene, and Posterior scalene
Posterior triangle can be divided into two smaller triangles… by the…
Occipital triangle and subclavian triangle… inferior belly of omohyoid m.
Occipital triangle
Accesory n. (CN XI) crosses this triangle within the investing layer of deep cervical fascia
Posterior border of anterior triangle
Sternocleidomastoid
Anterior border of anterior triangle
Median line of neck
Superior border of anterior triangle
inferior margin of mandible
Apex of anterior triangle
jugular (suprasternal) notch
Roof of anterior triangle
investing fascia, platysma, and skin
Floor of anterior triangle
pharynx, larynx, and thyroid gland (covered by pretracheal fascia)
The anterior triangle can be subdivided into 4 triangles…
Submental, submandibular (digastric), carotid, and muscular triangle
Location of anterior scalene
deep to sternocleidomastoid, anterior to middle scalene (in posterior triangle)
Origin of anterior scalene
C4-C6 transverse processes
Insertion of anterior scalene
1st rib
Action of anterior scalene
Elevates 1st rib, laterally flexes and rotates neck
Innervation of anterior scalene
C4, C5, C6 spinal nerves
Origin of middle scalene
C2-C7 transverse processes
Insertion of middle scalene
1st rib
Action of middle scalene
Elevates 1st rib during forced inspiration, laterally flexes neck
Innervation of middle scalene
Ventral rami of C3-C7
Location of posterior scalene
posterior to middle scalene and anterior to levator scapulae (in posterior triangle)
Origin of posterior scalene
C5-C7 transverse processes
Insertion of posterior scalene
superior border of 2nd rib
Action of posterior scalene
Elevates 2nd rib during forced inspiration, laterally flexes neck
Innervation of posterior scalene
ventral rami of C7-C8
Omohyoid
two muscle bellies united by a tendon
The inferior belly of the omohyoid passes through
the posterior triangle posterior to the sternocleidomstoid
Omohyoid inferior belly Insertion
intermediate tendon (held to clavicle by CT pretracheal fascia loop)
Omohyoid inferior belly origin
superior border of scapula
Omohyoid superior belly origin
intermediate tendon
Omohyoid superior belly insertion
inferior border of hyoid bone
Innervation to both bellies of omohyoid
Ansa Cervicalis (C1-C3)