Revision on Part 2,3,4 Flashcards
Origin of platysma from :
Fascia of front of chest covering pectoralis major & deltoid muscle
Insertion of platysma :
into Lower border of mandible
Nerve supply of platysma :
Cervical branch of facial nerve
Action of platysma :
Wrinkles neck skin & Depress mandible
name 4 Cutaneous nerves present in superficial fascia of neck :
g,l,t,s
Great auricular, Lesser occipital, Transverse cervical, Supraclavicular nerves
Superficial veins in superficial fascia of neck :
Anterior & External jugular veins
Anterior jugular vein drains into :
External jugular vein (drains to subclavian)
name 4 Deep fascia parts of neck :
gi,pre-t,cs,pre-v
General investing fascia, Pre-tracheal fascia, Carotid sheath, Pre-vertebral fascia
Carotid sheath contents :
CCA, ICA, IJV, last 4 cranial nerves
Artery outside carotid sheath is ECA, Artery inside upper carotid sheath is ICA ; Artery inside lower carotid sheath is :
CCA
Last 4 cranial nerves (glossopharyngeal, vagus, accessory, hypoglossal) ; Which of them remains in lower carotid sheath ?
gvah
Vagus nerve
Origin of sternomastoid ;
sternal head from :
clavicular head from :
sternal : Sternum manubrium
clavicular : Medial 1/3 of clavicle
Insertion of sternomastoid :
into Lateral surface of mastoid process & Lateral 1/3 of superior nuchal line
Nerve supply of sternomastoid ;
motor from :
sensory from :
motor : Spinal accessory nerve
sensory : C 2 & 3
Action of sternomastoid ;
both muscles contract :
one muscle contracts :
both muscles : bend neck forward
one muscle : bends neck & turn it to opposite side
Supra-hyoid 4 muscles are :
D, smg h
Digastric, Stylohyoid, Mylohyoid, Geniohyoid
Origin of digastric ;
anterior belly from :
posterior belly from :
anterior belly : digastric fossa of lower border of mandible
posterior belly : medial of mastoid
Insertion of digastric :
both bellies into an Intermediate tendon (connected to hyoid bone by fibrous loop)
Nerve supply of digastric ;
anterior belly :
posterior belly :
anterior belly : nerve to Mylohyoid
posterior belly : Facial nerve
Action of digastric ;
anterior belly :
posterior belly :
anterior belly : Depress mandible
posterior belly : Elevates hyoid bone
Origin of mylohyoid from :
Mylohyoid line on inner surface of mandible body
Insertion of mylohyoid ;
anterior fibers into :
posterior fibers into :
anterior fibers : Median raphe
posterior fibers : Hyoid hone
Nerve supply of mylohyoid :
nerve to Mylohyoid (branch from inferior alveolar)
Action of mylohyoid :
Support mouth floor, Elevates hyoid bone, Depress mandible
Infra-hyoid 4 muscles are :
osst
Omohyoid, Sternohyoid, Sternothyroid, Thyrohyoid
Muscles present in side of neck :
Scalene muscles (Scalenus anterior, medius, posterior)
Muscle in back of neck :
Trapezius
Name 4 subdivisions of anterior Triangle of neck :
D mcs
Digastric triangle, Muscular triangle, Carotid triangle, Sub-mental triangle
Contents of muscular triangle :
Infra-hyoid muscles & Thyroid gland
Boundaries of digastric triangle ;
above :
anterior & below :
posterior & below :
above : Lower border of mandible
anterior & below : Anterior belly of D
posterior&below: Posterior belly of D
Contents of digastric triangle :
Submandibular gland, Facial A, Common facial V, Lingual N, Hypoglossal N, Lymph nodes
Boundaries of muscular triangle ;
anterior :
posterior & above :
posterior & below :
anterior : Midline of neck
posterior & above : Superior belly of omohyoid
posterior & below : Sternomastoid
Boundaries of Carotid triangle ;
anterior & above :
anterior & below :
posterior :
anterior&above : Posterior belly of D
anterior & below : Superior belly of omohyoid
posterior : Sternomastoid
Contents of carotid triangle :
Carotid sheath & its contents
Submandibular salivary gland lies in :
Digastric triangle
Submandibular salivary gland extends anteriorly to :
Mental foramen
Submandibular salivary gland extends posteriorly to :
Angle of mandible
Submandibular salivary gland extends above to :
Mylohyoid line
Submandibular salivary gland extends below to :
Intermediate tendon of digastric
Submandibular salivary gland has 2 parts :
Superficial & Deep part
Superficial part of submandibular salivary gland is related medially to :
Mylohyoid
Superficial part of submandibular salivary gland is related laterally to :
Mandible
Superficial part of submandibular salivary gland is related below to :
Skin & Fascia
Deep part of submandibular salivary gland is related above to :
Lingual nerve
Deep part of submandibular salivary gland is related below to :
Hypoglossal nerve
Duct of submandibular salivary gland opens on the :
Summit of sublingual papilla in mouth floor at side of Frenulum of tongue
Arterial supply of submandibular & sublingual salivary gland from :
Facial & Lingual artery
Nerve supply of submandibular & sublingual salivary gland ;
sensory :
sympathetic :
parasympathetic :
sensory : Lingual nerve
sympathetic : Plexus around facial A
para : Facial N -> Chorda tympani N -> relay in Submandibular ganglion
Sublingual salivary gland lies under the mucous membrane of the :
Floor of mouth
Sublingual salivary gland lies under mucous membrane of the floor of mouth forming an elevation called :
Sublingual fold
Sublingual salivary gland is related above to :
Mucous membrane
Sublingual salivary gland is related below to :
Mylohyoid
Sublingual salivary gland is related lateral to :
Mandible
Sublingual salivary gland is related medial to :
Tongue
How many ducts sublingual salivary gland have ?
10-20 small ducts open on Sublingual fold
Thyroid gland shape :
Butterfly with an Isthmus & two lateral lobes
Isthmus of thyroid gland is in front of :
2nd, 3rd, 4th tracheal rings
Lateral lobes extend ;
above to :
below to :
above : Thyroid cartilage
below : 5th or 6th tracheal rings
Relations of isthmus thyroid gland ;
anterior related to :
posterior related to :
anterior : Skin, Fascia, Infra-hyoid muscles
posterior : 2nd, 3rd, 4th tracheal ring
Relations lateral lobes thyroid gland anterolateral surface related to :
Skin, Fascia, Infra-hyoid & Sternomastoid muscles
Relations of lateral lobes of thyroid gland posterior surface related to :
Parathyroid glands & CCA
Relations of lateral lobes of thyroid gland medial surface related to ;
above :
below :
above : Larynx, Pharynx, External laryngeal nerve
below : Trachea, Esophagus, Recurrent laryngeal nerve
Arterial supply of thyroid gland :
Superior & Inferior thyroid artery, Thyroid ima artery
Venous drainage of thyroid gland :
Superior, Middle, Inferior thyroid vein
CCA begins on the Rt side as a branch from :
Brachiocephalic artery
CCA begins on the left side as a branch from :
Arch of aorta
CCA enters the neck behind :
Sternoclavicular joint
In the neck, the CCA ascends inside :
Carotid sheath
In the neck, the CCA ascends inside the Carotid sheath lying :
Medial to IJV, undercover of Sternomastoid
CCA ends at the level of the upper border of :
Thyroid cartilage
CCA ends at the level of the upper border of Thyroid cartilage, which correspond to level of disc between :
C3 & C4 by dividing into ICA & ECA
ICA ascends :
Inside carotid sheath
ICA ascends Inside carotid sheath to the base of skull where it pass through :
Carotid canal to run inside Cavernous sinus
ICA ends by dividing into :
Anterior & Middle cerebral artery
ICA & ECA begins at the level of upper border of Thyroid cartilage branches of :
CCA
ECA ascends :
Outside carotid sheath
ECA ascends Outside carotid sheath to ascend in the :
Parotid gland
ECA ends by dividing into :
Superficial temporal artery & Maxillary artery
Branches from anterior aspect of ECA are :
Facial artery, Lingual artery, Superior thyroid artery
Branches from posterior aspect of ECA are :
Posterior auricular artery & Occipital artery
IJV begins at :
Jugular foramen
IJV begins at Jugular foramen, as a continuation of :
Sigmoid sinus
IJV descends :
Inside carotid sheath
IJV ends by joining Subclavian vein to form :
Brachiocephalic vein
Rt & Lt brachiocephalic veins unite to form :
SVC