Superficial Neck Flashcards
Which pharyngeal arches form. The. Hyoid bone?
- second -> Lesser cornu, upper part of hyoid bone
- third -> greater cornu, lower part of body of hyoid
What innervates the platysma?
-cervical branch of facial nerve
What innervates both the sternocleidomastoid and the trapezius?
-spinal accessory nerve
What are the functions of the sternocleidomastoid?
- lateral flexion with rotation
- extension at atlanto-occipital joints
- flexion of cervical vertebrae (when person is supine)
What are the two primary types of torticollis? Shortening of SCM
- Fibromatosis colli: fibrous tissue accumulates in the muscle; most common in neonates
- muscular torticollis: wry neck, can be congenital- infants; birth trauma-infants; muscular or nerve injury
What are the 5 fascial compartments?
- Superficial fascia
- Investing layer
- Pre tracheal layer
- Prevertebral layer
- Alar fascia and carotid sheath
What does a superficial lateral dissection reveal?
- trapezius
- SCM
- cutaneous cervical branches -> lesser occipital(C2), greater auricular (C2-3), transverse cervical (C2-3), supraclavicular (C3-4)
- external jugular
- cervical-dorsal vein
What lateral structures are deep to the investing fascia?
- accessory n
- dorsal scapular n
- nerve to levator scapulae
- roots of brachial plexus
- phrenic nerve
- scalene muscles
- splenius capitis
What is Erb’s point?
-nerve block area in the lateral cervical region, check picture
What is the ansa cervicalis?
-a loop of nerves from the cervical plexus that carry somatomotor innervation to most of the infrahyoid muscles in the neck
What nerves supply the pharyngeal arches?
- first -> trigeminal
- second -> facial
- third -> glossopharyngeal
- fourth and sixth -> superior laryngeal branch and recurrent laryngeal branch of vagus
Where is the mylohyoid? Innervation? Action?
- nerve to mylohyoid from inferior alveolar nerve
- trigeminal
- elevate hyoid and tongue
Innervation of geniohyoid? Action?
- C1 via the hypoglossal
- shorten mouth floor
Innervation of digastrics and actions?
Anterior belly: mandibular division of trigeminal
Posterior belly: facial nerve
-depress mandible, steady hyoid
What are the suprahyoid muscles?
- mylohyoid
- geniohyoid
- digastrics