Triangles of Neck Flashcards
At what level is the hyoid bone?
Level of C3 and C4 – suspended by muscles
Fascia between the dermis and deep cervical fascia that contains sensory nerves, blood and lymph vessels, platysma muscles
Superficial fascia
Describe important features of the platysma muscle?
Within the superficial fascia, muscle of facial expression - innervated by CN VII and takes pressure off of jugular vein as well
Most superficial fascia that surrounds the entire neck including SCM and trapezius
Investing fascia
Anterior neck fascia that contains infrahyoid muscle and blends with pericardium
Pretracheal fascia
Fascia that encloses the vertebral column and associated musculature
Prevertebral fascia
Fascia that covers the carotids, internal jugular vein and the vagus nerve
Carotid sheath
Where is the retropharangeal space?
Posterior to pharynx and esophagus, bounded by carotid sheath and prevertebral fascia
What is the purpose of the retropharangeal space?
Permits movement of larynx and pharynx during swallowing but is an easy route for infections to spread
Borders of the anterior triangle?
SCM, inferior mandible, midline of the neck
Borders of the posterior triangle?
SCM, trapezius and clavicle
What nerves are in the posterior triangle?
CN XI, cutaneous nerves = lesser occipital, greater auricular, transverse cervical and suprascapular
What arteries are in the posterior triangle?
EJV, occipital, subclavian, suprascapular
What muscles are in the posterior triangle?
inferior belly of omohyoid, posterior and middle scalene, levator scapulae, splenius capitus
Describe congenital torticollis
Tumor within SCM during utero that causes childs head to be turned to side and the face turned away from affected side
Describe muscular torticollis
SCM possibly injured during birth, fibrotic mass traps CN XI – denervating it = head turned towards side and face turned away as SCM is stiff and shortened
Where do the cutaneous nerves of the neck emerge from?
Posterior margin of SCM at the nerve point of the neck, slightly above the transverse cervical nerve
Anterior rami of lesser occipital nerve
C2