Triangles of the Neck Flashcards
What are the 8 palpable bony and cartilaginous landmarks?
mastoid process of temporal bone, mandible, mental protuberance, hyoid bone, thyroid cartilage, cricoid cartilage, trachea, suprasternal notch
What are the parts of the mandible?
ramus, angle, and body
At what vertebral level is the hyoid bone?
C3
At what vertebral level is the thyroid cartilage?
C4-C5
At what vertebral level is the cricoid process?
C6
At what vertebral level is the trachea?
C6 (or C7) to T1
What is the Superficial Cervical Fascia?
fatty subcutaneous tissue between dermis and investing layer of deep cervical fascia
What does the superficial cervical fascia contain?
vv., nn., lymphatics, and platysma m.
what is the action of the platysma m.?
depress mandible and lower lip, tenses skin of neck
what is the innervation of the platysma m.?
cervical branch of the fascial n. (CN VII)
What is the Superficial Cervical Fascia?
fatty subcutaneous tissue between dermis and investing layer of deep cervical fascia
What does the superficial cervical fascia contain?
vv., nn., lymphatics, and platysma m.
what is the action of the platysma m.?
depress mandible and lower lip, tenses skin of neck
what is the innervation of the platysma m.?
cervical branch of the fascial n. (CN VII)
What are the 4 layers of deep cervical fascia?
investing layer, pretracheal layer, prevertebral layer, carotid sheath
what does the investing layer of the deep cervical fascia surround?
surrounds and encloses the entire neck deep to the superficial cervical fascia
what does the investing layer of the deep cervical fascia invest?
sternocleidomastoid m. and trapezius m.
what does the investing layer of the deep cervical fascia form?
the roof over the posterior and anterior triangles of the neck
where is the pretracheal layer of the deep cervical fascia?
limited to the anterior part of the neck; extends from hyoid into the throax
what does the pretracheal layer of the deep cervical fascia enclose?
the infrahyoid mm., thyroid glad, thrachea, esophagus
what does the prevertebral layer of the deep cervical fascia form?
forms a tubular sheath overlying cervical vertebral column and associated mm.
forms the floor of the posterior and anterior triangles of the neck?
what are the associated mm. that the prevertebral layer of the deep cervical fascia enclose?
anteriorly- longus colli m and longus capitis m.
laterally- scalene mm.
posteriorly- levator scapulae m. and deep cervical m.
what is the carotid sheath?
fascial tube that extends from the base of the cranium to the root of the neck
what does the carotid sheath contain?
common or internal carotid artery (anterior-medial)
internal jugular v. (anterior-lateral)
vagus n. (CN X) (posterior)
What are the superficial vessels of the neck?
external jugular v., anterior jugular v., fascial a. and v.
what does the external jugular v.?
drains most of the scalp and side of face
Where does the external jugular v. come from?
the union of retromandibular v. and posterior auricular v.
where does the external jugular v. drain to?
drains into the subclavian v.
where does the anterior jugular v. drain?
into the external jugular v.
what is the course of the fascia a. and v.?
curve around inferior border of the mandible to enter/exit the face
where is the nerve point of the neck?
midpoint of the inferior border of the sternocleidomastoid m.
what are the CUTANEOUS nn. of the cervical plexus?
lesser occipital n., great auricular n., transverse cervical n., supraclavicular nn.
what is the spinal segments of the lesser occipital n.?
C2
what is the spinal segments of the great auricular n.?
C2-C3
what is the spinal segments of the transverse cervical n.?
C2-C3
what is the spinal segments of the supraclavicular n.?
C3-C4
What are the superficial mm. of the neck?
platysma m. and sternocleidomastoid m.
what is the origin of the sternocleidomastoid m.?
two heads: manubrium and clavicle
what is the insertion of the sternocleidomastoid m.?
mastoid process and superior nuchal line
what is the action of the sternocleidomastoid m.?
unilateral: tilts head to same side and rotates face towards the opposite side
bilateral: flex or extend neck