Triangles of the neck Flashcards
What does the hyoid bone lie between
Manubrium of sternum and the mandible
What attachments does the hyoid have
Only muscular attachments
What function does the hyoid bone have
Serves as an attachment for anterior neck muscles and a prop to keep the airway open
Where does the subcutaneous tissue of the neck lie
Between the dermis of the skin and the investing layer of deep cervical fascia
Where is the platysma contained
Superficial fascia (subcutaneous tissue of the neck)
Where does the platysma arise from and where does it go
Arises in subcutaneous tissue covering superior parts of the deltoid and pectorals major muscles and sweeps over the clavicle to the inferior border of the mandible
What are the three fascial layers that the deep cervical fascia consists of
- INvesting
- Pretracheal
- Prevertebral
What is the purpose of the three fascial layers
Provide slipperiness that allow structures in the neck to move and pass over one another without difficulty.
Also allows separation of tissues during surgery
What is the outermost deep cervical fascia called
Investing layer
What does the investing layer split into two to surround
Sternocleidomastoid and the trapezius muscles
What are the attachments of the investing layer of the deep cervical fascia superiorly
- Superior nuchal line of the occipital bone
- MAstoid processes of the temporal bones
- zygomatic arches
- Inferior border of the mandible
- HYoid bone
- Spinous process of the cervical vertebrae
Inferiorly, what does the investing layer of deep cervical fascia attach to
- Manubrium of the sternum
- Clavicles
- Spines of the sternum
What is the investing layer of the deep cervical fascia like in relation to the manubrium
Fascia remains divided into two layers that enclose the SCM just above the manubrium and so one layer attaches to the anterior and one to the posterior surface of the manubrium. Suprasternal space lies between these layers
What does the suprasternal s[ace contain
- INferior ends of the anterior jugular veins
- Jugular venous arch
- fat
- LYmph nodes
What does the pretracheal layer of deep cervical fascia extend down to
Extends inferiorly from the hyoid bone into the thorax where it blends with fibrous pericardium
What is the pretracheal layer continuous with
Carotid sheaths on both sides of it
What does the carotid sheath contain
- Common and internal carotid arteries
- Internal jugular vein
- VAgus nerve
- Some deep cervical lymph nodes
- carotid sinus sheaths
- Sympathetic nerve fibres (carotid pre-arterial plexuses)
What space in the neck is a major pathway for the spread of infection in the neck
Retropharyngeal space
What does the retropharyngeal space do
Permits movement of the pharynx, oesophagus, larynx and trachea during swallowing
What is the platysma innervated by
Fascial nerve 7
What regions of the neck does the SCM divide
Divides each side of the neck into anterior and lateral cervical regions
What are the two heads of the SCM
Sternal head
Clavicular head
What are the two heads of the SCM separated by
Lesser supraclavicular fossa
What are the nerves of the lateral cervical region
- Spinal accessory nerve 11
- Roots of brachial plexus
- Suprascapular nerve
- CErvical plexus
Where does the spinal accessory nerve 11 pass
Deep to the SCM where it supplies it and then enters the lateral cervical region